Caregiver's social relations and children's oral health in a low-income urban setting.

Aim: This paper seeks to describe the social networks and support available to caregivers of young children, and their links to behavioural and clinical dimensions of children's oral health.

Design: A cross-sectional study was conducted on the third wave of a cohort of 612 child-caregiver pairs of the Detroit Dental Health Project (DDHP). Caregivers and their children came to a central location in Detroit where they completed interviewer-administered questionnaires, health and nutritional assessments, and received an oral examination. Caregiver's social networks were measured using the hierarchical mapping technique. Child's oral health measures included previous dental visits and untreated decay.

Results: Caregivers reported an average network size of approximately seven people, who on average were 37 years old. Ninety percent of members in the network lived within an hour's drive, and contact frequency occurred on average between once a week and daily. Caregivers reported receiving emotional support most frequently and money support least frequently. Caregivers with larger networks had a slightly higher probability of reporting frequent errand support. Child's age interacted with money support to predict whether or not the child had visited the dentist since the last DHHP visit and to predict the number of untreated decayed surfaces.

Conclusions: The association between network characteristics and types of social support appear to be limited. There are no main effects of caregiver social network characteristics or support type on child's oral health. Having no money support appears most influential on children's oral health depending on their age.