Ethnicity, location, age, and fluoridation factors in baby bottle tooth decay and caries prevalence of head start children.

Baby bottle tooth decay (BBTD) is a term applied to a specific form of rampant decay associated with inappropriate bottle or breast feeding of infants and young children. Although the prevalence of BBTD has been studied in individual ethnic groups, comparison studies are rare. Head Start children ha...

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Publicado en:Public Health Reports Vol. 107; no. 2; pp. 167 - 174
Autores principales: Barnes GP, Parker WA, Lyon TC Jr., Drum MA, Coleman GC
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar/Apr92
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr92
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Ethnicity, location, age, and fluoridation factors in baby bottle tooth decay and caries prevalence of head start children.
      aug:
        au:
          Barnes GP
          Parker WA
          Lyon TC Jr.
          Drum MA
          Coleman GC
        affil: Baylor Coll Dentistry, 3302 Gaston Ave, Dallas, TX 75246
      sug:
        subj:
          Dental Caries Epidemiology
          Bottle Feeding
          Child Day Care
          Ethnic Groups
          Fluoridation
          Southwestern United States
          Comparative Studies
          Disease Surveillance
          Water Supply
          White Persons
          Black Persons
          Hispanic Americans
          Native Americans
          Chi Square Test
          Analysis of Variance
          Age Factors
          Rural Areas
          Child, Preschool
          Human
          Child, Preschool: 2-5 years
      ab: Baby bottle tooth decay (BBTD) is a term applied to a specific form of rampant decay associated with inappropriate bottle or breast feeding of infants and young children. Although the prevalence of BBTD has been studied in individual ethnic groups, comparison studies are rare. Head Start children have frequently served as study subjects for assessing the prevalence of BBTD. The purpose of this study was to compare BBTD and caries prevalence among Head Start children who are members of four ethnic groups in five southwestern States. Age, residence, and fluoridation status were also compared for the total sample and ethnic categories. The sampling process was a stratified random site selection; it was used to obtain data on 1,230 children. This number constituted 3 percent of the children enrolled in Head Start in Public Health Service Region VI (Arkansas, Louisiana, New Mexico, Oklahoma, and Texas) where the study was conducted. The criterion for determining the presence of BBTD was based on the number of carious deciduous maxillary incisors observed. The severity of the condition was reported as two of four and three of four of the target teeth affected. Thus, two levels of severity are reported. BBTD was prevalent in approximately 24 percent and 15 percent of the total sample, depending on the severity criterion used. Native American children had a significantly higher (P < 0.05) prevalence than Hispanic, white, and black subjects. Rural children had significantly higher (P < 0.05) prevalence of BBTD than nonrural children for all ethnic groups except whites. The prevalence of decayed and filled (df) surfaces of primary dentition was significantly greater for all rural than for nonrural groups (P < 0.05). Children attending centers showed no significant differences based on fluoride status for the total sample or other variables. BBTD and caries prevalence increased with age. Studies are needed to identify predisposing factors among the ethnic groups and residence status in order for more effective preventive regimens to be developed, implemented, and evaluated.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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