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Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study

BACKGROUND: To understand determinants of oral health inequalities, multilevel modelling is a useful manner to study contextual factors in relation to individual oral health. Several studies outside Europe have been performed so far, however, contextual variables used are diverse and results conflic...

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Autores principales: van Meijeren-van Lunteren, Agatha W, Oude Groeniger, Joost, Wolvius, Eppo B, Kragt, Lea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514066/
https://www.ncbi.nlm.nih.gov/pubmed/33624096
http://dx.doi.org/10.1093/eurpub/ckab013
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author van Meijeren-van Lunteren, Agatha W
Oude Groeniger, Joost
Wolvius, Eppo B
Kragt, Lea
author_facet van Meijeren-van Lunteren, Agatha W
Oude Groeniger, Joost
Wolvius, Eppo B
Kragt, Lea
author_sort van Meijeren-van Lunteren, Agatha W
collection PubMed
description BACKGROUND: To understand determinants of oral health inequalities, multilevel modelling is a useful manner to study contextual factors in relation to individual oral health. Several studies outside Europe have been performed so far, however, contextual variables used are diverse and results conflicting. Therefore, this study investigated whether neighbourhood level differences in oral health exist, and whether any of the neighbourhood characteristics used were associated with oral health. METHODS: This study is embedded in The Generation R Study, a prospective cohort study conducted in The Netherlands. In total, 5 960 6-year-old children, representing 158 neighbourhoods in the area of Rotterdam, were included. Data on individual and neighbourhood characteristics were derived from questionnaires, and via open data resources. Caries was assessed via intraoral photographs, and defined as decayed, missing and filled teeth (dmft). RESULTS: Differences between neighbourhoods explained 13.3% of the risk of getting severe caries, and 2% of the chance of visiting the dentist yearly. After adjustments for neighbourhood and individual characteristics, neighbourhood deprivation was significantly associated with severe dental caries (OR: 1.48, 95% CI: 1.02–2.15), and suggestive of a low odds of visiting the dentist yearly (OR: 0.81, 95% CI: 0.56–1.18). CONCLUSIONS: Childhood caries and use of dental services differs between neighbourhoods and living in a deprived neighbourhood is associated with increased dental caries and decreased yearly use of dental services. This highlights the importance of neighbourhoods for understanding differences in children’s oral health, and for targeted policies and interventions to improve the oral health of children living in deprived neighbourhoods.
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spelling pubmed-85140662021-10-14 Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study van Meijeren-van Lunteren, Agatha W Oude Groeniger, Joost Wolvius, Eppo B Kragt, Lea Eur J Public Health Child and Adolescent Health BACKGROUND: To understand determinants of oral health inequalities, multilevel modelling is a useful manner to study contextual factors in relation to individual oral health. Several studies outside Europe have been performed so far, however, contextual variables used are diverse and results conflicting. Therefore, this study investigated whether neighbourhood level differences in oral health exist, and whether any of the neighbourhood characteristics used were associated with oral health. METHODS: This study is embedded in The Generation R Study, a prospective cohort study conducted in The Netherlands. In total, 5 960 6-year-old children, representing 158 neighbourhoods in the area of Rotterdam, were included. Data on individual and neighbourhood characteristics were derived from questionnaires, and via open data resources. Caries was assessed via intraoral photographs, and defined as decayed, missing and filled teeth (dmft). RESULTS: Differences between neighbourhoods explained 13.3% of the risk of getting severe caries, and 2% of the chance of visiting the dentist yearly. After adjustments for neighbourhood and individual characteristics, neighbourhood deprivation was significantly associated with severe dental caries (OR: 1.48, 95% CI: 1.02–2.15), and suggestive of a low odds of visiting the dentist yearly (OR: 0.81, 95% CI: 0.56–1.18). CONCLUSIONS: Childhood caries and use of dental services differs between neighbourhoods and living in a deprived neighbourhood is associated with increased dental caries and decreased yearly use of dental services. This highlights the importance of neighbourhoods for understanding differences in children’s oral health, and for targeted policies and interventions to improve the oral health of children living in deprived neighbourhoods. Oxford University Press 2021-02-24 /pmc/articles/PMC8514066/ /pubmed/33624096 http://dx.doi.org/10.1093/eurpub/ckab013 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Child and Adolescent Health
van Meijeren-van Lunteren, Agatha W
Oude Groeniger, Joost
Wolvius, Eppo B
Kragt, Lea
Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title_full Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title_fullStr Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title_full_unstemmed Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title_short Neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
title_sort neighbourhood characteristics and children’s oral health: a multilevel population-based cohort study
topic Child and Adolescent Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514066/
https://www.ncbi.nlm.nih.gov/pubmed/33624096
http://dx.doi.org/10.1093/eurpub/ckab013
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