Oral health of Dutch primary school children in relation to social and health aspects
DOI:
https://doi.org/10.2340/aos.v83.42053Keywords:
Oral health, inequality, increased risk, health status, life styleAbstract
Objective: This research investigated the oral health status of Dutch primary school children aged 10–12 years in Utrecht and its association with demographic characteristics, lifestyle factors, general psychosocial health, and dental treatment, to guide targeted interventions to improve children’s oral and overall well-being.
Materials and methods: A cross-sectional survey was conducted at 49 primary schools in Utrecht in 2017 and 42 schools in 2019. The questionnaire covered background characteristics (7 questions), psychosocial health (14 questions), nutrition and exercise (20 questions), school and leisure time (26 questions), home situation (23 questions), and oral health (4 questions). Associations were analyzed using multivariate logistic regression.
Results: Data from 5,426 children were analyzed. Prior to the survey, 11% did not visit a dentist, 23% had a toothache, 22% had a cavity filled, and 8% had a tooth extracted. Independent predictors for increased odds of oral health problems were migration background, poor general health, drinking more than two glasses of soft drinks per day, having ever drunk alcohol, having fear of failure, experiencing problems at home and/or coming from average or low socioeconomic position group. Factors associated with increased odds of dental treatment, such as cavity filled and tooth extracted, were migration background, fear of failure and home problems.
Conclusions: These findings emphasize the need for targeted prevention to improve the oral health of children with a migration background, average or low socioeconomic position and/or with poorer general and psychosocial health, unhealthy diets and problems in the home situation, within a community-based and transdisciplinary approach.
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Huber M, Knottnerus JA, Green L, et al. How should we define health? BMJ. 2011;343:d4163. https://doi.org/10.1136/bmj.d4163 DOI: https://doi.org/10.1136/bmj.d4163
Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Br Dent J. 2016;221:792–793. https://doi.org/10.1038/sj.bdj.2016.953 DOI: https://doi.org/10.1038/sj.bdj.2016.953
Ramos-Gomez F., Kinsler J, Askaryar H. Understanding oral health disparities in children as a global public health issue: how dental health professionals can make a difference. J Public Health Policy. 2020;41:114–124. https://doi.org/10.1057/s41271-020-00222-5 DOI: https://doi.org/10.1057/s41271-020-00222-5
Hummel R, Akveld N, Bruers J, Van der Sanden W, Su N, Van der Heijden G. Caries progression rates revisited: a systematic review. J Dent Res. 2019;98:746–754. https://doi.org/10.1177/0022034519847953 DOI: https://doi.org/10.1177/0022034519847953
Zorginstituut Nederland. Signalement Mondzorg [Internet]. 2018. Available from: https://www.zorginstituutnederland.nl/publicaties/rapport/2018/11/19/signalement-mondzorg-2018 [cited 30-05-2023]
Sheiham A. Dietary effects on dental diseases. Public Health Nutr. 2001;4:569–591. https://doi.org/10.1079/PHN2001142 DOI: https://doi.org/10.1079/PHN2001142
Kumar S, Tadakamadla J, Johnson NW. Effect of toothbrushing frequency on incidence and increment of dental caries: a systematic review and meta-analysis. J Dent Res. 2016;95:1230–1236. https://doi.org/10.1177/0022034516655315 DOI: https://doi.org/10.1177/0022034516655315
Sheiham A, Watt RG. The common risk factor approach a rational basis for promoting oral health. Community Dent Oral Epidemiol Comment. 2000;28:399–406. https://doi.org/10.1034/j.1600-0528.2000.028006399.x DOI: https://doi.org/10.1034/j.1600-0528.2000.028006399.x
Payne BJ, Locker D. Relationship between dental and general health behaviors in a Canadian population. J Public Health Dent. 1996;56:198–204. https://doi.org/10.1111/j.1752-7325.1996.tb02436.x DOI: https://doi.org/10.1111/j.1752-7325.1996.tb02436.x
Petersen PE, Jiang H, Peng B, Tai BJ, Bian Z. Oral and general health behaviours among Chinese urban adolescents. Community Dent Oral Epidemiol. 2008;36:76–84. https://doi.org/10.1111/j.1600-0528.2007.00375.x DOI: https://doi.org/10.1111/j.1600-0528.2007.00375.x
Park Y, Patton LL, Kim H. Clustering of oral and general health risk behaviors in Korean adolescents: a national representative sample. J Adolesc Health. 2010;47:277–281. https://doi.org/10.1016/j.jadohealth.2010.02.003 DOI: https://doi.org/10.1016/j.jadohealth.2010.02.003
Sundby A, Petersen PE. Oral health status in relation to ethnicity of children in the municipality of Copenhagen, Denmark. Int J Paediatr Dent. 2003;13:150–157. https://doi.org/10.1046/j.1365-263X.2003.00449.x DOI: https://doi.org/10.1046/j.1365-263X.2003.00449.x
Seidell JC, Halberstadt J. National and local strategies in the Netherlands for obesity prevention and management in children and adolescents. Obesity Facts. 2020;13:418–429. https://doi.org/10.1159/000509588 DOI: https://doi.org/10.1159/000509588
Huiberts I, Singh A, Collard D, Hendriks M, van Lenthe FJ, Chinapaw M. Untangling the complex implementation process of community-based health promotion: a multiple-case study in the Netherlands. Health Promot Int. 2024;39:daae005. https://doi.org/10.1093/heapro/daae005 DOI: https://doi.org/10.1093/heapro/daae005
Petersen PE. The world oral health report 2003: Continuous improvement of oral health in the 21st century–the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2003;31:3–24. https://doi.org/10.1046/j..2003.com122.x DOI: https://doi.org/10.1046/j..2003.com122.x
Gemeente Utrecht. Health disparities children [Internet]. n.d. Available from: https://volksgezondheidsmonitor.nl/health-disparities-children
Anand N, Suresh M, Chandrasekaran SC. Effect of obesity and lifestyle on the oral health of pre adolescent children. J Clin Diagn Res. 2014;8:196. https://doi.org/10.7860/JCDR/2014/6694.4058 DOI: https://doi.org/10.7860/JCDR/2014/6694.4058
Renzaho A, de Silva‐Sanigorski A. The importance of family functioning, mental health and social and emotional well‐being on child oral health. Child: Care Health Dev. 2014;40:543–552. https://doi.org/10.1111/cch.12053 DOI: https://doi.org/10.1111/cch.12053
Dusseldorp E, Kamphuis M, Schuller A. Impact of lifestyle factors on caries experience in three different age groups: 9, 15, and 21‐year‐olds. Community Dent Oral Epidemiol. 2015;43:9–16. https://doi.org/10.1111/cdoe.12123 DOI: https://doi.org/10.1111/cdoe.12123
Boyce W, Torsheim T, Currie C, Zambon A. The Family Affluence Scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indicators Res. 2006;78:473–487. https://doi.org/10.1007/s11205-005-1607-6 DOI: https://doi.org/10.1007/s11205-005-1607-6
Torsheim T, Cavallo F, Levin KA, et al. Psychometric validation of the revised family affluence scale: a latent variable approach. Child Indicat Res. 2016;9:771–784. https://doi.org/10.1007/s12187-015-9339-x DOI: https://doi.org/10.1007/s12187-015-9339-x
Corell M, Chen Y, Friberg P, Petzold M, Löfstedt P. Does the family affluence scale reflect actual parental earned income, level of education and occupational status? A validation study using register data in Sweden. BMC Public Health. 2021;21:1–11. https://doi.org/10.1186/s12889-021-11968-2 DOI: https://doi.org/10.1186/s12889-021-11968-2
Theunissen MH, de Wolff MS, Reijneveld SA. The strengths and difficulties questionnaire self-report: a valid instrument for the identification of emotional and behavioral problems. Acad Pediatr. 2019;19:471–476. https://doi.org/10.1016/j.acap.2018.12.008 DOI: https://doi.org/10.1016/j.acap.2018.12.008
Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: the development of the health behaviour in school-aged children (HBSC) Family Affluence Scale. Soc Sci Med. 2008;66:1429–1436. https://doi.org/10.1016/j.socscimed.2007.11.024 DOI: https://doi.org/10.1016/j.socscimed.2007.11.024
S. Statistics. IBM SPSS statistics for windows, Version 27.0. Armonk, NY: IBM Corp; 2020.
Nazir MA. Predictors of routine dental check-up among male adolescents in Saudi Arabia. Acta Stomatol Croat. 2019;53:255. DOI: https://doi.org/10.15644/asc53/3/7
Wogelius P, Poulsen S. Associations between dental anxiety, dental treatment due to toothache, and missed dental appointments among six to eight-year-old Danish children: a cross-sectional study. Acta Odontol Scand. 2005;63:179–182. https://doi.org/10.1080/00016350510019829 DOI: https://doi.org/10.1080/00016350510019829
Xu M, Yuan C, Sun X, Cheng M, Xie Y, Si Y. Oral health service utilization patterns among preschool children in Beijing, China. BMC Oral Health. 2018;18:1–9. https://doi.org/10.1186/s12903-018-0494-6 DOI: https://doi.org/10.1186/s12903-018-0494-6
May J. Oral health in children. In McKenna G, editors, Nutrition and oral health. Cham: Springer International Publishing, 2021, pp. 17–28. DOI: https://doi.org/10.1007/978-3-030-80526-5_3
Pohjola V, Nurkkala M, Virtanen JI. Psychological distress, oral health behaviour and related factors among adolescents: Finnish school health promotion study. BMC Oral Health. 2021;21:1–9. https://doi.org/10.1186/s12903-020-01357-3 DOI: https://doi.org/10.1186/s12903-020-01357-3
Christensen LB, Twetman S, Sundby A. Oral health in children and adolescents with different socio-cultural and socio-economic backgrounds. Acta Odontol Scand. 2010;68:34–42. https://doi.org/10.3109/00016350903301712 DOI: https://doi.org/10.3109/00016350903301712
Listl S. Inequalities in dental attendance throughout the life-course. J Dent Res. 2012;91:S91–S97. https://doi.org/10.1177/0022034512447953 DOI: https://doi.org/10.1177/0022034512447953
Fraihat N, Madae’en S, Bencze Z, Herczeg A, Varga O. Clinical effectiveness and cost-effectiveness of oral-health promotion in dental caries prevention among children: systematic review and meta-analysis. Int J Environ Res Public Health. 2019;16:2668. https://doi.org/10.3390/ijerph16152668 DOI: https://doi.org/10.3390/ijerph16152668
Chertok IR, Chertok N, Haile ZT, Chavan B. Association of youth characteristics and recent utilization of dental services in the United States. Front Pediatr. 2018;6:104. https://doi.org/10.3389/fped.2018.00104 [cited 02-06-2024] DOI: https://doi.org/10.3389/fped.2018.00104
Reda SM, Krois J, Reda SF, Thomson, WM, Schwendicke F. The impact of demographic, health-related and social factors on dental services utilization: systematic review and meta-analysis. J Dent 2018;75:1–6. https://doi.org/10.1016/j.jdent.2018.04.010 DOI: https://doi.org/10.1016/j.jdent.2018.04.010
Verlinden DA, Reijneveld SA, Lanting CI, van Wouwe JP, Schuller AA. Socio‐economic inequality in oral health in childhood to young adulthood, despite full dental coverage. Eur J Oral Sci. 2019;127:248–253. https://doi.org/10.1111/eos.12609 DOI: https://doi.org/10.1111/eos.12609
Pentapati KC, Yeturu SK, Siddiq H. Global and regional estimates of dental pain among children and adolescents—systematic review and meta-analysis. Eur Arch Paediatr Dent. 2021;22:1–12. https://doi.org/10.1007/s40368-020-00545-7 DOI: https://doi.org/10.1007/s40368-020-00545-7
Santos PS, Barasuol JC, Moccelini BS, et al. Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis. Clin Oral Investig. 2022;26:1105–1119. https://doi.org/10.1007/s00784-021-04255-2 DOI: https://doi.org/10.1007/s00784-021-04255-2
Chaffee BW, Rodrigues PH, Kramer PF, Vítolo MR & Feldens CA. Oral health‐related quality‐of‐life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017;45:216–224. https://doi.org/10.1111/cdoe.12279 DOI: https://doi.org/10.1111/cdoe.12279
Martins LGT, Pereir KCR, Costa SXS, et al. Impact of dental caries on quality of life of school children. Pesq Bras Odontoped Clín Integr. 2016;16:307–312. https://doi.org/10.4034/PBOCI.2016.161.32 DOI: https://doi.org/10.4034/PBOCI.2016.161.32
Ramos‐Jorge J, Pordeus IA, Ramos‐Jorge ML, Marques, LS, Paiva SM. Impact of untreated dental caries on quality of life of preschool children: Different stages and activity. Community Dent Oral Epidemiol. 2014;42:311–322. https://doi.org/10.1111/cdoe.12086 DOI: https://doi.org/10.1111/cdoe.12086
Listl S, Galloway J, Mossey PA, Marcenes W. Global economic impact of dental diseases. J Dent Res. 2015;94:1355–1361. https://doi.org/10.1177/0022034515602879 DOI: https://doi.org/10.1177/0022034515602879
Dutch Healthcare Authority. Economic costs oral healthcare [Internet]. 2022. Available from: https://www.nza.nl/zorgsectoren/mondzorg/kerncijfers-mondzorg [cited 28-06-2024]
van Spreuwel PCJM, Jerković-Ćosić K, van Loveren C, van der Heijden GJMG. Oral health coaches at well-baby clinics to promote oral health in preschool children from the first erupted tooth: Protocol for a multisite, pragmatic randomized controlled trial. JMIR Res Protoc. 2022;11:e39683. https://doi.org/10.2196/39683 DOI: https://doi.org/10.2196/39683
W. Ministry of Health and Sports. Op Weg Naar Een Mondgezonde Generatie. 2022. Available from: https://www.rijksoverheid.nl/documenten/publicaties/2022/07/01/actieplan-op-weg-naar-een-mondgezonde-generatie.[cited 2-07-2024]
Muris P, Meesters C, van den Berg F. The strengths and difficulties questionnaire (SDQ) further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry. 2003;12:1–8. https://doi.org/10.1007/s00787-003-0298-2 DOI: https://doi.org/10.1007/s00787-003-0298-2
Van Widenfelt BM, Goedhart AW, Treffers PD, Goodman R. Dutch version of the Strengths and Difficulties Questionnaire (SDQ). Eur Child Adolesc Psychiatry. 2003;12:281–289. https://doi.org/10.1007/s00787-003-0341-3 DOI: https://doi.org/10.1007/s00787-003-0341-3
Gomes AC, Rebelo MAB, de Queiroz AC, et al. Socioeconomic status, social support, oral health beliefs, psychosocial factors, health behaviours and health-related quality of life in adolescents. Qual Life Res. 2020;29:141–151. https://doi.org/10.1007/s11136-019-02279-6 DOI: https://doi.org/10.1007/s11136-019-02279-6
Albino J, Tiwari T, Henderson WG, Thomas JF, Braun, PA, Batliner TS. Parental psychosocial factors and childhood caries prevention: data from an American Indian Population. Community Dent Oral Epidemiol. 2018;46:360–368. https://doi.org/10.1111/cdoe.12376 DOI: https://doi.org/10.1111/cdoe.12376
McGrath C, Broder H, Wilson‐Genderson M. Assessing the impact of oral health on the life quality of children: implications for research and practice. Community Dent Oral Epidemiol. 2004;32:81–85. https://doi.org/10.1111/j.1600-0528.2004.00149.x DOI: https://doi.org/10.1111/j.1600-0528.2004.00149.x
Moghaddam LF, Vettore MV, Bayani A, et al. The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with oral health-related quality of life among children: a systematic review and meta-analysis. BMC Pediatr. 2020;20:1–15. https://doi.org/10.1186/s12887-020-02371-8 DOI: https://doi.org/10.1186/s12887-020-02371-8
van Koperen M, Kruitwagen V, Westhuis A, Sobels M. Healthy school: National cooperation for a healthy youth. TSG-Tijdschrift voor gezondheidswetenschappen. 2020;98:62–65. https://doi.org/10.1007/s12508-020-00279-3 DOI: https://doi.org/10.1007/s12508-020-00279-3
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Copyright (c) 2024 Brenda G. Grift, Denise Duijster, Geert J.M.G. van der Heijden, Josef J.J.M. Bruers, Katarina Jerković-Ćosić
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
