Addressing Social Determinants That Influence Children’s Oral Health

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Dentistry & Oral Medicine".

Deadline for manuscript submissions: 15 December 2024 | Viewed by 831

Special Issue Editors


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Guest Editor
Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, WA, USA
Interests: pain; dental fear; health behavior; mental health and oral health; social determinants of oral health; dental providers’ implementation of evidence-based practice

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Guest Editor
Department of Anesthesiology, College of Medicine, University of Illinois Chicago, 1740 W. Taylor Street, Chicago, IL 60612, USA
Interests: perioperative outcomes; oral health; pediatric health disparities; social determinants of oral health; parent–child dynamics; family dynamics; behavioral interventions; health services research; oral health behaviors; psychosocial factors

Special Issue Information

Dear Colleagues,

Tooth decay in children persists as an under-recognized and inadequately addressed contributor to the global burden of disease. Though it is largely preventable, dental caries is the most prevalent chronic disease in children. Most existing research largely focuses on disease diagnosis, management, and treatment rather than the promotion of health and the prevention of disease. Science and health systems that focus on disease rather than health may exacerbate existing disparities in disease. It is necessary to understand and address the structural factors that facilitate health to achieve sustainable improvements in a population’s oral health and to eliminate disparities. To that end, this Special Issue aims to highlight systematic inquiry and expert opinions that address the social determinants of oral health. Special emphasis will be placed on health versus disease and the link between oral health and overall health and shared social determinants, e.g., family- or household-level factors that influence oral health behaviors. Studies presenting theoretical models or frameworks, epidemiological studies, pilot studies involving novel healthcare delivery or financing models, quality improvement projects, community-based programs, commercial interventions, and policy interventions are welcome, as are reviews and editorials.

Dr. Cameron L. Randall
Dr. Helen Lee
Guest Editors

Manuscript Submission Information

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Keywords

  • oral health promotion
  • social determinants of health
  • psychosocial factors
  • community health
  • health behaviors
  • neighborhood
  • parent-child dynamics
  • health policy
  • healthcare delivery
  • health services research
  • structural determinants of health
  • commercial determinants of health

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Published Papers (1 paper)

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Research

14 pages, 671 KiB  
Article
Examining Caregiver- and Family-Level Psychosocial Influences on Child Oral Health Behavioral Outcomes in Racially and Economically Minoritized Urban Families
by Sally M. Weinstein, Helen H. Lee, John J. Dziak, Michael L. Berbaum, Tong Zhang, David Avenetti, Anna Sandoval and Molly A. Martin
Children 2024, 11(7), 882; https://doi.org/10.3390/children11070882 - 21 Jul 2024
Viewed by 546
Abstract
Objectives: Understanding the pathways linking caregiver- and family-level psychosocial factors and child oral health behaviors is critical for addressing oral health disparities. The current study examined the associations between caregiver psychosocial functioning and family chaos and child toothbrushing behaviors in children at high [...] Read more.
Objectives: Understanding the pathways linking caregiver- and family-level psychosocial factors and child oral health behaviors is critical for addressing oral health disparities. The current study examined the associations between caregiver psychosocial functioning and family chaos and child toothbrushing behaviors in children at high risk for poor oral health outcomes. Methods: Data were drawn from the baseline wave of the CO-OP Chicago Cohort Study (U01DE030067), a longitudinal study on child/caregiver dyads exploring oral health behaviors and caries development in young children (N = 296 dyads; child mean age = 5.36, SD = 1.03; caregiver mean age = 33.8 years, SD = 6.70; caregiver race = 43% Black; caregiver ethnicity = 55% Latinx). The oral health behavioral outcomes included child toothbrushing frequency, child plaque levels, and caregiver assistance with child toothbrushing. The data included demographics; caregiver depression, anxiety, post-traumatic stress disorder (PTSD) symptoms, social functioning, social support, and resilience; and family-level household chaos. Results: Multiple regression models indicated that greater household chaos was significantly related to lower caregiver assistance with child toothbrushing (p = 0.0075). Additionally, caregiver anxiety and PTSD symptoms as well as number of children in the home significantly predicted higher levels of household chaos (p < 0.01). Notably, 18% of caregivers reported clinically significant PTSD. The relationships between caregiver-level psychosocial factors and child oral health behaviors were not significant. Conclusions: The results suggest household chaos may play an important role in child oral health behaviors and highlight the importance of investigating family-level factors for understanding and addressing child oral health risk. Full article
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