The development of a directed population approach to tackle inequalities in dental caries prevalence among secondary school children based on a small area profile.
Background: It has been observed that the prevalence of dental caries among children has declined in the last decade in Germany. However, despite of these improvements there is still a proportion of children suffering from dental decay.Aims: The aims of this study were to evaluate if a social gradie...
| Published in: | Central European Journal of Public Health Vol. 16; no. 2; pp. 65 - 71 |
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| Main Authors: | , , , , , |
| Format: | research Journal Article |
| Published: |
Central European Journal of Public Health
2008
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105551970&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105551970 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12107778 DRI jtl: Central European Journal of Public Health issn: 12107778 maglogo: N pubinfo: dt: 2008 vid: 16 iid: 2 pid: 11076 pub: Central European Journal of Public Health artinfo: ui: 105551970 105551970 NLM18661808 2010023854 10.21101/cejph.a3469 NLM18661808 105551970 ppf: 65 ppct: 6 formats: fmt: @attributes: type: P tig: atl: The development of a directed population approach to tackle inequalities in dental caries prevalence among secondary school children based on a small area profile. aug: au: Sagheri D Hahn P Hellwig E Sagheri, Darius Hahn, Petra Hellwig, Elmar affil: Department of Orthodontics, School of Dental Science, University of Cologne, Germany sug: subj: Dental Caries Epidemiology Social Class Child Clinical Assessment Tools Cluster Analysis Dental Caries Prevention and Control Female Germany Male Prevalence Human Child: 6-12 years Female Male ab: Background: It has been observed that the prevalence of dental caries among children has declined in the last decade in Germany. However, despite of these improvements there is still a proportion of children suffering from dental decay.Aims: The aims of this study were to evaluate if a social gradient in the prevalence of dental caries exists and, based on those findings, to develop a strategy to target those children with heightened risk to develop dental caries in order to assist oral health care professionals to refocus the current uniform school-based dental health programme to a caries preventive strategy based on a directed population approach.Design: A representative, random sample of 12-year olds in Freiburg (Germany) was examined and dental caries was recorded using WHO criteria. Educational attainment of the child's parents was used as an indicator of socio-economic status and classified by use of the CASMIN Educational Classification.Results: A total of 322 children participated. An examination of dental caries score revealed that its distribution was positively skewed. For this reason this study provides summary analyses based on medians and a non-parametric rank-sum test. The Kruskal-Wallis H-test showed a significant difference between median scores across the different educational levels (p-value = 0.015) which was due to lower dental caries levels in children with non-deprived social background.Conclusions: In order to reduce current social inequalities in child oral health the current uniform school-based dental health programme at secondary school level should be developed to a targeted school-based screening and prevention programme. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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