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Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care

BACKGROUND: Dental caries in children is unevenly distributed within populations with a higher burden in low socio-economy groups. Thus, tools are needed to allocate resources and establish evidence-based programs that meet the needs of those at risk. The aim of the study was to apply a novel concep...

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Autores principales: Strömberg, Ulf, Magnusson, Kerstin, Holmén, Anders, Twetman, Svante
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198761/
https://www.ncbi.nlm.nih.gov/pubmed/21943023
http://dx.doi.org/10.1186/1472-6831-11-26
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author Strömberg, Ulf
Magnusson, Kerstin
Holmén, Anders
Twetman, Svante
author_facet Strömberg, Ulf
Magnusson, Kerstin
Holmén, Anders
Twetman, Svante
author_sort Strömberg, Ulf
collection PubMed
description BACKGROUND: Dental caries in children is unevenly distributed within populations with a higher burden in low socio-economy groups. Thus, tools are needed to allocate resources and establish evidence-based programs that meet the needs of those at risk. The aim of the study was to apply a novel concept for presenting epidemiological data based on caries risk in the region of Halland in southwest Sweden, using geo-maps. METHODS: The study population consisted of 46,536 individuals between 3-19 years of age (75% of the eligible population) from whom caries data were reported in 2010. Reported dmfs/DMFS>0 for an individual was considered as the primary caries outcome. Each study individual was geo-coded with respect to his/her residence parish. A parish-specific relative risk (RR) was calculated as the observed-to-expected ratio, where the expected number of individuals with dmfs/DMFS>0 was obtained from the age- and sex-specific caries (dmfs/DMFS>0) rates for the total study population. Smoothed caries risk geo-maps, along with corresponding statistical certainty geo-maps, were produced by using the free software Rapid Inquiry Facility and the ESRI(® )ArcGIS system. RESULTS: The geo-maps of preschool children (3-6 years), schoolchildren (7-11 years) and adolescents (12-19 years) displayed obvious geographical variations in caries risk, albeit most marked among the preschoolers. Among the preschool children the smoothed relative risk (SmRR) varied from 0.33 to 2.37 in different parishes. With increasing age, the contrasts seemed to diminish although the gross geographical risk pattern persisted also among the adolescents (SmRR range 0.75-1.20). CONCLUSION: Geo-maps based on caries risk may provide a novel option to allocate resources and tailor supportive and preventive measures within regions with sections of the population with relatively high caries rates.
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spelling pubmed-31987612011-10-23 Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care Strömberg, Ulf Magnusson, Kerstin Holmén, Anders Twetman, Svante BMC Oral Health Research Article BACKGROUND: Dental caries in children is unevenly distributed within populations with a higher burden in low socio-economy groups. Thus, tools are needed to allocate resources and establish evidence-based programs that meet the needs of those at risk. The aim of the study was to apply a novel concept for presenting epidemiological data based on caries risk in the region of Halland in southwest Sweden, using geo-maps. METHODS: The study population consisted of 46,536 individuals between 3-19 years of age (75% of the eligible population) from whom caries data were reported in 2010. Reported dmfs/DMFS>0 for an individual was considered as the primary caries outcome. Each study individual was geo-coded with respect to his/her residence parish. A parish-specific relative risk (RR) was calculated as the observed-to-expected ratio, where the expected number of individuals with dmfs/DMFS>0 was obtained from the age- and sex-specific caries (dmfs/DMFS>0) rates for the total study population. Smoothed caries risk geo-maps, along with corresponding statistical certainty geo-maps, were produced by using the free software Rapid Inquiry Facility and the ESRI(® )ArcGIS system. RESULTS: The geo-maps of preschool children (3-6 years), schoolchildren (7-11 years) and adolescents (12-19 years) displayed obvious geographical variations in caries risk, albeit most marked among the preschoolers. Among the preschool children the smoothed relative risk (SmRR) varied from 0.33 to 2.37 in different parishes. With increasing age, the contrasts seemed to diminish although the gross geographical risk pattern persisted also among the adolescents (SmRR range 0.75-1.20). CONCLUSION: Geo-maps based on caries risk may provide a novel option to allocate resources and tailor supportive and preventive measures within regions with sections of the population with relatively high caries rates. BioMed Central 2011-09-26 /pmc/articles/PMC3198761/ /pubmed/21943023 http://dx.doi.org/10.1186/1472-6831-11-26 Text en Copyright ©2011 Strömberg et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Strömberg, Ulf
Magnusson, Kerstin
Holmén, Anders
Twetman, Svante
Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title_full Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title_fullStr Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title_full_unstemmed Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title_short Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
title_sort geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198761/
https://www.ncbi.nlm.nih.gov/pubmed/21943023
http://dx.doi.org/10.1186/1472-6831-11-26
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