ArticleJournal of public health dentistry2013
An examination of racial/ethnic disparities in children's oral health in the United States.
Article in Journal of public health dentistry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Barriers to dental service utilization in children: a systematic review and meta-analysis.BMC oral health · 2026Pooled it
- Oral care interventions for autistic individuals: A systematic review.Autism : the international journal of research and practice · 2025Pooled it
- Conceptualising paediatric health disparities: a metanarrative systematic review and unified conceptual framework.BMJ open · 2017Pooled it
- A community-based oral health self-care intervention for Hispanic families.International journal of public health · 2014Trial
- Strain-level genomic variation ofPeerJ · 2026Article
- Longitudinal assessment of factors associated with dental caries on the first permanent molars: a prospective clinical study in Brazilian children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- The Disproportionate Impact of the COVID-19 Pandemic on Preventive Dental Care and Treatment for Children Who Are American Indian: Public Health Surveillance Utilizing School-Based Sealant Program Data.Journal of public health dentistry · 2025Article
- Pandemic-driven shift: increase in silver diamine fluoride utilization among Medicaid-enrolled children during the COVID-19 public health emergency.Frontiers in public health · 2025Article
- Birth order, daycare attendance, and childhood socioeconomic status in relation to gingivitis: a cross-sectional study in Turkish young adults.BMC oral health · 2024Observational
- A Pilot Study Exploring Caregivers' Experiences Related to the Use of a Smart Toothbrush by Children with Autism Spectrum Disorder.Children (Basel, Switzerland) · 2024Article
- Racial/ethnic disparities in preventive dental services use and dental caries among children.Journal of public health dentistry · 2023Article
- Systems mapping of multilevel factors contributing to dental caries in adolescents.Frontiers in oral health · 2023Review
- Guardians' Self-Reported Fair/Poor Oral Health Is Associated with Their Young Children's Fair/Poor Oral Health and Clinically Determined Dental Caries Experience.International journal of environmental research and public health · 2022Article
- Oral Health Barriers for African American Caregivers of Autistic Children.International journal of environmental research and public health · 2022Article
- Oral Care Knowledge, Attitudes, and Practices of Black/African American Caregivers of Autistic Children and Non-Autistic Children.Children (Basel, Switzerland) · 2022Article
- Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children.Children (Basel, Switzerland) · 2022Article
- Are We Getting Any Better? A Critical Analysis of Selected Healthy People 2020 Oral Health Indicators in 1999-2004 and 2013-2016, USA.International journal of environmental research and public health · 2022Article
- Racism in oral healthcare settings: Implications for dental care-related fear/anxiety and utilization among Black/African American women in Appalachia.Journal of public health dentistry · 2022Article
- Oral Health and Autism Spectrum Disorders: A Unique Collaboration between Dentistry and Occupational Therapy.International journal of environmental research and public health · 2020Review
- Oral Health Behaviors in Very Young Children in Low-Income Urban Areas in Chicago, Illinois, 2018-2019.Preventing chronic disease · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care.
methodsData were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health status, receiving preventive dental care, and delayed dental care/unmet need. Model-based survey-data-analysis examined racial/ethnic disparities, controlling for child, family, and community/state (contextual) factors.
resultsUnadjusted results show large racial/ethnic oral health disparities. Compared with non-Hispanic White people, Hispanic and non-Hispanic-Black people were markedly more likely to be reported in only fair/poor oral health [odds ratios (ORs) (95% confidence intervals) 4.3 (4.0-4.6), 2.2 (2.0-2.4), respectively], lack preventive care [ORs 1.9 (1.8-2.0), 1.4 (1.3-1.5)], and experience delayed care/unmet need [ORs 1.5 (1.3-1.7), 1.4 (1.3-1.5)]. Adjusting for child, family, and community/state factors reduced racial/ethnic disparities. Adjusted ORs (AORs) for Hispanics and non-Hispanic Blacks attenuated for fair/poor oral health, to 1.6 (1.5-1.8) and 1.2 (1.1-1.4), respectively. Adjustment eliminated disparities for lacking preventive care [AORs 1.0 (0.9-1.1), 1.1 (1.1-1.2)] and in Hispanics for delayed care/unmet need (AOR 1.0). Among non-Hispanic Blacks, adjustment reversed the disparity for delayed care/unmet need [AOR 0.6 (0.6-0.7)].
conclusionsRacial/ethnic disparities in children's oral health status and access were attributable largely to socioeconomic and health insurance factors. Efforts to decrease disparities may be more efficacious if targeted at social, economic, and other factors associated with minority racial/ethnic status and may have positive effects on all who share similar social, economic, and cultural characteristics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.