Publication: Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study
Issued Date
2015
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Language
eng
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Mahidol University
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BioMed Central
Bibliographic Citation
BMC Oral Health. Vol.15, (2015), 108
Suggested Citation
Peltzer, Karl, Aroonsri Mongkolchati Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study. BMC Oral Health. Vol.15, (2015), 108. doi:10.1186/s12903-015-0093-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/3199
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Title
Severe early childhood caries and social determinants in three-year-old children from Northern Thailand: a birth cohort study
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Abstract
Background: The purpose of this study was to investigate the prevalence and social risk factors of severe early
childhood caries in three-year-old children in Northern Thailand, using a birth-cohort study
Methods: The data utilized in this study were from the prospective cohort study of Thai children (PCTC) from the
28 to 38 weeks gestational age until the children reached the age of 36 months (N = 597) in Mueang Nan district,
Northern Thailand. Questionnaires were administered at different time points and dental examination was conducted
at the age of 3 years of the child.
Results: 44.1 % of the 3 year old children had S-ECC. In multivariate logistic regression analysis, environmental factors
(the use of rain or well water as drinking water, no schooling of mother of child, being male), and risk behaviour
(sleeping with a bottle at 30 months) were associated with S-ECC. Further, in bivariate analysis, psychological
distress in the mother, lack of spousal relationship support, suckle to sleep when going to bed, introduction of
soft drinks at 12 months, having had more frequently sweet food, and less than daily tooth brushing before
30 months were associated with S-ECC.
Conclusions: A very high rate of S-ECC was observed, and oral health may be influenced by social factors.