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The effect of social geographic factors on the untreated tooth decay among head start children

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The effect of social geographic factors on the untreated tooth decay among head start children

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dc.contributor.author Heima, Masahiro es
dc.contributor.author Ferretti, Margaret es
dc.contributor.author Qureshi, Mehveen es
dc.contributor.author Ferretti, Gerald es
dc.date.accessioned 2018-02-28T11:31:42Z
dc.date.available 2018-02-28T11:31:42Z
dc.date.issued 2017 es
dc.identifier.citation Heima, Masahiro ; Ferretti, Margaret ; Qureshi, Mehveen ; Ferretti, Gerald. The effect of social geographic factors on the untreated tooth decay among head start children. En: Journal of Clinical and Experimental Dentistry, 9 10 2017: 1224-1229 es
dc.identifier.uri http://hdl.handle.net/10550/65104
dc.description.abstract Background: Disparities among untreated dental caries exist for children from low-income families in the United States. Understanding of the mechanism of the disparities is required to reduce it and social geographic factors are one of the important influences. Although the effect of fluoridated water has been well reported, studies of other sociogeograpic factors, such as the density of available dentists, are still very limited. The objective of this study is to explore the effect of sociogeographic factors on the number of primary teeth with untreated dental caries among children from low-income families who are enrolled in Head Start programs throughout Northeast Ohio of the United States. Material and Methods: This was a cross-sectional chart review study. Three hundred-eighty-eight charts were reviewed, and the number of primary teeth with untreated dental caries (dt) and the children?s addresses were re trieved. The sociogeographic variables, including fluoridated water availability and the density of available dentists who accept a government-supported insurance (Medicaid dentists), were collected. Results: The mean (standard deviation) of children?s age was 3.51 (1.14) years with a range of 7 months to 5 years. A negative binomial regression model analysis, which used dt as a dependent variable and children?s characteristic factors (i.e. age, gender, insurance type, and total number of primary teeth) and sociogeographic factors (i.e. Po pulation, total number of Medicaid dentists, density of Medicaid dentist, and Fluoride water availability) of cities, as independent variables, demonstrated that only the density of Medicaid dentist in the sociogeographic factors indicated a significant effect (Estimated ß-Coefficients (Standard Errors)=-0.003 (0.002), p =0.030). Conclusions: This study demonstrated a significant negative association between the density of available dentists and untreated dental caries among children from low-income families in Head Start programs in Northeast Ohio. Increasing available dentists may be a strategy to reduce the number of early childhood caries. es
dc.title The effect of social geographic factors on the untreated tooth decay among head start children es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.54228 es
dc.type.hasVersion VoR es_ES

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