Two decades of persisting income‐disparities in dental caries among U.S. children and adolescents
Open accessAbstract
Objective: To describe trends in income disparities in dental caries among U.S. children and adolescents during two decades of fluctuating economic growth. Methods: Data were from National Health and Nutrition Examination Surveys conducted in 1988‐1994, 1999‐2004, and 2011‐2014. The number of tooth surfaces with dental caries experience per child was computed for three age groups: 2‐5, 6‐11, and 12‐17 years. Absolute and relative measures of inequality compared caries experience in families below the poverty level with families where income was at least three times the poverty threshold. Results: Conspicuous, inverse income gradients in dental caries were observed at each time period and in each age group. However, there was no consistent trend or statistically significant change in the degree of inequality between survey periods. Conclusions: Persisting income disparities in dental caries among U.S. children and adolescents challenge public health dentistry to redouble efforts to redress the inequity.
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- Authors
- Slade, G. D., & Sanders, A. E.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Slade, Gary Douglas
- Venue
- Journal of Public Health Dentistry
- Publisher
- Wiley
- Published
- 2017-12-15
- Volume
- 78
- Issue
- 3
- Pages
- 187-191
- ISSN
- 0022-4006 (ISSN-L)
- 1752-7325
- PMC
- PMC6003830
- OpenAlex
- W2773552461
- Cited by
- 44
- References
- 10
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 4 · 2023: 9 · 2022: 3 · 2021: 4 · 2020: 9 · 2019: 5 · 2018: 3
- FWCI
- 6.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Public Health Dentistry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (UH2DE025494)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- dental caries, income inequality, socioeconomic disparities, children, adolescents, poverty, caries experience, temporal trends, health disparities, oral health disparities
- MeSH terms
- Adolescent, Child, Dental Caries, Humans, Income, Nutrition Surveys, Poverty, Socioeconomic Factors
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