Social Vulnerability Index and Dental Caries in Children: An Exploratory Study.

IF 2.2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

JDR Clinical & Translational Research Pub Date : 2024-10-09 DOI:10.1177/23800844241279566

J Pellegrom, K Pickett, G Kostbade, T Tiwari

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Abstract

Objective: This retrospective cross-sectional study evaluated the association between caries outcomes in a pediatric population visiting a dental clinic and the social vulnerability index, an area-based measure capturing 4 main social determinants of health: socioeconomic status, household composition/disability, minority status/language, and housing/transportation.

Methods: The Centers for Disease Control Social Vulnerability Index (SVI) and electronic dental record data of children (0 to 18 y) reporting a caries diagnosis at the Children's Hospital Colorado in 2020 were extracted for 9,201 children. Logistic regressions were used to test the association between SVI and the presence or absence of dental caries, adjusting for age, sex, ethnicity, and race.

Results: Children with a caries diagnosis had a greater mean overall SVI percentile (62.0, standard deviation [SD] = 29.1) compared with patients without a caries diagnosis (59.1, SD = 29.8; P < 0.001). With each 10-point increase in the overall SVI percentile, having a caries diagnosis visit was 2.7% more likely compared with having a visit without a caries diagnosis (odds ratio [OR] 1.027, 95% confidence interval [CI] 1.012, 1.042; P = 0.0004). Those with an overall SVI percentile between 51 and 75 were 23% more likely to have a caries diagnosis compared with those with a percentile ≤25 (OR 1.23, 95% CI 1.07, 1.42; P = 0.003), and those with a percentile >75 were 23.6% more likely to have a caries diagnosis compared with those with a percentile ≤25 (OR 1.236, 95% CI 1.09, 1.40; P = 0.001).

Conclusion: Children (0 to 18 y) living in socially vulnerable environments or areas were more likely to have a caries diagnosis at their dental exam.

Knowledge transfer statement: This study showed an association between social determinants of health demonstrating social vulnerability and dental caries in children. Ultimately, understanding upstream factors for children living in socially vulnerable areas could support policymakers in creating more effective policies to support socially vulnerable populations.

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社会弱势指数与儿童龋齿：一项探索性研究

研究目的这项回顾性横断面研究评估了在牙科诊所就诊的儿科人群的龋病结果与社会脆弱性指数之间的关联，社会脆弱性指数是一种以地区为基础的衡量标准，它捕捉了健康的 4 个主要社会决定因素：社会经济地位、家庭组成/残疾、少数民族地位/语言以及住房/交通：方法：提取了美国疾病控制中心社会弱势指数（SVI）和科罗拉多儿童医院 2020 年报告龋齿诊断的儿童（0 至 18 岁）的电子牙科记录数据，共有 9201 名儿童的数据。在对年龄、性别、民族和种族进行调整后，采用逻辑回归法检验 SVI 与是否存在龋齿之间的关联：结果：与未确诊龋齿的患者（59.1，标准差 [SD] = 29.8；P <0.001）相比，确诊龋齿的儿童的 SVI 总百分位数平均值更高（62.0，标准差 [SD] = 29.1）。总体 SVI 百分位数每增加 10 个百分点，龋齿诊断就诊的可能性就会比没有龋齿诊断的就诊可能性高 2.7%（几率比 [OR] 1.027，95% 置信区间 [CI] 1.012，1.042；P = 0.0004）。与百分位数≤25的儿童相比，SVI总百分位数在51至75之间的儿童确诊龋齿的几率要高出23%（OR 1.23，95% CI 1.07，1.42；P = 0.003）；与百分位数≤25的儿童相比，百分位数大于75的儿童确诊龋齿的几率要高出23.6%（OR 1.236，95% CI 1.09，1.40；P = 0.001）：结论：生活在社会弱势环境或地区的儿童（0-18 岁）更有可能在牙科检查中被诊断出龋齿：这项研究表明，健康的社会决定因素表明社会脆弱性与儿童龋齿之间存在关联。最终，了解生活在社会弱势地区的儿童的上游因素可以帮助政策制定者制定更有效的政策来支持社会弱势人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JDR Clinical & Translational Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.20

自引率

6.70%

发文量

期刊介绍： JDR Clinical & Translational Research seeks to publish the highest quality research articles on clinical and translational research including all of the dental specialties and implantology. Examples include behavioral sciences, cariology, oral & pharyngeal cancer, disease diagnostics, evidence based health care delivery, human genetics, health services research, periodontal diseases, oral medicine, radiology, and pathology. The JDR Clinical & Translational Research expands on its research content by including high-impact health care and global oral health policy statements and systematic reviews of clinical concepts affecting clinical practice. Unique to the JDR Clinical & Translational Research are advances in clinical and translational medicine articles created to focus on research with an immediate potential to affect clinical therapy outcomes.