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Safe, supportive neighborhoods: Are they associated with childhood oral health?
Author(s) -
Crouch Elizabeth,
Nelson Joni,
Radcliff Elizabeth,
Merrell Melinda A.,
Martin Amy
Publication year - 2022
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12541
Subject(s) - logistic regression , descriptive statistics , bivariate analysis , medicine , oral health , cross sectional study , health care , demography , environmental health , dental insurance , dental decay , gerontology , family medicine , statistics , mathematics , pathology , sociology , economics , economic growth
Objective There has been limited examination of how community‐level supports may influence oral health metrics among children. The purpose of our study is to examine the association between two types of community‐level positive childhood experiences and oral healthcare and oral health outcomes among children ages 6 to 17 years of age. Methods This study uses a cross‐sectional data set from the 2018–2019 National Survey of Children's Health. Two oral health metrics were used: preventive dental care, measured as one or more preventive dental visits in the past 12 months, and tooth decay, measured as tooth decay or cavities in the last 12 months. To quantify living in safe, stable, equitable environments, questions on residing in a safe and supportive neighborhood were used. Descriptive statistics and bivariate analyses were used to calculate frequencies, proportions, and unadjusted associations for each variable ( n = 40,290). Multivariable logistic regression models were used. Results In an adjusted analysis, children who lived in a supportive neighborhood had a higher likelihood of receiving a preventive dental visit than children who did not live in a supportive neighborhood (aOR 1.41; 95% CI 1.21–1.65). Children who lived in a safe neighborhood were less likely to have tooth decay than children who did not live in a safe neighborhood (aOR 0.75; 95% CI 0.65–0.86). Conclusions The findings from this study highlight the role of social structures in tightening the safety net for oral healthcare in children.