ArticleNutrients2021
The Burden of Early Childhood Caries in Children under 5 Years Old in the European Union and Associated Risk Factors: An Ecological Study.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- Association of Breastfeeding and Early Childhood Caries: A Systematic Review and Meta-Analysis.Nutrients · 2024Pooled it
- Global, Regional, and National Burden of Caries Among Women of Childbearing Age From 1990 to 2021 and Prediction.International dental journal · 2026Article
- Maternal age and oral health-related quality of life in preschool children: the mediating role of dental caries in a cross-sectional study.Frontiers in oral health · 2026Article
- Parents' Knowledge and Practices Regarding Children's Oral Hygiene: A Cross-Sectional Survey.Cureus · 2026Article
- Association between dental caries and sociodemographic factors in children aged 5-12 years.Acta odontologica latinoamericana : AOL · 2025Article
- Association of asparagine in saliva with a lower risk of early childhood caries in undernourished children: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Article
- NorthPop: a prospective population-based birth cohort study.BMC public health · 2025Article
- Sociodemographic and clinical factors associated with early childhood caries in Peruvian pre-schoolers.BMC oral health · 2025Observational
- Post-COVID-19 Trends in Dental Emergencies: A Two-Year Retrospective Study from Romania.Dentistry journal · 2024Article
- A scoping review of early childhood caries, poverty and the first sustainable development goal.BMC oral health · 2024Article
- Early Childhood Caries-Prevalence, Associated Factors, and Severity: A Hospital-Based Study in Riyadh, Saudi Arabia.Healthcare (Basel, Switzerland) · 2024Article
- A scoping review on the associations between early childhood caries and sustainable cities and communities using the sustainable development goal 11 framework.BMC oral health · 2024Article
- Scoping review on the link between economic growth, decent work, and early childhood caries.BMC oral health · 2024Article
- Enhancing knowledge, attitudes, and practices related to dental caries in mothers and caregivers of children through a neuroeducational strategy.BMC oral health · 2024Article
- Pediatric Dental Emergencies during the COVID-19 Pandemic in Romania: A Retrospective Study.Children (Basel, Switzerland) · 2023Article
- Dental Caries Experience in Children in Public Kindergartens of Sarajevo, Bosnia and Herzegovina.Acta stomatologica Croatica · 2023Article
- Article
- Oral Health Behaviours, Knowledge, and Literacy of Expectant Mothers: A Cross-Sectional Study among Maternity Ward Patients.International journal of environmental research and public health · 2022Article
- Exploring the Relationships between Children's Oral Health and Parents' Oral Health Knowledge, Literacy, Behaviours and Adherence to Recommendations: A Cross-Sectional Survey.International journal of environmental research and public health · 2022Article
- Inequalities in caries among pre-school Italian children with different background.BMC pediatrics · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
The associations among early childhood caries (ECC), socioeconomic status, and sugar consumption are of the utmost importance, due to their potential policy implications. The purpose of this study was to identify trends in ECC burden in children under 5 years old among European Union (EU) member states over time and to evaluate the relationship with its risk factors. Global Burden of Disease 2019 data were analyzed to estimate the burden of ECC over time, specifically incidence, prevalence, and years lived with disability (YLDs) for children under 5 years old. Four ecological variables with a potential effect on YLDs for ECC were used to investigate the association between 2014 and 2017. The YLDs rate was consistently higher among Eastern EU countries over time. Univariate models showed a positive significant association between at-risk-of-poverty rate and YLDs rate, while GDP per capita and urbanization were inversely associated with YLDs rate. In the multivariate analysis, sugar consumption, GDP per capita and urbanization showed significant association with YLDs rate. After stratification by region, association remained significant only in the Eastern EU countries between GDP, urbanization, and YLDs rate, while sugar consumption and at-risk-of-poverty rate had no significant impact on YLDs rates. This study found increasing ECC burden in the EU. The complexity of the problem indicates the need for innovative and personalized policy approaches to tackle the disease.
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