Evidence map›Paper›PMID 31906944›Full record

ArticleBMC oral health2020

Association between early childhood caries and poverty in low and middle income countries.

Morenike Oluwatoyin Folayan, Maha El Tantawi, Nourhan M Aly, Ola B Al-Batayneh, Robert J Schroth, Jorge L Castillo, Jorma I Virtanen, Balgis O Gaffar, Rosa Amalia, Arthur Kemoli and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Prevalence of Early Childhood Caries in Africa: A Systematic Review.International journal of paediatric dentistry · 2026
    Pooled it
  2. Do clinical caries-preventive interventions applied to expectant mothers affect caries-related parameters in their children? A systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
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  8. Parental socioeconomic and perceptual determinants of early childhood caries amongst Myanmar preschool children.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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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

13 authors at 9 institutions in 11 countries.

Morenike Oluwatoyin FolayanFaculty of Dentistry, Obafemi Awolowo University, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk.ORCID 0000-0002-9008-7730
Maha El TantawiFaculty of Dentistry, Alexandria University, Alexandria, Egypt.
Nourhan M AlyFaculty of Dentistry, Alexandria University, Alexandria, Egypt.
Ola B Al-BataynehDepartment of Preventive Dentistry, Jordan University of Science and Technology, PO Box 3030, Irbid, 22110, Jordan.
Robert J SchrothDepartment of Preventive Dental Science, College of Dentistry, and Departments of Paediatrics and Child Health and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Jorge L CastilloFacultad de Estomatología, Universidad Peruana Cayetano Heredia, Lima, Peru.
Jorma I VirtanenDepartment of Clinical Dentistry, University of Bergen, Bergen, Norway.
Balgis O GaffarDepartment of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.
Rosa AmaliaDepartment of Preventive and Community Dentistry, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Yogyakarta, Indonesia.
Arthur KemoliDepartment of Paediatric Dentistry and Orthodontics, University of Nairobi, Nairobi, Kenya.
Ana VulkovicDepartment of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.
Carlos A FeldensDepartment of Pediatric Dentistry, Universidade Luterana do Brasil, Canoas, Brazil.
ECCAG
Jordan University of Science and Technology · JOObafemi Awolowo University · NGUniversidad Peruana Cayetano Heredia · PEUniversity of Nairobi · KEAlexandria University · EGUniversidade Luterana do Brasil · BRUniversitas Gadjah Mada · IDUniversity of Belgrade · RSUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to assess the relationship between early childhood caries (ECC) in 3-5-year-old children, seven indicators of poverty and the indicator of monetary poverty in low- and middle-income countries (LICs, MICs).

methodsThis ecologic study utilized 2007 to 2017 country-level data for LICs and MICs. Explanatory variables were seven indicators of poverty namely food, water, sanitation, health, shelter, access to information, education; and monetary poverty. The outcome variable was the percentage of 3-5-year-old children with ECC. A series of univariate general linear regression models were used to assess the relationship between the percentage of 3-5 year-old children with ECC and each of the seven indicators of poverty, and monetary poverty. This was followed by multivariable regression models to determined the combined effect of the seven indicators of poverty, as well as the combined effect of the seven indicators of poverty and monetary poverty. Adjusted R

resultsSignificantly more people had food, sanitation, shelter, access to information, education and monetary poverty in LICs than in MICs. There was no difference in the prevalence of ECC in 3-5-year-old children between LICs and MICs. The combination of the seven indicators of poverty explained 15% of the variation in the percentage of 3-5-year-old children with ECC compared to 1% explained by monetary poverty. When the seven indicators of poverty and the indicator for monetary poverty were combined, the amount of variation explained by them was 10%. Only two of the poverty indicators had a direct relationship with the percentage of children with ECC; there was a higher percentage of ECC in countries with higher percentage of population living in slums (B = 0.35) and in those countries with higher percentage of the population living below poverty lines (B = 0.19). The other indicators had an inverse relationship.

conclusionThe use of multiple indicators to measures of poverty explained greater amount of variation in the percentage of 3-5-year-olds with ECC in LICs and MICs than using only the indicator for monetary poverty.

Indexed as

PovertyChildChild, PreschoolDental CariesDeveloping CountriesEducational StatusHumansHygieneIncomePrevalenceWater SupplyDimensions of povertyEarly childhood cariesLow-income countriesMiddle-income countriesMonetary povertyWater, hygiene, sanitation

Identifiers

PMID31906944
PMCPMC6945445
OpenAlexW2999002786

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.