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Disparities in untreated caries among children and adults in the U.S., 2011–2014

BACKGROUND: The Affordable Care Act of 2010 increased dental coverage for children in the United States, (U.S.) but not for adults. Few studies in current scholarship make use of up-to-date, nationally representative data to examine oral health disparities in the U.S. population. The purpose of this...

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Autores principales: Gupta, Niodita, Vujicic, Marko, Yarbrough, Cassandra, Harrison, Brittany
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840689/
https://www.ncbi.nlm.nih.gov/pubmed/29510696
http://dx.doi.org/10.1186/s12903-018-0493-7
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author Gupta, Niodita
Vujicic, Marko
Yarbrough, Cassandra
Harrison, Brittany
author_facet Gupta, Niodita
Vujicic, Marko
Yarbrough, Cassandra
Harrison, Brittany
author_sort Gupta, Niodita
collection PubMed
description BACKGROUND: The Affordable Care Act of 2010 increased dental coverage for children in the United States, (U.S.) but not for adults. Few studies in current scholarship make use of up-to-date, nationally representative data to examine oral health disparities in the U.S. population. The purpose of this study is to use nationally representative data to determine the prevalence of untreated caries among children and adults of different socioeconomic and racial/ethnic groups and to examine the factors associated with untreated caries among children and adults. METHODS: This study used the 2011–2014 National Health and Nutrition Examination Survey (NHANES) demographic, oral health questionnaire, and oral health dentition examination data (n = 7008 for children; n = 9673 for adults). Participants that had a standardized oral health examination and at least one natural primary or permanent tooth considering 28 tooth spaces were included in this study. Our main outcome measure was untreated coronal caries defined as decay on the crown or enamel surface of a tooth that had not been treated or filled. Population estimates were calculated to determine the prevalence of untreated caries among children and adults in the United States. Frequencies and Pearson’s chi-square tests were used to compare those with and without untreated caries. Multivariate logistic regression models were used to evaluate the factors associated with untreated caries. We conducted analyses among children and adults separately. RESULTS: From 2011 to 2014, 12.4 million children and 57.6 million adults in the United States had untreated caries. Age, family income level, recent dental visit, and financial and non-financial barriers were significantly associated with untreated caries in both children and adults. Race/ethnicity, gender and education level were also significantly associated with untreated caries among adults. The odds of untreated caries associated with financial barriers were 2.06 for children and 2.84 for adults while the odds of untreated caries associated with non-financial barriers were 2.86 for children and 1.67 for adults. CONCLUSIONS: Demographic and socio-economic disparities in untreated caries exist among children and adults.
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spelling pubmed-58406892018-03-09 Disparities in untreated caries among children and adults in the U.S., 2011–2014 Gupta, Niodita Vujicic, Marko Yarbrough, Cassandra Harrison, Brittany BMC Oral Health Research Article BACKGROUND: The Affordable Care Act of 2010 increased dental coverage for children in the United States, (U.S.) but not for adults. Few studies in current scholarship make use of up-to-date, nationally representative data to examine oral health disparities in the U.S. population. The purpose of this study is to use nationally representative data to determine the prevalence of untreated caries among children and adults of different socioeconomic and racial/ethnic groups and to examine the factors associated with untreated caries among children and adults. METHODS: This study used the 2011–2014 National Health and Nutrition Examination Survey (NHANES) demographic, oral health questionnaire, and oral health dentition examination data (n = 7008 for children; n = 9673 for adults). Participants that had a standardized oral health examination and at least one natural primary or permanent tooth considering 28 tooth spaces were included in this study. Our main outcome measure was untreated coronal caries defined as decay on the crown or enamel surface of a tooth that had not been treated or filled. Population estimates were calculated to determine the prevalence of untreated caries among children and adults in the United States. Frequencies and Pearson’s chi-square tests were used to compare those with and without untreated caries. Multivariate logistic regression models were used to evaluate the factors associated with untreated caries. We conducted analyses among children and adults separately. RESULTS: From 2011 to 2014, 12.4 million children and 57.6 million adults in the United States had untreated caries. Age, family income level, recent dental visit, and financial and non-financial barriers were significantly associated with untreated caries in both children and adults. Race/ethnicity, gender and education level were also significantly associated with untreated caries among adults. The odds of untreated caries associated with financial barriers were 2.06 for children and 2.84 for adults while the odds of untreated caries associated with non-financial barriers were 2.86 for children and 1.67 for adults. CONCLUSIONS: Demographic and socio-economic disparities in untreated caries exist among children and adults. BioMed Central 2018-03-06 /pmc/articles/PMC5840689/ /pubmed/29510696 http://dx.doi.org/10.1186/s12903-018-0493-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gupta, Niodita
Vujicic, Marko
Yarbrough, Cassandra
Harrison, Brittany
Disparities in untreated caries among children and adults in the U.S., 2011–2014
title Disparities in untreated caries among children and adults in the U.S., 2011–2014
title_full Disparities in untreated caries among children and adults in the U.S., 2011–2014
title_fullStr Disparities in untreated caries among children and adults in the U.S., 2011–2014
title_full_unstemmed Disparities in untreated caries among children and adults in the U.S., 2011–2014
title_short Disparities in untreated caries among children and adults in the U.S., 2011–2014
title_sort disparities in untreated caries among children and adults in the u.s., 2011–2014
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840689/
https://www.ncbi.nlm.nih.gov/pubmed/29510696
http://dx.doi.org/10.1186/s12903-018-0493-7
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