Association between more complex special care needs and overweight status and adolescents' difficulty with dental caries

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-05-11 DOI:10.1111/jphd.12622

Vinodh Bhoopathi BDS, MPH, DScD, Christine Wells PhD, Gina Tripicchio PhD, MSEd, Nini Chaichanasakul Tran DDS, PhD

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Abstract

Objective

Little is known about dental caries experience in adolescents with overweight and complex special health care needs (SHCNs).

Methods

Adolescent data (10–17 years) from the 2016–2020 National Survey of Children's Health (n = 91,196) was analyzed. The sample was grouped into the following: more complex SHCN and overweight, more complex SHCN without overweight, less complex SHCN and overweight, less complex SHCN without overweight, no SHCN but with overweight, and neither SHCN nor overweight. A multivariable-adjusted logistic regression model was conducted.

Results

Adolescents with more complex SHCNs with (OR: 1.82, 95% CI: 1.44–2.30, p < 0.001) or without overweight (OR: 1.51, 95% CI: 1.30–1.76, p < 0.001) were at higher odds of experiencing dental caries compared to healthy adolescents. No significant associations were observed between adolescents with less complex or no SHCN regardless of the overweight status with healthy adolescents.

Conclusions

Adolescents with more complex SHCNs, irrespective of overweight status, experienced a higher caries severity than adolescents with no SHCNs or overweight.

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更复杂的特殊护理需求和超重状况与青少年龋齿困难之间的关系。

摘要人们对超重和有复杂特殊健康护理需求（SHCNs）的青少年的龋齿经历知之甚少：分析了 2016-2020 年全国儿童健康调查中的青少年数据（10-17 岁）（n = 91,196 人）。样本分为以下几组：较复杂的 SHCN 和超重、较复杂的 SHCN 但不超重、较不复杂的 SHCN 和超重、较不复杂的 SHCN 但不超重、无 SHCN 但超重、既无 SHCN 也不超重。结果显示，患有较复杂 SHCN 的青少年体重超重，而患有较不复杂 SHCN 的青少年体重超重：结果：具有较复杂 SHCN 的青少年（OR：1.82，95% CI：1.44-2.30，P 结论：具有较复杂 SHCN 的青少年体重较轻：与没有 SHCN 或超重的青少年相比，有较复杂 SHCN 的青少年（无论是否超重）的龋齿严重程度更高。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.