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Comparative inequal...
Comparative inequalities in child dental caries across four countries : Examination of international birth cohorts and implications for oral health policy
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- Goldfeld, Sharon (författare)
- Royal Childrens Hosp, Australia; Royal Childrens Hosp, Australia; Univ Melbourne, Australia
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- Francis, Kate L. (författare)
- Royal Childrens Hosp, Australia
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- OConnor, Elodie (författare)
- Royal Childrens Hosp, Australia
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- Ludvigsson, Johnny (författare)
- Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, H.K.H. Kronprinsessan Victorias barn- och ungdomssjukhus
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- Faresjö, Tomas (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten
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- Nikiema, Beatrice (författare)
- Ctr Rech Ctr Hosp Univ Montreal CRCHUM, Canada; Cree Board Hlth & Social Serv James Bay CBHSSJB, Canada
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- Gauvin, Lise (författare)
- Ctr Rech Ctr Hosp Univ Montreal CRCHUM, Canada; Univ Montreal, Canada
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- Yang-Huang, Junwen (författare)
- Erasmus MC, Netherlands; Erasmus MC, Netherlands
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- Abu Awad, Yara (författare)
- PERFORM Ctr, Canada; Dept Psychol, Canada
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- McGrath, Jennifer J. (författare)
- PERFORM Ctr, Canada; Dept Psychol, Canada
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- Goldhaber-Fiebert, Jeremy D. (författare)
- Stanford Univ, CA USA
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- Olsen Faresjö, Åshild (författare)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Raat, Hein (författare)
- Erasmus MC, Netherlands
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- Kragt, Lea (författare)
- Erasmus MC, Netherlands; Erasmus MC, Netherlands
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- Mensah, Fiona K. (författare)
- Royal Childrens Hosp, Australia; Univ Melbourne, Australia
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(creator_code:org_t)
- 2022-08-31
- 2022
- Engelska.
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 17:8
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Child dental caries (i.e., cavities) are a major preventable health problem in most high-income countries. The aim of this study was to compare the extent of inequalities in child dental caries across four high-income countries alongside their child oral health policies. Coordinated analyses of data were conducted across four prospective population-based birth cohorts (Australia, n = 4085, born 2004; Quebec, Canada, n = 1253, born 1997; Rotterdam, the Netherlands, n = 6690, born 2002; Southeast Sweden, n = 7445, born 1997), which enabled a high degree of harmonization. Risk ratios (adjusted) and slope indexes of inequality were estimated to quantify social gradients in child dental caries according to maternal education and household income. Children in the least advantaged quintile for income were at greater risk of caries, compared to the most advantaged quintile: Australia: AdjRR = 1.18, 95%CI = 1.04-1.34; Quebec: AdjRR = 1.69, 95%CI = 1.36-2.10; Rotterdam: AdjRR = 1.67, 95%CI = 1.36-2.04; Southeast Sweden: AdjRR = 1.37, 95%CI = 1.10-1.71). There was a higher risk of caries for children of mothers with the lowest level of education, compared to the highest: Australia: AdjRR = 1.18, 95%CI= 1.01-1.38; Southeast Sweden: AdjRR = 2.31, 95%CI = 1.81-2.96; Rotterdam: AdjRR = 1.98, 95%CI = 1.71-2.30; Quebec: AdjRR = 1.16, 95%CI = 0.98-1.37. The extent of inequalities varied in line with jurisdictional policies for provision of child oral health services and preventive public health measures. Clear gradients of social inequalities in child dental caries are evident in high-income countries. Policy related mechanisms may contribute to the differences in the extent of these inequalities. Lesser gradients in settings with combinations of universal dental coverage and/or fluoridation suggest these provisions may ameliorate inequalities through additional benefits for socio-economically disadvantaged groups of children.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Goldfeld, Sharon
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Francis, Kate L.
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OConnor, Elodie
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Ludvigsson, John ...
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Faresjö, Tomas
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Nikiema, Beatric ...
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visa fler...
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Gauvin, Lise
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Yang-Huang, Junw ...
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Abu Awad, Yara
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McGrath, Jennife ...
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Goldhaber-Fieber ...
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Olsen Faresjö, Å ...
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Raat, Hein
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Kragt, Lea
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Mensah, Fiona K.
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