Structural determinants explain caries differences among preschool children in Chile’s Metropolitan Region

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dc.contributor.authorMonsalves, María Josées
dc.contributor.authorEspinoza, Irises
dc.contributor.authorMoya, Patriciaes
dc.contributor.authorAubert, Josefinaes
dc.contributor.authorDuran, Dorises
dc.contributor.authorArteaga, Oscares
dc.contributor.authorKaufman, Jay Ses
dc.contributor.authorBangdiwala, Shrikantes
dc.date.accessioned2023-03-23T12:34:38Z
dc.date.available2023-03-23T12:34:38Z
dc.date.issued2023-03-09
dc.description.abstractObjective To estimate the association between Social Determinants of Health (structural and intermediate) and caries indicators in Chile’s Metropolitan Region preschool children. Methods A multilevel cross-sectional study of Social Determinants of Health (SDH) and caries in hildren aged 1 to 6 years in Chile’s Metropolitan Region was conducted in 2014–2015, with three levels: district, school and child. Caries were assessed by the dmft-index and the prevalence of untreated caries. The structural eterminants analyzed were Community Human Development Index (CHDI), urban/rural location, school type, caregiver’s education and family income. Poisson multilevel regression models were fit. Results The sample size was 2,275 children from 40 schools in 13 districts. While the highest CHDI district had an untreated caries prevalence of 17.1% (12.3–22.7%), in the most disadvantaged district it was 53.9% (95% CI 46.0–61.6%). As family income increased, the probability of untreated caries prevalence decreased (PR = 0.9 95% CI 0.8–1.0). Rural districts had an average dmft-index of 7.3 (95% CI 7.2–7.4), while in urban districts, it was 4.4 (95% CI 4.3–4.5). Higher probabilities of untreated caries prevalence (PR = 3.0 95% CI 2.3–3.9) were observed in rural children. Greater probabilities of untreated caries prevalence (PR = 1.3 95% CI 1.1–1.6) and prevalence of caries experience (PR = 1.3 95% CI 1.1–1.5) were observed in children whose caregivers had a secondary educational level. Conclusions A strong association was observed between the social determinants of health, specifically the structural ones, and the caries indicators studied in children of the Metropolitan Region of Chile. There were notable differences in caries between districts according to social advantage. Rurality and caregiver’s education were the most consistent predictors.en
dc.identifier.citationBMC Oral Health, Vol 23, N° 136 (2023)en_US
dc.identifier.doihttps://doi.org/10.1186/s12903-023-02778-6
dc.identifier.issn1472-6831
dc.identifier.orcidhttps://orcid.org/0000-0002-8442-2571
dc.identifier.urihttp://hdl.handle.net/20.500.12254/2645
dc.language.isoenen
dc.publisherBioMed Centralen_US
dc.rightsAtribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/3.0/cl/
dc.subjectCaries dentales
dc.subjectFactores de riesgoes
dc.subjectInequidades en saludes
dc.subjectDesigualdades en saludes
dc.subjectSalud infantiles
dc.subjectSocial determinantsen_US
dc.subjectInequalitiesen_US
dc.subjectCarieses
dc.subjectRisk factorsen_US
dc.subjectChildrenen_US
dc.titleStructural determinants explain caries differences among preschool children in Chile’s Metropolitan Regionen_US
dc.typeArtículoes
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