Abstract
Background: The effects of age, rural-urban geographic location, and percentage of Free and Reduced Price Meal Program (FRPMP) participation on children’s oral health outcome measures (untreated decay, treated decay, and sealants) have not been fully explored in Kansas. Methods: The current study utilized a surveillance sample of 140,217 children (grades K through 12) attending 200 schools in Kansas, which requested screening assistance from the Kansas Department of Health and Environment (KDHE) from 2012 to 2013. Multilevel logistic regression analysis was conducted to identify significant factors associated with oral health outcome measures. Results: Older children were associated with decreased odds of having untreated decay, and increased odds of having treated decay and sealants. Children attending very rural schools had increased odds of untreated and treated decay and decreased odds of presence of sealants. For every 5% increase in the school-level %FRPMP, the odds of having untreated and treated decay increased by 5% and 3%, respectively. However, %FRPMP was not statistically associated with the presence of sealants. Conclusions: Children attending schools in very rural and rural areas appear to have worse oral health outcomes, as measured by higher proportions of untreated and treated decay, and a smaller proportion of presence of sealants.
Highlights
Oral health status among Americans has been generally improved over time, dental decay in primaryHow to cite this paper: Dong, F., Ablah, E., Hines, R., Lazar, A. and Johnston, J. (2015) Disparities in Oral Health among School-Aged Children in Kansas
School children were evaluated on the presence of untreated decay, treated decay, and presence of sealants
The current study found that older children were associated with better oral health outcome measures, while rural and very rural geographic locations and higher %Free and Reduced Price Meal Program (FRPMP) were associated with worse oral health outcome measures
Summary
Oral health status among Americans has been generally improved over time, dental decay in primaryHow to cite this paper: Dong, F., Ablah, E., Hines, R., Lazar, A. and Johnston, J. (2015) Disparities in Oral Health among School-Aged Children in Kansas. (2015) Disparities in Oral Health among School-Aged Children in Kansas. The effects of age, rural-urban geographic location, and percentage of Free and Reduced Price Meal Program (FRPMP) participation on children’s oral health outcome measures (untreated decay, treated decay, and sealants) have not been fully explored in Kansas. Results: Older children were associated with decreased odds of having untreated decay, and increased odds of having treated decay and sealants. Children attending very rural schools had increased odds of untreated and treated decay and decreased odds of presence of sealants. Conclusions: Children attending schools in very rural and rural areas appear to have worse oral health outcomes, as measured by higher proportions of untreated and treated decay, and a smaller proportion of presence of sealants
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