ArticleBMC oral health2023
Structural determinants explain caries differences among preschool children in Chile's Metropolitan Region.
Article in BMC oral health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are Area-Level Socioeconomic Factors Associated with Dental Caries and Tooth Loss? A Systematic Review.Caries research · 2025Pooled it
- Association between oral health-related quality of life and structural determinants of health among elderly populations. a systematic review and meta-analysis.International journal for equity in health · 2025Pooled it
- 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
- Social inequalities in rural oral health: social capital and SDOH according to the severity of dental caries in Peru.Frontiers in public health · 2026Article
- The prevalence and associated factors of early childhood caries in 3- to 5-year-old children in Shaanxi Province, China: a cross-sectional study.Frontiers in oral health · 2026Article
- Experience, Prevalence, and Severity of Dental Caries in Mexican Preschool and School-Aged Children.Cureus · 2023Article
- Relevance of Sociocultural Inequalities and Parents' Origins in Relation to the Oral Health of Preschoolers in Lanzarote, Spain.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
8 authors.
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Abstract
objectiveTo estimate the association between Social Determinants of Health (structural and intermediate) and caries indicators in Chile's Metropolitan Region preschool children.
methodsA multilevel cross-sectional study of Social Determinants of Health (SDH) and caries in children aged 1 to 6 years in Chile's Metropolitan Region was conducted in 2014-2015, with three levels: district, school and child. Caries were assessed by the dmft-index and the prevalence of untreated caries. The structural determinants analyzed were Community Human Development Index (CHDI), urban/rural location, school type, caregiver's education and family income. Poisson multilevel regression models were fit.
resultsThe sample size was 2,275 children from 40 schools in 13 districts. While the highest CHDI district had an untreated caries prevalence of 17.1% (12.3-22.7%), in the most disadvantaged district it was 53.9% (95% CI 46.0-61.6%). As family income increased, the probability of untreated caries prevalence decreased (PR = 0.9 95% CI 0.8-1.0). Rural districts had an average dmft-index of 7.3 (95% CI 7.2-7.4), while in urban districts, it was 4.4 (95% CI 4.3-4.5). Higher probabilities of untreated caries prevalence (PR = 3.0 95% CI 2.3-3.9) were observed in rural children. Greater probabilities of untreated caries prevalence (PR = 1.3 95% CI 1.1-1.6) and prevalence of caries experience (PR = 1.3 95% CI 1.1-1.5) were observed in children whose caregivers had a secondary educational level.
conclusionsA strong association was observed between the social determinants of health, specifically the structural ones, and the caries indicators studied in children of the Metropolitan Region of Chile. There were notable differences in caries between districts according to social advantage. Rurality and caregiver's education were the most consistent predictors.
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