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Development level of the country of parental origin on dental caries in children of immigrant parents in Sweden
Author(s) -
Julihn Annika,
Cunha Soares Fernanda,
Hjern Anders,
Dahllöf Göran
Publication year - 2021
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15882
Subject(s) - medicine , demography , logistic regression , socioeconomic status , immigration , cohort , cohort study , family income , human development index , population , environmental health , human development (humanity) , geography , archaeology , pathology , sociology , economic growth , economics , political science , law
Aim To study the association of parental country of origin—expressed as low‐, medium‐ and high‐Human Development Index (HDI) countries—with caries experience in children of immigrant families in Stockholm. Methods This registry‐based cohort study included all children born in 2000–2003 who resided in Stockholm County, Sweden, at age 3 years ( n = 83,147) with follow‐up at 7 years of age. A logistic regression was performed for the multivariate analysis with adjustments for socio‐demographic factors. Results After adjustments, logistic regression analyses revealed that, compared with Swedish children of the same age, the risk of caries was highest when the immigrant parents originated in a medium (OR 4.22 (95% CI 3.99:4.47)) or low (OR 2.80 (95% CI 2.56:3.06)) income country background at age 7 years, but was increased also for high‐income country background, OR 1.77 (95% CI 1.52–2.05). Furthermore, the risk of presenting with caries experience at age 7 years increased for all children in the 1 st (lowest) household income quintile in the host country Sweden. Conclusion This study shows that the developmental level of the parental country of birth as well as the family socioeconomic position in Sweden influence the risk for caries development in their children.