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

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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

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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.

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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

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Influences on children’s oral health: A conceptual model

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