Evidence map›Paper›PMID 29301577›Full record

ArticleBMC oral health2018

Ethnic disparities in children's oral health: findings from a population-based survey of grade 1 and 2 schoolchildren in Alberta, Canada.

Congshi Shi, Peter Faris, Deborah A McNeil, Steven Patterson, Melissa L Potestio, Salima Thawer, Lindsay McLaren

Abstract read
In one paragraph

Article in BMC oral health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Article
  7. Observational
  8. Article
  9. Review
  10. Family physicians as advocates for community water fluoridation.Canadian family physician Medecin de famille canadien · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Immigrant Status and Ethnic Inequities in Dental Caries in Children: Bilbao, Spain.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Small-area contextual effects on children's dental caries in Alberta: a multilevel analysis.Canadian journal of public health = Revue canadienne de sante publique · 2021
    Article
  18. Ethnic background and children's oral health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Congshi ShiDepartment of Community Health Sciences, University of Calgary, TRW3, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada.
Peter FarisAlberta Health Services, Calgary, AB, Canada.
Deborah A McNeilDepartment of Community Health Sciences, University of Calgary, TRW3, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada.
Steven PattersonSchool of Dentistry, University of Alberta, Edmonton, AB, Canada.
Melissa L PotestioDepartment of Community Health Sciences, University of Calgary, TRW3, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada.
Salima ThawerDepartment of Community Health Sciences, University of Calgary, TRW3, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada.
Lindsay McLarenDepartment of Community Health Sciences, University of Calgary, TRW3, 3280 Hospital Dr. NW, Calgary, AB, T2N 4Z6, Canada. lmclaren@ucalgary.ca.

Funding

CIHR GIR 127083
6 · The paper itself

Abstract

backgroundAlthough oral health has improved remarkably in recent decades, not all populations have benefited equally. Ethnic identity, and in particular visible minority status, has been identified as an important risk factor for poor oral health. Canadian research on ethnic disparities in oral health is extremely limited. The aim of this study was to examine ethnic disparities in oral health outcomes and to assess the extent to which ethnic disparities could be accounted for by demographic, socioeconomic and caries-related behavioral factors, among a population-based sample of grade 1 and 2 schoolchildren (age range: 5-8 years) in Alberta, Canada.

methodsA dental survey (administered during 2013-14) included a mouth examination and parent questionnaire. Oral health outcomes included: 1) percentage of children with dental caries; 2) number of decayed, extracted/missing (due to caries) and filled teeth; 3) percentage of children with two or more teeth with untreated caries; and 4) percentage of children with parental-ratings of fair or poor oral health. We used multivariable regression analysis to examine ethnic disparities in oral health, adjusting for demographic, socioeconomic and caries-related behavioral variables.

resultsWe observed significant ethnic disparities in children's oral health. Most visible minority groups, particularly Filipino and Arab, as well as Indigenous children, were more likely to have worse oral health than White populations. In particular, Filipino children had an almost 5-fold higher odds of having severe untreated dental problems (2 or more teeth with untreated caries) than White children. Adjustment for demographic, socioeconomic, and caries-related behavior variables attenuated but did not eliminate ethnic disparities in oral health, with the exception of Latin American children whose outcomes did not differ significantly from White populations after adjustment.

conclusionsSignificant ethnic disparities in oral health exist in Alberta, Canada, even when adjusting for demographic, socioeconomic and caries-related behavioral factors, with Filipino, Arab, and Indigenous children being the most affected.

Indexed as

Health Status DisparitiesAlbertaArabsChildDental CariesDMF IndexFemaleHispanic or LatinoHumansInuitMaleOral HealthPhilippinesRegression AnalysisRisk FactorsSocioeconomic FactorsChildrenDental cariesEthnicityHealth status disparitiesMinority groupsOral health

Identifiers

PMID29301577
PMCPMC5753483

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Registered trials

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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.