Evidence map›Paper›PMID 30926152›Full record

ArticleThe Journal of pediatrics2019

Children's Oral Health and Academic Performance: Evidence of a Persisting Relationship Over the Last Decade in the United States.

Carol Cristina Guarnizo-Herreño, Wei Lyu, George L Wehby

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 43 citations in OpenAlex.

  1. Comparison of behavioural, physiological, and self-reported pain responses in Pakistani children with dental pain: a descriptive cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Trial
  2. Primary tooth emergence in young children is associated with a stress biomarker.Journal of developmental origins of health and disease · 2026
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  15. Effects of the COVID-19 pandemic on children's oral health and oral health care use.Journal of the American Dental Association (1939) · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Carol Cristina Guarnizo-HerreñoDepartamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia, Bogotá, Colombia; Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Wei LyuDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA.
George L WehbyDepartment of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA; National Bureau of Economic Research, Cambridge, MA. Electronic address: george-wehby@uiowa.edu.
National Bureau of Economic Research · USUniversidad Nacional de Colombia · COUniversity of Iowa · US

Funding

Dental Health and Academic Achievement among Children in MedicaidR03DE026224 · NIDCR · UNIVERSITY OF IOWA · PI WEHBY, GEORGE L · 2017 to 2018
$305k
NIDCR NIH HHS R03 DE026224
6 · The paper itself

Abstract

objectiveTo assess the association between children's oral health and academic performance using the most recent US national data, a decade after the last assessment using similar previous data. STUDY

designData from the 2016-2017 National Survey of Children's Health for 45 711 children aged 6-17 years were analyzed. Children's oral health measures were indicators of specific oral health problems and parent-rated oral health. Academic performance measures included problems at school and missing school days. Regression models were employed adjusting for relevant demographic, socioeconomic, and health characteristics and state effects. Analyses also were conducted stratifying by child's age, sex, household income, and type of health insurance.

resultsWe found significant associations across all the evaluated academic outcomes and oral health measures. Children with oral health problems were more likely to have problems at school (OR 1.56, 95% CI 1.32-1.85), miss at least 1 school day (OR 1.54, 95% CI 1.28-1.85), and miss more than 3 or 6 school days (OR 1.39, 95% CI 1.20-1.61 and OR 1.39, 95% CI 1.14-1.69; respectively). These associations were generally larger when using the child's oral health rating. Poor oral health was consistently related to worse academic performance across age, sex, household income, and health insurance type subgroups.

conclusionsChildren's oral health status continues to be strongly linked to their academic outcomes. This evidence highlights the need for broad population-wide policies and integrated approaches to reduce academic deficits and promote children's health and development, of which oral health is an important component.

Indexed as

Academic PerformanceOral HealthAdolescentChildFemaleHumansMaleTime FactorsUnited Statesacademic achievementdental healthschool performance

Identifiers

PMID30926152
PMCPMC6667186
OpenAlexW2925290525

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.