Evidence map›Paper›PMID 33233797›Full record

ArticleInternational journal of environmental research and public health2020

Early Childhood Junk Food Consumption, Severe Dental Caries, and Undernutrition: A Mixed-Methods Study from Mumbai, India.

Priyanka Athavale, Nehaa Khadka, Shampa Roy, Piyasree Mukherjee, Deepika Chandra Mohan, Bathsheba Bethy Turton, Karen Sokal-Gutierrez

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Association between snack parenting style and dental caries status of children aged 7-8 years: a sequential mixed method approach.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  6. Article
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  9. Sugar-Sweetened Beverages, Foods of Low Nutritional Value, and Child Undernutrition in Cambodia.International journal of environmental research and public health · 2024
    Article
  10. Article
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  15. Review
  16. Modelling Analysis on Dietary Patterns and Oral Health Status among Adolescents.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Factors Associated with Non-Attendance at Dental Preventive Care in Slovak High School Students.International journal of environmental research and public health · 2021
    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 at 4 institutions in 2 countries.

Priyanka AthavaleSchool of Public Health, University of California, Berkeley, CA 94704, USA.
Nehaa KhadkaSchool of Public Health, University of California, Berkeley, CA 94704, USA.
Shampa RoySchool of Public Health, University of California, Berkeley, CA 94704, USA.
Piyasree MukherjeeSwasti Health Catalyst, Mumbai 560094, India.
Deepika Chandra MohanSchool of Public Health, University of California, Berkeley, CA 94704, USA.
Bathsheba Bethy TurtonUniversity of Puthisastra, Phnom Penh 12211, Cambodia.ORCID 0000-0001-5464-9305
Karen Sokal-GutierrezSchool of Public Health, University of California, Berkeley, CA 94704, USA.ORCID 0000-0001-7341-2266
University of California, Berkeley · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Puthisastra · KH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In India, globalization has caused a nutrition transition from home-cooked foods to processed sugary snacks and drinks, contributing to increased early childhood caries (ECC). This mixed-methods study describes risk factors for ECC and associations with undernutrition in low-income communities in Mumbai. Interviews with mothers of 959 children, ages six-months through six-years, addressed maternal-child nutrition and oral health, and children received dental exams and anthropometric assessments. Focus groups with community health workers and mothers explored experiences and perceptions of oral health, nutrition, and ECC. Descriptive and logistic regression analyses of quantitative data, and content analysis of qualitative data were performed. Eighty percent of children lived 5 min from a junk-food store, over 50% consumed junk-food and sugary tea daily, 50% experienced ECC, 19% had severe deep tooth decay, 27% experienced mouth pain, and 56% experienced chronic and/or acute malnutrition. In children ages 3-6, each additional tooth with deep decay was associated with increased odds of undernutrition (Odds Ratio [OR] 1.10, Confidence Interval [CI] 1.02-1.21). Focus groups identified the junk-food environment, busy family life, and limited dental care as contributors to ECC. Policy interventions include limits on junk-food marketing and incorporating oral health services and counseling on junk-food/sugary drinks into maternal-child health programs.

Indexed as

Dental CariesMalnutritionOral HealthChildChild, PreschoolDietary SucroseFast FoodsFemaleHumansIndiaInfantMaleSnacksDietary Sucroseearly childhood cariesECCIndiajunk foodmalnutritionmixed-methods studymouth painnutrition transitionsugar-sweetened beveragesundernutrition

Identifiers

PMID33233797
PMCPMC7699964
OpenAlexW3101452798

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.