ArticleBMC oral health2020
Governance, maternal well-being and early childhood caries in 3-5-year-old children.
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 10 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Prevalence and risk factors for early childhood caries in North Africa: a systematic review and meta-analysis.BMC oral health · 2025Pooled it
- Public health dentists in maternal and child oral health in India: workforce roles, systemic barriers, and policy implications from a mixed-methods study.Frontiers in oral health · 2026Article
- Environmental Determinants of Early Childhood Caries: A Narrative Synthesis of Observational Evidence and Implications for Global Policy.Dentistry journal · 2025Article
- A scoping review on early childhood caries and inequalities using the Sustainable Development Goal 10 framework.BMC oral health · 2025Article
- Association between early childhood caries and parental educational status among children in Ile-Ife, Nigeria.Frontiers in oral health · 2025Article
- Can the sustainable development goal 9 support an untreated early childhood caries elimination agenda?BMC oral health · 2024Review
- Scoping review on the link between economic growth, decent work, and early childhood caries.BMC oral health · 2024Article
- Impact of Socioeconomic Inequalities on Dental Caries Status in Sardinian Children.Children (Basel, Switzerland) · 2024Article
- A scoping review on the association between early childhood caries and life on land: The Sustainable Development Goal 15.PloS one · 2024Article
- A scoping review linking early childhood caries to violence, neglect, internally displaced, migrant and refugee status.BMC oral health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 14 institutions in 12 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study assessed the direct, indirect and total effect of distal - political - risk indicators (affecting populations), and proximal risk indicators (affecting women) on the global prevalence of early childhood caries (ECC) in 3-5 year old children.
methodsData on global ECC prevalence were obtained from a prior study. Data for distal risk indicators (voice and accountability; political stability/absence of terrorism; control of corruption) were obtained from the World Bank Governance indicators, 2016. Data for proximal risk indicators (women's opportunity for leadership; percentage of female legislators, top officials and managers; basic employability status of women; ability of women to afford time off work to care for newborns; gross national income (GNI) per capita for females) were derived from the Human Development Index, 2016. Associations between variables were assessed with path analysis.
resultsVoice and accountability (β = - 0.60) and GNI per capita for females (β = - 0.33) were directly associated with a lower ECC prevalence. Political stability/absence of terrorism (β =0.40) and higher percentage of female legislators, senior officials and managers (β = 0.18) were directly associated with a higher ECC prevalence. Control of corruption (β = - 0.23) was indirectly associated with a lower ECC prevalence. Voice and accountability (β = 0.12) was indirectly associated with a higher ECC prevalence. Overall, voice and accountability (β = - 0.49), political stability/absence of terrorism (β = 0.34) and higher female GNI (β = - 0.33) had the greatest effects on ECC prevalence.
conclusionDistal risk indicators may have a stronger impact on ECC prevalence than do proximal risk indicators.. Approaches to control ECC may need to include political reforms.
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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.