Cited by 864Dental Health and Care UtilizationOral microbiology and periodontitis researchChild and Adolescent Health

The DOI matches its Crossref record; 134 of the 134 references it cites were found in a registry or an index.

Influences on children’s oral health: A conceptual model

Fisher-Owens, Susan A., Gansky, Stuart A., Platt, Larry J., Weintraub, Jane A., Soobader, Mah-J, Bramlett, Matthew D., Newacheck, Paul W.·2007·Pediatrics

DOI 10.1542/peds.2006-3084

Open this paper in CoChat — free account

Abstract

OBJECTIVES. Despite marked improvements over the past century, oral health in America is a significant problem: caries is the most common chronic disease of childhood. Much oral health research examines influences primarily in the oral cavity or focuses on a limited number of individual-level factors. The purpose of this article was to present a more encompassing conceptual model of the influences on children's oral health. METHODS. The conceptual model presented here was derived from the population health and social epidemiology fields, which have moved toward multilevel, holistic approaches to analyze the complex and interactive causes of children's health problems. It is based on a comprehensive review of major population and oral health literatures. RESULTS. A multilevel conceptual model is described, with the individual, family, and community levels of influence on oral health outcomes. This model incorporates the 5 key domains of determinants of health as identified in the population health literature: genetic and biological factors, the social environment, the physical environment, health behaviors, and dental and medical care. The model recognizes the presence of a complex interplay of causal factors. Last, the model incorporates the aspect of time, recognizing the evolution of oral health diseases (eg, caries) and influences on the child-host over time. CONCLUSIONS. This conceptual model represents a starting point for thinking about children's oral health. The model incorporates many of the important breakthroughs by social epidemiologists over the past 25 years by including a broad range of genetic, social, and environmental risk factors; multiple pathways by which they operate; a time dimension; the notion of differential susceptibility and resilience; and a multilevel approach. The study of children's oral health from a global perspective remains largely in its infancy and is poised for additional development. This work can help inform how best to approach and improve children's oral health.

Integrity signals

Registry

Crossref · 10.1542/peds.2006-3084

Cites

134 of 134 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Social Capital: Its Origins and Applications in Modern Sociology
Portes, A. (1998) · Annual Review of Sociology · doi:10.1146/annurev.soc.24.1.1 · Cited by 12,037
Physical Activity and Health: A Report of the Surgeon General
(1995) · PsycEXTRA Dataset · doi:10.1037/e525162010-001 · Cited by 5,488
Diet, nutrition and the prevention of chronic diseases
Joint, W. (2002) · Medical Entomology and Zoology · Cited by 4,890
Legacies: the story of the immigrant second generation
(2002) · Choice Reviews Online · doi:10.5860/choice.39-3456 · Cited by 4,539
Oral Health in America: A Report of the Surgeon General
(2000) · Journal of the California Dental Association · doi:10.1080/19424396.2000.12223118 · Cited by 2,484
Diet, Nutrition, and the Prevention of Chronic Diseases
Zimmermann, M. B. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.4.644a · Cited by 2,131
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE: THE FOURTH WADE HAMPTON FROST LECTURE1
Cassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,948
Current estimates from the National Health Interview Survey.
Ss, J. (1981) · PubMed · Cited by 1,866
Social capital and self-rated health: a contextual analysis.
Kawachi, I., Kennedy, B. P., & Glass, R. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.8.1187 · Cited by 1,856
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE1
CASSEL, J. (1976) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112281 · Cited by 1,816

Flagged first, then by citations

Show all 134 references

Research works printed but not linked: 6

Institute of Medicine. The Interplay of Biological, Behavioral and Societal Influences. Washington, DC: National Academy Press; 2001
Kaplan G. Searching for simplicity in a complex world [presidential address]. Presented at: Society of Epidemiologic Research Conference; June 16, 2004; Salt Lake City, UT
Keyes PH. Bacteriological findings and biologic implications. Int Dent J. 1962;12:443–464
National Academy Press. Promoting Health: Intervention Strategies From Social and Behaviorial Research. Washington, DC: National Academy Press; 2000
Cheng A, Gansky SA. Oral health needs of California preschool children compared to dentist supply with ZIP code validation. Presented at: National Oral Health Conference; May 3, 2004; Los Angeles, CA
Valachovic RW. Dental workforce trends and children. Ambul Pediatr. 2002;2(2 suppl):154–161 · DOI

Sorted by citations

Dental caries
Pitts, N. B., Zero, D. T., Marsh, P. D., Ekstrand, K., Weintraub, J. A., Ramos-Gomez, F., Tagami, J., Twetman, S., Tsakos, G., & Ismail, A. (2017) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2017.30 · Cited by 1,823
Self-citation
Disparities in Access to Oral Health Care
Northridge, M. E., Kumar, A., & Kaur, R. (2020) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-040119-094318 · Cited by 544
“, family, friends), community, and societal levels (48, 89, 104, 130).”
Beyond the dmft
Casamassimo, P. S., Thikkurissy, S., Edelstein, B. L., & Maiorini, E. (2009) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2009.0250 · Cited by 519
Parental influence and the development of dental caries in children aged 0–6 years: A systematic review of the literature
Hooley, M., Skouteris, H., Boganin, C., Satur, J. G., & Kilpatrick, N. M. (2012) · Journal of Dentistry · doi:10.1016/j.jdent.2012.07.013 · Cited by 378
Influence of family environment on children's oral health: a systematic review
de Castilho, A. R. F., Mialhe, F. L., Barbosa, T. D. S., & Puppin‐Rontani, R. M. (2013) · Jornal de Pediatria · doi:10.1016/j.jped.2013.03.014 · Cited by 361
“A longitudinal component is needed to measure the influence of time and the elements related to oral health at a variety of levels — individual, family, and community.(12) Complementary public health approaches, such as strategy development, organizational change, community action, and legislation,(62,74) focusing on…”
Background
WHO Global Consultation on Public Health Intervention against Early Childhood Caries
Phantumvanit, P., Makino, Y., Ogawa, H., Rugg-Gunn, A. J., Moynihan, P. J., Petersen, P. E., Evans, R. W., Feldens, C. A., Lo, E. C. M., Khoshnevisan, M. H., et al. (2018) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12362 · Cited by 318
Social determinants of oral health inequalities: implications for action
Watt, R. G. (2012) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2012.00719.x · Cited by 223
“Theoretical and conceptual models outlining the broader influences on oral health have also been developed (17).”
Background
A systematic review of risk factors during first year of life for early childhood caries
Leong, P., Gussy, M. G., Barrow, S. L., de Silva, A. M., & Waters, E. (2012) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2012.01260.x · Cited by 210
The American Dental Association Caries Classification System for Clinical Practice
Young, D. A., Nový, B. B., Zeller, G. G., Hale, R., Hart, T. C., Truelove, E. L., Ekstrand, K. R., Featherstone, J. D. B., Fontana, M., Ismail, A., et al. (2015) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2014.11.018 · Cited by 237
Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model
Seow, W. K. (2011) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2011.01186.x · Cited by 215
When to intervene in the caries process? An expert Delphi consensus statement
Schwendicke, F., Splieth, C., Breschi, L., Banerjee, A., Fontana, M., Paris, S., Burrow, M. F., Crombie, F., Page, L. F., Gatón-Hernández, P., et al. (2019) · Clinical Oral Investigations · doi:10.1007/s00784-019-03058-w · Cited by 217
Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis
Xiao, J., Alkhars, N., Kopycka‐Kędzierawski, D. T., Billings, R. J., Wu, T. T., Castillo, D. A., Rasubala, L., Malmström, H., Ren, Y., & Eliav, E. (2019) · Caries Research · doi:10.1159/000495187 · Cited by 205
The Generation R Study.
van der Voort, Gaillard, R., Albert Hofman, D., de Jongste, J. C., & Duijts, L. (2013) · Cited by 181
The Ethical Imperative of Addressing Oral Health Disparities: A Unifying Framework
Lee, J. Y., & Divaris, K. (2014) · Journal of Dental Research · doi:10.1177/0022034513511821 · Cited by 170
“Fisher-Owens et al. (2013) used 2007 National Survey of Children’s Health data and found that racial/ethnic disparities in children’s oral health status and health care access were attributable largely to socio-economic and health insurance factors, suggesting that reducing health disparities may…”
Method
Changes in the global burden of untreated dental caries from 1990 to 2019: A systematic analysis for the Global Burden of Disease study
Qin, X., Zi, H., & Zeng, X. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10714 · Cited by 166
“This highlights the importance of caries prevention requiring attention not only on behavioral and biological risk factors but also on the broader social and environmental determinants of the disease [19].”
Background
Early Childhood Caries
Seow, W. K. (2018) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2018.05.004 · Cited by 163
Preventing Childhood Caries
Albino, J. E. N., & Tiwari, T. (2015) · Journal of Dental Research · doi:10.1177/0022034515609034 · Cited by 174
“The etiology of childhood dental caries involves a complex interplay of microbial, genetic, biochemical, social and physical environmental, and health-influencing behavioral factors (Fisher-Owens et al. 2007; Adair et al. 2012).”
Background
Oral health of Australian children: The National Child Oral Health Study 2012–14
John Spencer, A., & Do, L. (2016) · University of Adelaide Press eBooks · doi:10.20851/ncohs · Cited by 156
Oral Health–related Beliefs, Behaviors, and Outcomes through the Life Course
Broadbent, J. M., Zeng, J., Page, L. A. F., Baker, S. R., Ramrakha, S., & Thomson, W. M. (2016) · Journal of Dental Research · doi:10.1177/0022034516634663 · Cited by 155
“During childhood, the onset and progression of these conditions are driven by structural and behavioral factors (Fisher-Owens et al. 2007).”
Background
Distribution of Caries in Children
Do, L. (2012) · Journal of Dental Research · doi:10.1177/0022034511434355 · Cited by 150
“The second important characteristic is that dental caries in children is mostly preventable (Fejerskov, 2004; Fisher-Owens et al., 2007; Selwitz et al., 2007).”
Background
Bringing the commercial determinants of health out of the shadows: a review of how the commercial determinants are represented in conceptual frameworks
Maani, N., Collin, J., Friel, S., Gilmore, A., McCambridge, J., Robertson, L., & Petticrew, M. P. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz197 · Cited by 147
Advancing oral health in America
Murphy, L. (2012) · BDJ · doi:10.1038/sj.bdj.2012.660 · Cited by 147
Predictors of Dental Caries Progression in Primary Teeth
Ismail, A. I., Sohn, W., Lim, S., & Willem, J. M. (2009) · Journal of Dental Research · doi:10.1177/0022034508331011 · Cited by 141
“Using the adjustment formula, we calculated adjusted increments for d3-6mfs and d1-6mfs. determinants of Children’s Oral Health Guided by the Fisher-Owens et al. (2007) conceptual model, we compiled a list of the factors included in the model and for which data are available (Table 3).”
BackgroundMethod
Establishing oral health promoting behaviours in children – parents’ views on barriers, facilitators and professional support: a qualitative study
Duijster, D., de Jong‐Lenters, M., Verrips, E., & van Loveren, C. (2015) · BMC Oral Health · doi:10.1186/s12903-015-0145-0 · Cited by 150
“A comprehensive conceptual model by Fisher-Owens et al. [7] acknowl-edges a wide range of determinants of children ’ s oral health and oral health-related behaviours, such as parents ’ health beliefs, practices and coping skills [8 – 10], family functioning [11] and composition [12, 13], social…”
Influential
Community-based population-level interventions for promoting child oral health
de Silva, A. M., Hegde, S., Nwagbara, B. A., Calache, H., Gussy, M. G., Nasser, M., Morrice, H. R., Riggs, E., Leong, P., Meyenn, L. K., et al. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009837.pub2 · Cited by 141
Retracted
Parental Factors Influencing the Development of Early Childhood Caries in Developing Nations: A Systematic Review
Rai, N. K., & Tiwari, T. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00064 · Cited by 125
“Early childhood caries is a result of a multifaceted interaction of biological, genetic, and biochemical factors with an overlaying complexity of the social determinants of oral health (19).”
Background
Family as a health promotion setting: a scoping review of conceptual models of the health-promoting family
Michaelson, V., Pilato, K. A., & Davison, C. M. (2021) · PLOS ONE · doi:10.1371/journal.pone.0249707 · Cited by 120
Predicting Dental Caries Outcomes in Children: A “Risky” Concept
Divaris, K. (2016) · Journal of Dental Research · doi:10.1177/0022034515620779 · Cited by 108
“Comprehensive models that depict these multilevel influences on children’s oral health (Fisher-Owens et al. 2007) and related disparities (Lee and Divaris 2014) exist.”
Background
Mothers’ Caries Increases Odds of Children’s Caries
Weintraub, J. A., Prakash, P., Shain, S. G., Laccabue, M., & Gansky, S. A. (2010) · Journal of Dental Research · doi:10.1177/0022034510372891 · Cited by 119
“Mothers’ caries status was related to preschool children’s caries status in Turkey (Ersin et al., 2006), Thailand (Thitasomakul et al., 2009), and New York (Smith et al., 2002), but was not significant in a Japanese study (Kawashita et al., 2009).”
BackgroundSelf-citation
Social capital: theory, evidence, and implications for oral health
Rouxel, P. L., Heilmann, A., Aida, J., Tsakos, G., & Watt, R. G. (2014) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12141 · Cited by 127
Vitamin D and Dental Caries in Children
Schroth, R. J., Rabbani, R., Loewen, G., & MOFFATT, M. E. K. (2015) · Journal of Dental Research · doi:10.1177/0022034515616335 · Cited by 113
“Parental education naturally influences socioeconomic status, which is a well-recognized social determinant of children’s oral health (Fisher-Owens et al. 2007).”
BackgroundInfluential
Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries
Riggs, E., Kilpatrick, N. M., Slack-Smith, L. M., Chadwick, B. L., Yelland, J. S., Muthu, M., & Gomersall, J. S. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012155.pub2 · Cited by 107
Relationship among microbiological composition and presence of dental plaque, sugar exposure, social factors and different stages of early childhood caries
Parisotto, T. M., Steiner‐Oliveira, C., Duque, C., Peres, R. C. R., Rodrigues, L. K. A., & Nobre‐dos‐Santos, M. (2010) · Archives of Oral Biology · doi:10.1016/j.archoralbio.2010.03.005 · Cited by 107
Artificial Intelligence Its Uses and Application in Pediatric Dentistry: A Review
Vishwanathaiah, S., Fageeh, H. N., Khanagar, S. B., & Maganur, P. C. (2023) · Biomedicines · doi:10.3390/biomedicines11030788 · Cited by 107
The Burden of Early Childhood Caries in Canadian Children and Associated Risk Factors
Pierce, A., Singh, S., Lee, J., Grant, C. G., de Jesus, V. C., & Schroth, R. J. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00328 · Cited by 105
Early childhood feeding practices and dental caries in preschool children: a multi-centre birth cohort study
Arora, A., Scott, J. A., Bhole, S., Do, L., Schwarz, E., & Blinkhorn, A. S. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-28 · Cited by 102
Effectiveness of preventive dental programs offered to mothers by non-dental professionals to control early childhood dental caries: a review
George, A., Sousa, M. S., Kong, A., Blinkhorn, A. S., Norrie, T. P., Foster, J. P., Dahlen, H. G., Ajwani, S., & Johnson, M. (2019) · BMC Oral Health · doi:10.1186/s12903-019-0862-x · Cited by 102
Breastfeeding and early childhood caries. Review of the literature, recommendations, and prevention
Branger, B., Camelot, F., Droz, D., Houbiers, B., Marchalot, A., Bruel, H., Laczny, E., & Clément, C. (2019) · Archives de Pédiatrie · doi:10.1016/j.arcped.2019.10.004 · Cited by 100
Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6 – 36 months old children in Uganda and Tanzania
Masumo, R. M., Bårdsen, A., Mashoto, K. O., & Åstrøm, A. N. (2012) · BMC Oral Health · doi:10.1186/1472-6831-12-24 · Cited by 93
“Poor oral hygiene practices have been found to be strongly associated with the prevalence of ECC [6,50].”
Background
Caregivers' oral health literacy and their young children's oral health-related quality-of-life
Divaris, K., Lee, J. Y., Baker, A. D., & Vann, W. F. (2011) · Acta Odontologica Scandinavica · doi:10.3109/00016357.2011.629627 · Cited by 92
The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis
Moghaddam, L. F., Vettore, M. V., Bayani, A., Bayat, A.-H., Ahounbar, E., Hemmat, M., Armoon, B., & Fakhri, Y. (2020) · BMC Pediatrics · doi:10.1186/s12887-020-02371-8 · Cited by 98
The role of family functioning in childhood dental caries
Duijster, D., Verrips, G. H. W., & van Loveren, C. (2013) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12079 · Cited by 91
Birth Weight, Breastfeeding, Maternal Smoking and Caries Trajectories
Bernabé, E., MacRitchie, H. M. B., Longbottom, C., Pitts, N. B., & Sabbah, W. (2016) · Journal of Dental Research · doi:10.1177/0022034516678181 · Cited by 88
“The complex and multi-factorial risk factors for caries in children have been extensively examined (Fisher-Owens et al. 2007; Selwitz et al. 2007; Segura et al. 2014).”
Background
An examination of racial/ethnic disparities in children's oral health in the United States
Fisher‐Owens, S. A., Isong, I. A., Soobader, M.-J., Gansky, S. A., Weintraub, J. A., Platt, L. J., & Newacheck, P. W. (2012) · Journal of Public Health Dentistry · doi:10.1111/j.1752-7325.2012.00367.x · Cited by 88
“Independent variables, shown in Table 1, included data from the NSCH on child-, family, and neighborhood-level factors, augmented with state-level contextual data from other sources (levels determined in prior work (5, 6); see Table 1 footnotes for state data sources), in an effort to capture a range of the social det…”
BackgroundSelf-citation
Impact of parent-related factors on dental caries in the permanent dentition of 6–12-year-old children: A systematic review
Kumar, S., Tadakamadla, J., Kroon, J., & Johnson, N. W. (2015) · Journal of Dentistry · doi:10.1016/j.jdent.2015.12.007 · Cited by 86
The association between electronic-cigarette use and self-reported oral symptoms including cracked or broken teeth and tongue and/or inside-cheek pain among adolescents: A cross-sectional study
Cho, J. H. (2017) · PLoS ONE · doi:10.1371/journal.pone.0180506 · Cited by 85
Effectiveness of Maternal Counseling in Reducing Caries in Cree Children
Harrison, R. L., Véronneau, J., & Leroux, B. G. (2012) · Journal of Dental Research · doi:10.1177/0022034512459758 · Cited by 84
Maintaining and Improving the Oral Health of Young Children
Krol, D. M., Whelan, K., & HEALTH, T. S. O. O. (2022) · PEDIATRICS · doi:10.1542/peds.2022-060417 · Cited by 110
“62 With a robust understanding of how social determinants influence oral health, pediatricians can advocate for policy, system, and environmental changes that create sustainable, comprehensive improvements in children ’ s oral health and oral health equity.”
Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
Arrow, P., Raheb, J., & Miller, M. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-245 · Cited by 83
“child oral health and the factors contributing to early childhood decay [13].”
Background
Risk factors for dental caries in Latin American and Caribbean countries
Martignon, S., Roncalli, Â. G., Vidigal, E. Á., Aránguiz, V., Feldens, C. A., & Buzalaf, M. A. R. (2021) · Brazilian Oral Research · doi:10.1590/1807-3107bor-2021.vol35.0053 · Cited by 101
Oral healthcare of preschool children in Trinidad: a qualitative study of parents and caregivers
Naidu, R. S., Nunn, J., & Forde, M. (2012) · BMC Oral Health · doi:10.1186/1472-6831-12-27 · Cited by 79
Breaking down the barriers: a qualitative study to understand child oral health in refugee and migrant communities in Australia
Riggs, E., Gibbs, L. F., Kilpatrick, N. M., Gussy, M. G., van Gemert, C. E., Ali, S., & Waters, E. (2014) · Ethnicity and Health · doi:10.1080/13557858.2014.907391 · Cited by 76
“A model by Fisher-Owens builds upon what is known about these determinants, across the lifecourse, and presents this within a framework for ECC (Figure 1; Fisher-Owens et al. 2007).”
Method
Burden of Oral Diseases and Access to Oral Care in an Ageing Society
Aida, J., Takeuchi, K., Furuta, M., Ito, K., Kabasawa, Y., & Tsakos, G. (2022) · International Dental Journal · doi:10.1016/j.identj.2022.06.012 · Cited by 75
“After birth, oral health changes due to exposure to various risk and preventive factors such as dietary intake, oral hygiene habits, fluoride exposure, smoking, and access to dental care.(25) These proximal causes of oral diseases are influenced by upstream social determinants of health throughout the life course.”
Background
Reflections on oral health inequalities: Theories, pathways and next steps for research priorities
Tsakos, G., Watt, R. G., & Guarnizo-Herreño, C. C. (2023) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12830 · Cited by 83
“For example, the conceptual model for determinants of children's oral health by Fisher-Owens et al., (2007) 25 suggests five domains of determinants (genetic and biological factors, social environment, physical environment, health behaviours and dental and medical care) operating in three levels of…”
Method
Effectiveness evaluation of Contra Caries Oral Health Education Program for improving Spanish‐speaking parents’ preventive oral health knowledge and behaviors for their young children
Hoeft, K. S., Barker, J. C., SHIBOSKI, S. C., Guzman, E. P., & Hiatt, R. A. (2016) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12250 · Cited by 75
Social determinants of pediatric oral health
da Fonseca, M. A., & Avenetti, D. (2017) · Dental Clinics of North America · doi:10.1016/j.cden.2017.02.002 · Cited by 69
Early Childhood Caries, Mouth Pain, and Nutritional Threats in Vietnam
Khanh, L. N., Ivey, S. L., Sokal‐Gutierrez, K., Barkan, H. E., Ngo, K. M., Hoang, H. T., Vuong, I., & Thai, N. (2015) · American Journal of Public Health · doi:10.2105/ajph.2015.302798 · Cited by 75
Pathways between parental and individual determinants of dental caries and dental visit behaviours among children: Validation of a new conceptual model.
Buldur, B. (2020) · Community Dentistry and Oral Epidemiology · doi:10.1111/cdoe.12530 · Cited by 83
An ethnographic study of Latino preschool children's oral health in rural California: Intersections among family, community, provider and regulatory sectors
Barker, J. C., & Horton, S. B. (2008) · BMC Oral Health · doi:10.1186/1472-6831-8-8 · Cited by 72
“Fisher-Owens and colleagues [31] present a useful conceptual model for moving research on children's oral health beyond primarily examining what is happening in the oral cavity or family to incorporating influences from other societal sectors as well.”
Background
Dental Caries: A Review
Yadav, K., & Prakash, S. (2016) · Asian journal of biomedical and pharmaceutical sciences · doi:10.15272/ajbps.v6i53.773 · Cited by 69
Risk factors for early childhood caries in disadvantaged populations
Arora, A., Schwarz, E., & Blinkhorn, A. S. (2011) · Journal of Investigative and Clinical Dentistry · doi:10.1111/j.2041-1626.2011.00070.x · Cited by 68
Association of breast feeding with early childhood dental caries: Japanese population-based study
Kato, T., Yorifuji, T., Yamakawa, M., Inoue, S., Saito, K., Doi, H., & Kawachi, I. I. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-006982 · Cited by 67
Early Childhood Dental Caries, Mouth Pain, and Malnutrition in the Ecuadorian Amazon Region
So, M., Ellenikiotis, Y., Husby, H. M., Paz, C. L., Seymour, B. A., & Sokal‐Gutierrez, K. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14050550 · Cited by 72
“The few randomized controlled trials that have examined the effect of treating caries for children’s anthropometric outcomes did not find significant improvements as a result of caries treatment [41,44], pointing to the need for a more comprehensive model of intervention that recognizes determinants at multiple ecolog…”
Background
Examining the accuracy of caregivers' assessments of young children's oral health status
Divaris, K., Vann, W. F., Baker, A. D., & Lee, J. Y. (2012) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2012.0071 · Cited by 65
Epidemiology of dental caries: when structure and context matter
Frazão, P. (2012) · Brazilian Oral Research · doi:10.1590/s1806-83242012000700016 · Cited by 64
Modelling community, family, and individual determinants of childhood dental caries
Duijster, D., van Loveren, C., Dusseldorp, E., & Verrips, G. H. W. (2014) · European Journal Of Oral Sciences · doi:10.1111/eos.12118 · Cited by 63
Harnessing the Power of Invariant Natural Killer T Cells in Cancer Immunotherapy
Bedard, M., Salio, M., & Cerundolo, V. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01829 · Cited by 62
Maternal health and lifestyle, and caries experience in preschool children. A longitudinal study from pregnancy to age 5 yr
Wigen, T. I., & Wang, N. J. (2011) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.2011.00862.x · Cited by 62
“the environment have been described, namely child-level, family-level, and community-level, indicating direct and indirect influence from factors related to community, family, and child on oral health conditions in children (3).”
Early childhood feeding practices and dental caries among Australian preschoolers
Devenish, G., Mukhtar, S. A., Begley, A. M., Spencer, A. J., Thomson, W. M., Ha, D. H., Do, L., & Scott, J. A. (2020) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqaa012 · Cited by 61
A New Definition for Oral Health: Implications for Clinical Practice, Policy, and Research
Lee, J. Y., Watt, R. G., Williams, D. M., & Giannobile, W. V. (2016) · Journal of Dental Research · doi:10.1177/0022034516682718 · Cited by 61
The knowledge and practice of pediatricians in children’s oral health: a scoping review
Dickson‐Swift, V., Kenny, A. J., Gussy, M. G., McCarthy, C., & Bracksley‐O’Grady, S. (2020) · BMC Oral Health · doi:10.1186/s12903-020-01198-0 · Cited by 64
Behavioral Pathways Explaining Oral Health Disparity in Children
Gao, X., Hsu, C. S., Xu, Y.-Q., Loh, T., Koh, D. S. Q., & Hwarng, H. B. (2010) · Journal of Dental Research · doi:10.1177/0022034510372896 · Cited by 60
Effects of the COVID-19 pandemic on children’s oral health and oral health care use
Lyu, W., & Wehby, G. L. (2022) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2022.02.008 · Cited by 61
The Caries Management System: an evidence‐based preventive strategy for dental practitioners. Application for children and adolescents
Evans, R., & Dennison, P. (2009) · Australian Dental Journal · doi:10.1111/j.1834-7819.2009.01165.x · Cited by 59
Oral health disparities in children
Watt, R. G., Mathur, M. R., Aida, J., Bönecker, M., Venturelli, R., & Gansky, S. A. (2018) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2018.05.006 · Cited by 58
Self-citation
Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study
Dieng, S. N., Cissé, D., Lombrail, P., & Azogui‐Lévy, S. (2020) · PLoS ONE · doi:10.1371/journal.pone.0226876 · Cited by 58
“We used WHO’s pathway model adapted for oral health [26] and the conceptual model of Fisher-Owens et al.[11] to build the model for our study.”
BackgroundMethod
Common risk factor approach to address socioeconomic inequality in the oral health of preschool children – a prospective cohort study
Do, L., Scott, J. A., Thomson, W. M., Stamm, J. W., Rugg-Gunn, A. J., Levy, S. M., Wong, C., Devenish, G., Ha, D. H., & Spencer, A. J. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-429 · Cited by 59
Improving Caries Risk Prediction Modeling: A Call for Action
Fontana, M., Carrasco‐Labra, A., Spallek, H., Eckert, G. J., & Katz, B. P. (2020) · Journal of Dental Research · doi:10.1177/0022034520934808 · Cited by 57
“Because of the multifactorial and chronic nature of the caries disease process, studies on caries risk assessment (CRA) tend to be complex, with multiple factors influencing risk at the individual, family, and community levels throughout the lifetime (Fisher-Owens et al. 2007; Fontana 2015).”
Background
Trends in income‐related inequality in untreated caries among children in the United States: findings from NHANES I, NHANES III , and NHANES 1999–2004
Capurro, D. A., Iafolla, T., Kingman, A., Chattopadhyay, A., & Garcia, I. (2015) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12174 · Cited by 57
Evaluation of an oral health promotion program at the time of birth on dental caries in 5‐year‐old children in Vorarlberg, Austria
Wagner, Y., Greiner, S., & Heinrich‐Weltzien, R. (2013) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12072 · Cited by 57
Gender Differences in Oral Health: Self-Reported Attitudes, Values, Behaviours and Literacy among Romanian Adults
Sfeatcu, R. I., Balgiu, B. A., Mihai, C., Petre, A., Pantea, M., & Tribus, L. C. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12101603 · Cited by 56
Assessing a multilevel model of young children’s oral health with national survey data
Bramlett, M. D., Soobader, M.-J., Fisher-Owens, S., Weintraub, J., Gansky, S., Platt, L. J., & Newacheck, P. (2010) · Community Dentistry and Oral Epidemiology · doi:10.1111/j.1600-0528.2010.00536.x · Cited by 60
Self-citation
Early Childhood Caries
Ng, M. W., & Chase, I. I. (2012) · Dental Clinics of North America · doi:10.1016/j.cden.2012.09.002 · Cited by 56
Influence of family environment on children's oral health: a systematic review
de Castilho, A. R. F., Mialhe, F. L., Barbosa, T. D. S., & Puppin‐Rontani, R. M. (2013) · Jornal de Pediatria (Versão em Português) · doi:10.1016/j.jpedp.2012.10.001 · Cited by 59
Does early establishment of favorable oral health behavior influence caries experience at age 5 years?
Wigen, T. I., & Wang, N. J. (2015) · Acta Odontologica Scandinavica · doi:10.3109/00016357.2014.976264 · Cited by 55
“Caries development in pre-school children is influenced by oral health behavior such as diet, plaque control and the use of fluoride, which in turn is influenced by social factors [4].”
Background
The Burden of Early Childhood Caries in Children under 5 Years Old in the European Union and Associated Risk Factors: An Ecological Study
Bencze, Z., Mahrouseh, N., Andrade, C. A. S., Kovács, N., & Varga, O. (2021) · Nutrients · doi:10.3390/nu13020455 · Cited by 55
“Due to the complex causal relations of the disease, the analysis should reflect not only oral health status but also the social environment [26,27].”
Informing a culturally appropriate approach to oral health and dental care for pre-school refugee children: a community participatory study
Nicol, P., Al-Hanbali, A., KING, N. M., Slack-Smith, L. M., & Cherian, S. (2014) · BMC Oral Health · doi:10.1186/1472-6831-14-69 · Cited by 55
Mother-Perceived Social Capital and Children’s Oral Health and Use of Dental Care in the United States
Iida, H., & Rozier, R. G. (2013) · American Journal of Public Health · doi:10.2105/ajph.2012.300845 · Cited by 55
Child and adolescent perceptions of oral health over the life course
Maida, C. A., Marcus, M., Hays, R. D., Coulter, I. D., Ramos‐Gomez, F., Lee, S. Y., McClory, P. S., Van, L. V., Wang, Y., Shen, J., et al. (2015) · Quality of Life Research · doi:10.1007/s11136-015-1015-6 · Cited by 57
“Child and adolescent characteristics, such as biology, lifestyle, and environment, are important determinants of health, including oral health [7, 8].”
Background
Teeth Tales: a community-based child oral health promotion trial with migrant families in Australia
Gibbs, L. F., Waters, E., Christian, B., Gold, L. H., Young, D., de Silva, A. M., Calache, H., Gussy, M. G., Watt, R. G., Riggs, E., et al. (2015) · BMJ Open · doi:10.1136/bmjopen-2014-007321 · Cited by 53
‘We are all scared for the baby’: promoting access to dental services for refugee background women during pregnancy
Riggs, E., Yelland, J. S., Shankumar, R., & Kilpatrick, N. M. (2016) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0787-6 · Cited by 56
Does poverty cause dental caries?
Foley, M., & Akers, H. F. (2018) · Australian Dental Journal · doi:10.1111/adj.12666 · Cited by 59
Perspektif Orang Tua pada Kesehatan Gigi Anak Usia Dini
Abadi, N. Y. W. P., & Suparno, S. (2019) · Jurnal Obsesi Jurnal Pendidikan Anak Usia Dini · doi:10.31004/obsesi.v3i1.161 · Cited by 53
Giving Policy Some Teeth: Routes To Reducing Disparities In Oral Health
Fisher‐Owens, S. A., Barker, J. C., Adams, S. H., Chung, L. H., Gansky, S. A., Hyde, S., & Weintraub, J. A. (2008) · Health Affairs · doi:10.1377/hlthaff.27.2.404 · Cited by 51
“Lifetime oral health status is affected by environmental and public health resources, plus biologic, social, cultural, economic, and access issues.(6) The past century has seen progress in the U.”
BackgroundSelf-citation
Prenatal Maternal Factors, Intergenerational Transmission of Disease, and Child Oral Health Outcomes
Finlayson, T. L., Gupta, A., & Ramos‐Gomez, F. (2017) · Dental Clinics of North America · doi:10.1016/j.cden.2017.02.001 · Cited by 51
Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in Public Housing
Henshaw, M., Borrelli, B., Gregorich, S. E., Heaton, B., Tooley, E. M., Santo, W., Cheng, N. F., Rasmussen, M., Helman, S., Shain, S. G., et al. (2018) · JDR Clinical & Translational Research · doi:10.1177/2380084418794377 · Cited by 51
“Given the complex multifactorial determinants of ECC that exist on the individual, family, and community levels (Fisher-Owens et al. 2007; Lee and Divaris 2014), finding innovative strategies to reduce the prevalence and severity of this disease in high-risk populations is essential to reducing…”
Background
When to intervene in the caries process? A Delphi consensus statement
Banerjee, A., Splieth, C. H., Breschi, L., Fontana, M., Paris, S., Burrow, M. F., Crombie, F. A., Page, L. A. F., Hernández, P. G., Giacaman, R. A., et al. (2020) · BDJ · doi:10.1038/s41415-020-2220-4 · Cited by 55
Oral Health Knowledge, Attitudes and Behaviour of Parents and Caregivers of Preschool Children: Implications for Oral Health Promotion.
Naidu, R. S., & Nunn, J. (2020) · PubMed Central · doi:10.3290/j.ohpd.a43357 · Cited by 50
Using community participation to assess acceptability of “Contra Caries”, a theory-based, promotora-led oral health education program for rural Latino parents: a mixed methods study
Hoeft, K. S., Rios, S. M., Guzman, E. P., & Barker, J. C. (2015) · BMC Oral Health · doi:10.1186/s12903-015-0089-4 · Cited by 50
“ECC is a multifactorial and largely preventable disease, with influences at multiple levels of organization, from individual to societal [5].”
Background
Using the International Classification of Functioning, Disability and Health (ICF) to Describe Children Referred to Special Care or Paediatric Dental Services
Faulks, D., Norderyd, J., Molina, G. F., Phadraig, C. M. G., Scagnet, G., Eschevins, C., & Hennèquin, M. (2013) · PLoS ONE · doi:10.1371/journal.pone.0061993 · Cited by 49
“Extreme inequalities in oral health exist however, in relation to functional capacity and disability, socioeconomic status and socio-political environment, both for adults and children [2–10].”
Background

Authors: Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., Weintraub, J. A., Soobader, M.-J., Bramlett, M. D., & Newacheck, P. W.
Affiliations: Department of Pediatrics
University of California, San Francisco (US)
Statworks, Boston, Massachusetts
Centers for Disease Control and Prevention (US)
ORCID: Gansky, Stuart A.
Weintraub, Jane A.
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2007-09-01
Volume: 120
Issue: 3
Pages: e510-e520
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2006-3084
OpenAlex: W2039971937
Semantic Scholar: 26d7508015c25539bc2679c72746d3458dd6f669
Cited by: 864
References: 134
Citations by year: 2026: 50 · 2025: 58 · 2024: 79 · 2023: 57 · 2022: 83 · 2021: 77 · 2020: 63 · 2019: 57 · 2018: 39 · 2017: 53 · 2016: 35 · 2015: 58 · 2014: 35 · 2013: 37 · 2012: 36
FWCI: 9.76
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
National Institute of Dental and Craniofacial Research (R03 DE165701, R03DE016571, U54DE014251)
Topics: Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Keywords: children's oral health, dental caries, conceptual model, multilevel analysis, social determinants of health, family and community influence, social environment, physical environment, health behavior, access to dental care, health care, differential susceptibility, resilience, temporal dimension
MeSH terms: Anthropometry, Child, Child Development, Disease Susceptibility, Family, Humans, Insurance, Dental, Health Knowledge, Attitudes, Practice, Models, Biological, Oral Health, Oral Hygiene, Patient Acceptance of Health Care, Risk Factors, Sex Factors, Social Environment, Socioeconomic Factors, Health Behavior, Dental Care for Children, Racial Groups

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Influences on children’s oral health: A conceptual model

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks