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Dental caries, parents educational level, family income and dental service attendance among children in Italy
Pubblication date: 03/2017
Authors: S. Cianetti*, G. Lombardo*, E. Lupatelli*, G. Rossi, I. Abraha**, S. Pagano*, L. Paglia***
Institution: *University of Perugia, Biomedical Sciences
Unit of Paediatric Dentistry, Perugia, Italy
**Health Planning Service
Regional Health Authority of Umbria, Perugia, Italy
***Department of Paediatric Dentistry
Istituto Stomatologico Italiano (ISI), Milan, Italy
Publication: European Journal of Paediatic Dentistry
Title: Dental caries, parents educational level, family income and dental service attendance among children in Italy
Abstract: Aim The aim of this study was to verify whether socioeconomic determinants, such as parentsí educational level, family income and dental service attendance by children, are associated with the presence of caries among an Italian population of children.
Materials and methods An observational retrospective study was carried out in a population of children aged 4Ė14 years who visited the Paediatric Dentistry Department of the University of Perugia, Italy. Children were stratified according to familial socioeconomic level (fatherís and motherís educational level, family income) and dental service attendance of children. Age- and sex-adjusted odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated by means of multivariate logistic regression models.
Results A sample of 231 children (mean age 8.1 yrs, SD 2.6; 127 males, 104 females) was recruited. One hundred and sixty three (70.46%) children in the study had caries. Caries presence in children was higher in children where the mothersí educational level was lower (OR =6.1; 95% CI = 3.1 to 12.7), in children where the fathersí educational level was lower (OR =2.9; 95% CI =1.6 to 5.5) and in children with lower family income (OR = 9.9; 95% 95% CI = 5.1 to 20.1). No statistically significant difference were observed in terms of caries presence between the children who were visited at least once by a dentist and children who were not previously seen by a dental practitioner (OR = 0.8; 95% CI = 0.4 to 1.6).
Conclusion Socioeconomic level was an important predictor of caries presence among children. Both low income and low parental educational level were related to an increased presence of caries, whereas previous dental visits experience did not affect caries presence in children.