Factors associated with dental caries in a group of American Indian children at age 36 months
Open accessAbstract
Objectives: Early childhood caries (ECC) is rampant among American Indian children, but there has been relatively little study of this problem. This article reports on risk factors for caries for a group of American Indian children at age 36 months as part of a longitudinal study. Methods: Pregnant women from a Northern Plains Tribal community were recruited to participate in a longitudinal study of caries and caries risk factors. Standardized dental examinations were completed on children, and questionnaires were completed by mothers at baseline and when children were 4, 8, 12, 16, 22, 28, and 36 months of age. Examinations were surface‐specific for dental caries, and the questionnaires collected data on demographic, dietary, and behavioral factors. Nonparametric bivariate tests and logistic regression models were used to identify risk factors for caries at 36 months, and negative binomial regression was used to identify factors related to caries severity (dmf counts). Results: Among the 232 children, and caries prevalence for cavitated lesions was 80%, with an additional 15% having only noncavitated lesions. The mean dmfs was 9.6, and of the total dmfs, nearly 62% of affected surfaces were decayed, 31% were missing, and 7% were filled. Logistic regression identified higher added‐sugar beverage consumption, younger maternal age at baseline, higher maternal DMFS at baseline, and greater number of people in the household as significant (P < 0.05) risk factors. Negative binomial regression found that only maternal DMFS was associated with child dmf counts. Conclusions: By the age of 36 months, dental caries is nearly universal in this population of American Indian children. Caries risk factors included sugared beverage consumption, greater household size, and maternal factors, but further analyses are needed to better understand caries in this population.
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Some studies reported positive findings between SSB consumption and dental caries among specific subgroups including low-income, African American and American Indian children.
“Some studies reported these positive findings among specific subgroups including: low-income [86], African American [83] and American Indian children [85].”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [85]
All longitudinal studies included in this review found a positive or mixed association between SSB consumption and dental caries in at least part of the study population.
“All longitudinal studies included in this review found a positive or mixed association between SSB consumption and dental caries in at least part of the study population [83–88].”
From The negative impact of sugar-sweetened beverages on children’s health: an update of the literature (2018) · cites this paper as [85]
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Additional file 1 of Association of sugar-sweetened drinks with caries in 10- and 15-year-olds
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- Authors
- Warren, J. J., Blanchette, D., Dawson, D. V., Marshall, T. A., Phipps, K. R., Starr, D., & Drake, D. R.
- Affiliations
- University of Iowa (US)
- Dental Public Health Consultant Morro Bay CA USA
- Indian Health Service (US)
- Corresponding author
- Warren, John J.
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2015-11-06
- Volume
- 44
- Issue
- 2
- Pages
- 154-161
- ISSN
- 0301-5661 (ISSN-L)
- 1600-0528
- PMC
- PMC4777677
- OpenAlex
- W2133304500
- Cited by
- 57
- References
- 22
- Citations by year
- 2025: 6 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 10 · 2020: 9 · 2019: 6 · 2018: 6 · 2017: 5 · 2016: 3
- FWCI
- 6.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Community Dentistry And Oral Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (RO1‐DE017736)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › dental development and anomalies
- Keywords
- early childhood caries, caries risk factors, Native American children, maternal age, household size, caries prevalence, caries severity
- MeSH terms
- Child, Preschool, Dental Caries, DMF Index, Female, Humans, Indians, North American, Longitudinal Studies, Male, Risk Factors, United States, Prevalence
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