ArticleInternational dental journal2024
Decomposing Socioeconomic Inequality in Early Childhood Caries Among 3 to 5-Year-Old Children in China.
Article in International dental journal, 2024. 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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10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The disease burden of ILD at the global, regional, and national levels from 1990 to 2021, and projections until 2035: the 2021 Global Burden of Disease study.Frontiers in medicine · 2025Pooled it
- Article
- Socioeconomic Inequalities in Oral Health Across Age Groups Among Single-Person Households in South Korea.International dental journal · 2026Article
- Addressing Research Gaps in Early Childhood Caries: A Comprehensive Review.Dentistry journal · 2026Review
- Endodontic Retreatment Using Rotary System and Aesthetic Rehabilitation of a Deciduous Central Maxillary Incisor in a 5-Year-Old Child: A Case Report.Case reports in dentistry · 2026Article
- Parental health belief and behavioral factors influencing oral health behaviors of preschoolers in shanghai: a cross-sectional study.Scientific reports · 2025Article
- Parental Knowledge, Attitudes, and Practices and Their Association with Dental Caries in Children Aged 5-9 Years: A Cross-Sectional Study in Rural Ecuador.International journal of environmental research and public health · 2025Article
- Cross-sectional survey on dental caries among preschool children in Guangzhou city in 2022.BMJ open · 2025Article
- Risk factors of early childhood caries among preschool children in Shanghai, China: a longitudinal study.Frontiers in oral health · 2025Article
- Income Inequality in Dental Visits Among Chinese Children: Analysis of Longitudinal Data.Cureus · 2024Article
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15 authors.
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Abstract
INTRODUCTION AND
aimsEarly childhood caries (ECC) is a widespread oral disease that harms children's health in China. Although previous studies have linked ECC prevalence to socioeconomic status, few have measured the degree of socioeconomic inequality. This study aimed to evaluate the socioeconomic inequality of ECC in children aged 3 to 5 years in China and identify the contributor to the inequality.
methodsWe extracted data on 3 to 5-year-old children from the fourth National Oral Health Survey. We measured the inequality of ECC by the average household income per capita. We used the average household income per capita to measure the inequality of ECC. To describe inequality both qualitatively and quantitatively, we used the following methods: concentration curve, Erreygers-corrected concentration index, relative index of inequality and slope index of inequality. We also applied a decomposition based on the probit model to identify the factors that contributed to inequality.
resultsThe prevalence of ECC in Chinese preschool children was 63.11% (95% CIs: 60.54%, 65.61%). The negative value of the Erreygers-corrected concentration index (-0.0459; 95% CIs: -0.0594, -0.0324), slope index of inequality (-0.0674; 95% CIs: -0.0876, -0.0471) and the positive value of relative index of inequality (0.7484; 95% CIs: 0.6856, 0.8169) all indicated that ECC prevalence was higher among children from low-income families. The main factors contributing to inequality were average household income, parents' educational level and living areas.
conclusionThere is a pro-poor inequality in ECC among 3 to 5-year-old children in China. CLINICAL RELEVANCE: To improve oral health equality, policymakers should focus more on children from low-income families, with less educated parents and living in rural areas.
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