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Is there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?

dc.contributor.authorPolk, Deborah E.en_US
dc.contributor.authorKim, Sungheeen_US
dc.contributor.authorManz, Michaelen_US
dc.contributor.authorWeyant, Robert J.en_US
dc.date.accessioned2015-02-19T15:40:47Z
dc.date.available2016-04-01T15:21:07Zen
dc.date.issued2015-02en_US
dc.identifier.citationPolk, Deborah E.; Kim, Sunghee; Manz, Michael; Weyant, Robert J. (2015). "Is there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?." Community Dentistry and Oral Epidemiology 43(1): 24-32.en_US
dc.identifier.issn0301-5661en_US
dc.identifier.issn1600-0528en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/110608
dc.description.abstractObjectivesTo determine whether there is an Appalachian disparity in caries prevalence or extent in children living in Pennsylvania.MethodsWe conducted a cross‐sectional clinical assessment of caries in a sample representing 1st, 3rd, 9th, and 11th grade students across Pennsylvania. We used logistic regression and zero‐inflated negative binomial regression controlling for age to examine the association of residence in an Appalachian county with caries prevalence and extent in the primary and permanent dentitions.ResultsCompared with children living outside Appalachia, more children living in Appalachia had a dft >0 (OR = 1.37, 95% CI = 1.07–1.76) and more had a DMFT >0 (OR = 1.32, 95% CI = 1.06–1.64). In addition, compared with children living outside Appalachia, children living in Appalachia had a greater primary but not permanent caries extent (IRR = 1.10, 95% CI = 1.01–1.19).ConclusionsWe found Appalachian disparities in caries prevalence in both the primary and permanent dentitions and an Appalachian disparity in caries extent in the primary dentition. None of the disparities was moderated by age. This suggests that the search for the mechanism or mechanisms for the Appalachian disparities should focus on differential exposures to risk factors occurring prior to and at the start of elementary school.en_US
dc.publisherNational Center for Health Statisticsen_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otheradolescenten_US
dc.subject.otherAppalachia regionen_US
dc.subject.otherchilden_US
dc.subject.otherdental cariesen_US
dc.titleIs there an Appalachian disparity in dental caries in Pennsylvania schoolchildren?en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelDentistryen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/110608/1/cdoe12135.pdf
dc.identifier.doi10.1111/cdoe.12135en_US
dc.identifier.sourceCommunity Dentistry and Oral Epidemiologyen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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