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Socioeconomic status, food security, and dental caries in us children: Mediation analyses of data from the national health and nutrition examination survey, 2007-2008

Author

Listed:
  • Chi, D.L.
  • Masterson, E.E.
  • Carle, A.C.
  • Mancl, L.A.
  • Coldwell, S.E.

Abstract

Objectives. We examined associations of household socioeconomic status (SES) and food security with children's oral health outcomes. Methods. We analyzed 2007 and 2008 US National Health and Nutrition Examination Survey data for children aged 5 to 17 years (n = 2206) to examine the relationship between food security and untreated dental caries and to assess whether food security mediates the SES-caries relationship. Results. About 20.1% of children had untreated caries. Most households had full food security (62%); 13% had marginal, 17% had low, and 8% had very low food security. Higher SES was associated with significantly lower caries prevalence (prevalence ratio [PR] = 0.77; 95% confidence interval = 0.63, 0.94; P = .01). Children from households with low or very low food security had significantly higher caries prevalence (PR = 2.00 and PR = 1.70, respectively) than did children living in fully food-secure households. Caries prevalence did not differ among children from fully and marginally food-secure households (P = .17). Food insecurity did not appear to mediate the SES-caries relationship. Conclusions. Interventions and policies to ensure food security may help address the US pediatric caries epidemic.

Suggested Citation

  • Chi, D.L. & Masterson, E.E. & Carle, A.C. & Mancl, L.A. & Coldwell, S.E., 2014. "Socioeconomic status, food security, and dental caries in us children: Mediation analyses of data from the national health and nutrition examination survey, 2007-2008," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 860-864.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301699_4
    DOI: 10.2105/AJPH.2013.301699
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    Cited by:

    1. María Priscila Ramos & Estefanía Custodio & Sofía Jiménez & Alfredo J. Mainar-Causapé & Pierre Boulanger & Emanuele Ferrari, 2022. "Do agri-food market incentives improve food security and nutrition indicators? a microsimulation evaluation for Kenya," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(1), pages 209-227, February.
    2. Michael A. Long & Lara Gonçalves & Paul B. Stretesky & Margaret Anne Defeyter, 2020. "Food Insecurity in Advanced Capitalist Nations: A Review," Sustainability, MDPI, vol. 12(9), pages 1-19, May.
    3. Minsung Sohn & Sujin Park & Sungwon Lim & Hee-Jung Park, 2019. "Children’s Dental Sealant Use and Caries Prevalence Affected by National Health Insurance Policy Change: Evidence from the Korean National Health and Nutrition Examination Survey (2007–2015)," IJERPH, MDPI, vol. 16(15), pages 1-12, August.
    4. Kristan Elwell & Carolyn Camplain & Christine Kirby & Katharine Sanderson & Gloria Grover & Gerlinda Morrison & Amy Gelatt & Julie A. Baldwin, 2021. "A Formative Assessment of Social Determinants of Health Related to Early Childhood Caries in Two American Indian Communities," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    5. Anqi Shen & Eduardo Bernabé & Wael Sabbah, 2020. "The Socioeconomic Inequality in Increment of Caries and Growth among Chinese Children," IJERPH, MDPI, vol. 17(12), pages 1-9, June.
    6. Joshua J. Thomson & Erin E. Relich & John R. Girdwood & Divesh Byrappagari, 2022. "Microbiology-Based Instruction during Prenatal Dental Visits Improves Perinatal Oral Health Literacy," IJERPH, MDPI, vol. 19(5), pages 1-11, February.
    7. Deborah Schlichting & Ladan Hashemi & Cameron Grant, 2019. "Infant Food Security in New Zealand: A Multidimensional Index Developed from Cohort Data," IJERPH, MDPI, vol. 16(2), pages 1-13, January.
    8. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1147-1166, April.
    9. Dominique H. Como & Leah I. Stein Duker & José C. Polido & Sharon A. Cermak, 2019. "The Persistence of Oral Health Disparities for African American Children: A Scoping Review," IJERPH, MDPI, vol. 16(5), pages 1-16, February.

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