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Crystal YO, Luo YL, Duangthip D, Tantawi ME, Benzian H, Schroth RJ, Feldens CA, Virtanen JI, Al-Batayneh OB, Diaz ACM, Vukovic A, Pavlic V, Mfolo T, Daryanavard HA, Gaffar BO, Shamala A, Foláyan MO. A scoping review of the links between early childhood caries and clean water and sanitation: the Sustainable Development Goal 6. BMC Oral Health 2024; 24:769. [PMID: 38982426 PMCID: PMC11234638 DOI: 10.1186/s12903-024-04535-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 06/26/2024] [Indexed: 07/11/2024] Open
Abstract
INTRODUCTION The United Nation's Sustainable Development Goal (SDG) 6 calls for universal access to clean water, sanitation and hygiene (WASH), which are crucial elements of health and well-being and fundamental for a life in dignity. Early childhood caries (ECC) is a preventable disease affecting health and quality of life of millions of young children worldwide. This scoping review aims to explore the connection between ECC and access to clean water and sanitation. METHODS This scoping review, registered on the Open Science Framework and following PRISMA-ScR guidelines, conducted a thorough search in databases (PubMed, Web of Science, Embase, Google Scholar, SciELO) and websites (via Google) in November 2023. The search, without date limitations, targeted studies in English and Spanish linking ECC to SDG6. Exclusions were made for studies solely focusing on ECC without a direct connection to clean water and sanitation. Descriptive statistics summarized the retrieved papers. RESULTS The initial search yielded 303 articles. After removing duplicates, 264 articles remained for title and abstract screening after which 244 were excluded and one report was added through citation searching. The 21 remaining articles underwent full text review. There were no studies on a direct association between access to clean water and sanitation and the prevalence of ECC. There were nine studies that showed indirect associations between ECC and access to clean water and sanitation through the links of: water and sanitation access as a marker for poverty (n = 1), water consumption as a feeding practice (n = 4), and the effectiveness of water fluoridation (n = 4). These were used to develop a conceptual model. CONCLUSIONS While it is conceivable that a direct link exists between ECC and access to clean water and sanitation, the available body of research only offers evidence of indirect associations. The exploration of potential pathways connecting water access to ECC warrants further investigation in future research.
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Affiliation(s)
- Yasmi O Crystal
- Early Childhood Caries Advocacy Group, Winnipeg, Canada.
- Department of Pediatric Dentistry, College of Dentistry, New York University, 234 24th Street, New York, NY, 10010, USA.
| | - Yuanyuan Laura Luo
- Department of Pediatric Dentistry, College of Dentistry, New York University, 234 24th Street, New York, NY, 10010, USA
| | - Duangporn Duangthip
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- College of Dentistry, The Ohio State University, Columbus, OH, USA
| | - Maha El Tantawi
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
| | - Habib Benzian
- Department of Epidemiology & Health Promotion and WHO Collaborating Center Quality Improvement & Evidence-Based Dentistry, College of Dentistry, New York University, New York, NY, USA
- Stellenbosch Institute of Advanced Study, Stellenbosch, South Africa
| | - Robert J Schroth
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Departments of Pediatrics and Child Health and Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Carlos Alberto Feldens
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Pediatric Dentistry, Universidade Luterana Do Brasil, Canoas, Brazil
| | - Jorma I Virtanen
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Ola B Al-Batayneh
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Orthodontics, Pediatric and Community Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Aida Carolina Medina Diaz
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Pediatric Dentistry and Orthodontics Department, Pediatric Dentistry and Orthodontics Department, Universidad Central de Venezuela, Centro Medico Docente, Caracas, Venezuela
| | - Ana Vukovic
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Verica Pavlic
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Periodontology and Oral Medicine, Medical Faculty University of Banja Luka, 78000, Banja Luka, Bosnia and Herzegovina
| | - Tshepiso Mfolo
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Community Dentistry, School of Dentistry, University of Pretoria, Pretoria, South Africa
| | - Hamideh A Daryanavard
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Dental Department, Dubai Health, Dubai, United Arab Emirates
| | - Balgis O Gaffar
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Preventive Dental Sciences, College of Dentistry - Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Anas Shamala
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Preventive and Biomedical Sciences, Faculty of Dentistry, University of Science & Technology, Aden, Yemen
| | - Morẹ́nikẹ́ Oluwátóyìn Foláyan
- Early Childhood Caries Advocacy Group, Winnipeg, Canada
- Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria
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An R, Jiang G, Wu Z, Liu M, Sohaib M, Chen W. Perceptions and experience of rural older people in oral health management in China: a qualitative study. BMC Oral Health 2024; 24:644. [PMID: 38822319 PMCID: PMC11143558 DOI: 10.1186/s12903-024-04401-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Accepted: 05/23/2024] [Indexed: 06/02/2024] Open
Abstract
BACKGROUND To explore the perceptions and experience of oral health management among rural older people in China. METHODS Qualitative methodologies were used in this study. Face-to-face semi-structured interviews were conducted. Thirteen older adults in rural areas were purposively sampled at two metropolitan hospitals in Hunan, China. The data were transcribed and thematically analyzed, and MAXQDA software was used to assist with coding. RESULTS Three overarching major themes and ten sub‑themes capturing the perceptions and experience of oral health management among rural older people were identified. Three themes emerged from the thematic analysis: oral health cognitive bias, poor management behaviors, and limited oral health services. Oral health management as a whole is negative, oral health behaviors are poor, oral health service utilization is limited. CONCLUSIONS Based on these findings, there is great scope here for improving the current status of oral health for rural older people around awareness, behavior, and access. Oral health education, improved oral health services and primary oral health promotion are warranted.
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Affiliation(s)
- Ran An
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University, No.87 Xiangya Road, Changsha, Hunan Province, China
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Guanghua Jiang
- College of Nursing, Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Zitong Wu
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Meizi Liu
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Muhammad Sohaib
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University, No.87 Xiangya Road, Changsha, Hunan Province, China
| | - Wenfeng Chen
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University, No.87 Xiangya Road, Changsha, Hunan Province, China.
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Toh JR, Wooi N, Tan SN, Wong K, Lopez-Silva C, Zafar S. Association between lack of dental service utilisation and caregiver-reported caries in Australian Indigenous children: A national survey. J Paediatr Child Health 2022; 58:2218-2224. [PMID: 36082587 PMCID: PMC10087467 DOI: 10.1111/jpc.16192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 06/06/2022] [Accepted: 08/18/2022] [Indexed: 11/30/2022]
Abstract
AIM To investigate the association between the lack of dental service utilisation and dental caries in Australian Indigenous children. METHODS Data from the Longitudinal Study of Indigenous Children, which is a longitudinal population-based cross-sectional study in Australia were analysed. A total of 1258 children were included, consisting of the baby cohort and the child cohort at Wave 7. Logistic regression analysis was conducted to examine the association between caregiver-reported child dental caries and dental service utilisation. Multiple imputation using the fully conditional specifications approach was used to account for missing data. RESULTS Around one tenth (12.3%) of Indigenous children did not see a dentist when required. Lack of dental service utilisation was associated with an increased likelihood of caregiver-reported dental caries (odds ratio (OR) 2.4; 95% confidence interval (CI) 1.5-3.8) and teeth removed due to dental caries (OR 2.3; 95% CI 1.1-4.7). These associations remained after adjusting for confounders (caregiver-reported dental caries OR 2.3; 95% CI 1.3-3.8; teeth removed due to dental caries OR 2.1; 95% CI 1.0-4.4). The reasons reported for not utilising dental services when required were the lack of an available dentist (31.4%), difficulties with physical access (19.8%), long waiting times (13.9%), financial issues with cost (5.8%) and feeling that 'they could cope' (4.6%). CONCLUSIONS Lack of dental service utilisation was associated with dental caries and extraction due to caries in Australian Indigenous children.
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Affiliation(s)
- Jia R Toh
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Nadine Wooi
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Si N Tan
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Kingsley Wong
- Child Disability, Telethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia
| | - Claudia Lopez-Silva
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
| | - Sobia Zafar
- School of Dentistry, UQ Oral Health Centre, The University of Queensland, Brisbane, Queensland, Australia
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