Relationship between social determinants in the family and tooth decay in preschool children from Anapoima, Cundinamarca

  • Luis Fernando Restrepo-Pérez Universidad El Bosque
  • Margarita Viviana Úsuga-Vacca Universidad El Bosque
  • Andrea Cortés Universidad El Bosque
  • Julián Camilo Rodríguez-Gómez Universidad El Bosque
  • Juan Felipe Ortega-Mora Universidad El Bosque
  • Catherine Andrea Roa-López Universidad El Bosque
  • Jeibar Emanuel Rico-Mendoza Universidad El Bosque
  • Stefania Martignon Universidad El Bosque
Keywords: dental caries, children, primary prevention, social determinants of health, risk factors, oral health

Abstract

Introduction: the objective was identify social determinants of health in families of preschoolers from Anapoima, Cundinamarca, and their relationship with prevalence of caries experience. Methods: in the framework of the Alliance for a Caries-Free Future – Colombia Chapter (Alianza por un Futuro Libre de Caries-Capítulo Colombia, AFLC-CC), the prevalence of caries experience in preschool children from Anapoima, Cundinamarca, was assessed using the International Caries Detection and Assessment System (ICDAS) and the dmft (decayed, missing, filled teeth) index, characterizing their families and homes. Descriptive analysis was done, using chi2 to explore associations between dmft and ICDAS with socioeconomic and infrastructure conditions, as well as health practices in families. Results: 120 kindergarten children from the municipality of Anapoima were assessed and their homes were visited. The prevalence of caries experience (dmft) was 33.3% (average: 1.3 ± 2.5); when initial lesions were included, the prevalence reached 46.7% (4.3 ± 7.0). There was a relationship between the presence of caries and type of oral health problems referred to by parents, kin relationship with caregiver, visits to the oral health service, and availability of a space for the toothbrush (p < 0.05). Conclusions: the assessed children showed low caries experience compared to national benchmarks, which can be explained by the intermediate determinants identified in their family environments, with economic, infrastructure and family structure conditions favorable to health practices. It is necessary to better understand the relationship between social determinants and oral health from a structural point of view and to strengthen health strategies, in order to achieve caries-free populations.

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Author Biographies

Luis Fernando Restrepo-Pérez, Universidad El Bosque
MSc in Social and Educational Development, Universidad Pedagógica Nacional, Bogotá, Colombia. Assistant Professor, INVBOCA, Community Area, School of Dentistry, Universidad El Bosque
Margarita Viviana Úsuga-Vacca, Universidad El Bosque
MSc in Dental Sciences. Adjunct Professor, Unidad de Investigación en Caries (UNICA), Office of the Vice President for Research, Universidad El Bosque
Andrea Cortés, Universidad El Bosque
PhD in Health Sciences with a focus on Dental Caries. Adjunct Professor, Unidad de Investigación en Caries (UNICA), Office of the Vice President for Research, Universidad El Bosque.
Julián Camilo Rodríguez-Gómez, Universidad El Bosque

DDS, School of Dentistry, Universidad El Bosque

Juan Felipe Ortega-Mora, Universidad El Bosque

DDS, School of Dentistry, Universidad El Bosque

Catherine Andrea Roa-López, Universidad El Bosque

DDS, School of Dentistry, Universidad El Bosque

Jeibar Emanuel Rico-Mendoza, Universidad El Bosque

DDS, School of Dentistry, Universidad El Bosque.

Stefania Martignon, Universidad El Bosque
PhD in Health Sciences with a focus on Dental Caries. Professor, Unidad de Investigación en Caries (UNICA), Office of the Vice President for Research, Universidad El Bosque. Senior Lecturer, Dental Innovation and Translation Centre, King’s College London Dental Institute, United Kingdom

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Published
2018-12-20
How to Cite
Restrepo-Pérez L. F., Úsuga-Vacca M. V., Cortés A., Rodríguez-Gómez J. C., Ortega-Mora J. F., Roa-López C. A., Rico-Mendoza J. E., & Martignon S. (2018). Relationship between social determinants in the family and tooth decay in preschool children from Anapoima, Cundinamarca. Revista Facultad De Odontología Universidad De Antioquia, 30(1), 55-66. https://doi.org/10.17533/udea.rfo.v30n1a6