Skip to main content
Top
Published in: International Journal of Public Health 4/2010

01-08-2010 | Original Article

Effectiveness of preventive oral health care in Hispanic children living near US–Mexico border

Author: Anjum Khurshid

Published in: International Journal of Public Health | Issue 4/2010

Login to get access

Abstract

Objective

The effect of preventive oral healthcare on dental caries in Hispanic children in a school district near the US–Mexico border in Texas was studied.

Methods

We collected socioeconomic and demographic data for enrolled students through a written survey of parents. The information was linked to screening data for students in the same school that had been collected during a previously completed teledentistry demonstration project. The presence of dental sealants served as a proxy for preventive oral healthcare. We compared the effect of sealant presence on caries. The student population was 97.5% Hispanic and 82% were economically disadvantaged.

Results

Forty-four percent of the children in our study sample had caries. The prevalence of sealants was 19%; 32% is the national average. The results of regression models confirm the hypothesis that preventive services significantly reduce the occurrence of dental caries (OR = 0.241, P < 0.01). Higher household income (OR = 0.437, P < 0.05) and parent health insurance (OR = 0.497, P < 0.05) were also associated with reduced caries incidence.

Conclusions

Our study suggests that preventive services reduce the incidence of caries in Hispanic children in the study population.
Literature
go back to reference Ahovuo-Saloranta A, Hiiri A, Nordblad A et al (2004) Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 3:CD001830PubMed Ahovuo-Saloranta A, Hiiri A, Nordblad A et al (2004) Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 3:CD001830PubMed
go back to reference Bagramian RA (1982) A 5-year school-based comprehensive preventive program in Michigan, U.S.A. Community Dent Oral Epidemiol 10:234–237 Bagramian RA (1982) A 5-year school-based comprehensive preventive program in Michigan, U.S.A. Community Dent Oral Epidemiol 10:234–237
go back to reference Bravo M, Baca P, Llodra JC, Osorio E (1997) A 24-month study comparing sealant and fluoride varnish in caries reduction on different permanent first molar surfaces. J Public Health Dent 57:184–186 Bravo M, Baca P, Llodra JC, Osorio E (1997) A 24-month study comparing sealant and fluoride varnish in caries reduction on different permanent first molar surfaces. J Public Health Dent 57:184–186
go back to reference Centers for Disease Control and Prevention (2005) Surveillance for dental caries, dental sealants, tooth retention, eduntulism, and enamel fluorosis—United States, 1988–1994 and 1999–2002. MMWR Morb Mortal Wkly Report 54(SS-3) Centers for Disease Control and Prevention (2005) Surveillance for dental caries, dental sealants, tooth retention, eduntulism, and enamel fluorosis—United States, 1988–1994 and 1999–2002. MMWR Morb Mortal Wkly Report 54(SS-3)
go back to reference Cohen LA, Manski RJ (2006) Visits to non-dentist health care providers for dental problems. Fam Med 38(8):556–564PubMed Cohen LA, Manski RJ (2006) Visits to non-dentist health care providers for dental problems. Fam Med 38(8):556–564PubMed
go back to reference Edelstein BL (2002) Disparities in oral health and access to care: findings of national surveys. Ambul Pediatr 2(2 Suppl):141–147CrossRefPubMed Edelstein BL (2002) Disparities in oral health and access to care: findings of national surveys. Ambul Pediatr 2(2 Suppl):141–147CrossRefPubMed
go back to reference Ersin NK, Eronat N, Cogulu D, Uzel A, Aksit S (2006) Association of maternal-child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child 73(2):105–111 Ersin NK, Eronat N, Cogulu D, Uzel A, Aksit S (2006) Association of maternal-child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child 73(2):105–111
go back to reference Flores G, Fuentes-Affleck E, Barbot O et al (2002) The health of Latina children: Urgent priorities, unanswered questions, and a research agenda. JAMA 288(1):82–90CrossRefPubMed Flores G, Fuentes-Affleck E, Barbot O et al (2002) The health of Latina children: Urgent priorities, unanswered questions, and a research agenda. JAMA 288(1):82–90CrossRefPubMed
go back to reference Horowitz HS, Heifetz SB, Poulsen S (1977) Retention and effectiveness of a single application of an adhesive sealant in preventing occlusal caries: final report after five years of a study in Kalispell, Montana. J Am Dent Assoc 95:1133–1139 Horowitz HS, Heifetz SB, Poulsen S (1977) Retention and effectiveness of a single application of an adhesive sealant in preventing occlusal caries: final report after five years of a study in Kalispell, Montana. J Am Dent Assoc 95:1133–1139
go back to reference Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves RC (1985) The cost and effectiveness of school-based preventive dental care. Am J Public Health 75:382–391 Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves RC (1985) The cost and effectiveness of school-based preventive dental care. Am J Public Health 75:382–391
go back to reference Lewis CW, Johnston BD, Linsenmeyar KA, Williams A, Mouradian W (2007) Preventive dental care for children in the United States: a national perspective. Pediatrics 119:544–553CrossRef Lewis CW, Johnston BD, Linsenmeyar KA, Williams A, Mouradian W (2007) Preventive dental care for children in the United States: a national perspective. Pediatrics 119:544–553CrossRef
go back to reference Little RJA, Schluchter MD (1985) Maximum likelihood estimation for mixed continuous and categorical data with missing values. Biometrika 72(3):497–512CrossRef Little RJA, Schluchter MD (1985) Maximum likelihood estimation for mixed continuous and categorical data with missing values. Biometrika 72(3):497–512CrossRef
go back to reference Manski RJ, Moeller JF, Maas WR (2001) Dental services: an analysis of utilization over 20 years. J Am Dent Assoc 132:655–664PubMed Manski RJ, Moeller JF, Maas WR (2001) Dental services: an analysis of utilization over 20 years. J Am Dent Assoc 132:655–664PubMed
go back to reference McColl E, Jacoby A, Thomas L, Soutter J, Manford C, Steen N et al (2001) The conduct and design of questionnaire surveys in healthcare research. In: Stevens A et al (eds) The advanced handbook of methods in evidence based healthcare. Sage Publications, London McColl E, Jacoby A, Thomas L, Soutter J, Manford C, Steen N et al (2001) The conduct and design of questionnaire surveys in healthcare research. In: Stevens A et al (eds) The advanced handbook of methods in evidence based healthcare. Sage Publications, London
go back to reference Moore DS (1978) The significance, importance, and method of determining the dental IQ of a patient. Dent J 44(8):367–368PubMed Moore DS (1978) The significance, importance, and method of determining the dental IQ of a patient. Dent J 44(8):367–368PubMed
go back to reference Mouradian WE, Wehr E, Crall JJ (2000) Disparities in children’s oral health and access to dental care. JAMA 284(20):2625–2631CrossRefPubMed Mouradian WE, Wehr E, Crall JJ (2000) Disparities in children’s oral health and access to dental care. JAMA 284(20):2625–2631CrossRefPubMed
go back to reference Petersson GH, Bratthall D (1996) The caries decline: a review of reviews. Eur J Oral Sci 104(4):436–443CrossRef Petersson GH, Bratthall D (1996) The caries decline: a review of reviews. Eur J Oral Sci 104(4):436–443CrossRef
go back to reference Quandt SA, Hiott AE, Grzywacz JG, Davis SW, Arcury TA (2007) Oral health and quality of life of migrant and seasonal farmworkers in North Carolina. J Agric Saf Health 13(1):45–55PubMed Quandt SA, Hiott AE, Grzywacz JG, Davis SW, Arcury TA (2007) Oral health and quality of life of migrant and seasonal farmworkers in North Carolina. J Agric Saf Health 13(1):45–55PubMed
go back to reference Reinhardt UE, Hussey PS, Anderson GF (2004) US health care spending in an international context: Why U.S. spending so high, and can we afford it? Health Aff 23(3):10–25CrossRef Reinhardt UE, Hussey PS, Anderson GF (2004) US health care spending in an international context: Why U.S. spending so high, and can we afford it? Health Aff 23(3):10–25CrossRef
go back to reference Ryan J (2003) Improving oral health: promise and prospects. National Health Policy Forum Background Paper. George Washington University, Washington, DC Ryan J (2003) Improving oral health: promise and prospects. National Health Policy Forum Background Paper. George Washington University, Washington, DC
go back to reference Selwitz RH, Nowjack-Raymer R, Driscoll WS, Li SH (1995) Evaluation after 4 years of the combined use of fluoride and dental sealants. Community Dent Oral Epidemiol 23:30–35 Selwitz RH, Nowjack-Raymer R, Driscoll WS, Li SH (1995) Evaluation after 4 years of the combined use of fluoride and dental sealants. Community Dent Oral Epidemiol 23:30–35
go back to reference Terpenning M, Shay K (2002) Oral health is cost-effective to maintain but costly to ignore. J Am Geriatr Soc 50(3):584–585CrossRefPubMed Terpenning M, Shay K (2002) Oral health is cost-effective to maintain but costly to ignore. J Am Geriatr Soc 50(3):584–585CrossRefPubMed
go back to reference Truman BI, Gooch BF, Sulemana I et al (2002) Reviews of evidence on interventions to prevent dental caries, oral and pharyngeal cancers and sports-related craniofacial injuries. Am J Prev Med 23(1S):21–46CrossRefPubMed Truman BI, Gooch BF, Sulemana I et al (2002) Reviews of evidence on interventions to prevent dental caries, oral and pharyngeal cancers and sports-related craniofacial injuries. Am J Prev Med 23(1S):21–46CrossRefPubMed
go back to reference US Department of Health and Human Services (2000a) Oral health healthy people 2010, 2nd edn. US Government Printing Office, Washington, DC US Department of Health and Human Services (2000a) Oral health healthy people 2010, 2nd edn. US Government Printing Office, Washington, DC
go back to reference US Department of Health and Human Services (2000b) Oral health in America: a report of the Surgeon General. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, Rockville US Department of Health and Human Services (2000b) Oral health in America: a report of the Surgeon General. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, Rockville
go back to reference US General Accounting Office (2000) Oral health: dental disease is a chronic problem among low-income populations. Report to Congressional Requestors. GAO-HEHS 00-72, Washington, DC US General Accounting Office (2000) Oral health: dental disease is a chronic problem among low-income populations. Report to Congressional Requestors. GAO-HEHS 00-72, Washington, DC
Metadata
Title
Effectiveness of preventive oral health care in Hispanic children living near US–Mexico border
Author
Anjum Khurshid
Publication date
01-08-2010
Publisher
SP Birkhäuser Verlag Basel
Published in
International Journal of Public Health / Issue 4/2010
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-010-0124-9

Other articles of this Issue 4/2010

International Journal of Public Health 4/2010 Go to the issue