Governance, maternal well-being and early childhood caries in 3-5-year-old children.
BMC Oral Health
; 20(1): 166, 2020 06 05.
Article
em En
| MEDLINE
| ID: mdl-32503512
ABSTRACT
BACKGROUND:
This study assessed the direct, indirect and total effect of distal - political - risk indicators (affecting populations), and proximal risk indicators (affecting women) on the global prevalence of early childhood caries (ECC) in 3-5 year old children.METHODS:
Data on global ECC prevalence were obtained from a prior study. Data for distal risk indicators (voice and accountability; political stability/absence of terrorism; control of corruption) were obtained from the World Bank Governance indicators, 2016. Data for proximal risk indicators (women's opportunity for leadership; percentage of female legislators, top officials and managers; basic employability status of women; ability of women to afford time off work to care for newborns; gross national income (GNI) per capita for females) were derived from the Human Development Index, 2016. Associations between variables were assessed with path analysis.RESULTS:
Voice and accountability (ß = - 0.60) and GNI per capita for females (ß = - 0.33) were directly associated with a lower ECC prevalence. Political stability/absence of terrorism (ß =0.40) and higher percentage of female legislators, senior officials and managers (ß = 0.18) were directly associated with a higher ECC prevalence. Control of corruption (ß = - 0.23) was indirectly associated with a lower ECC prevalence. Voice and accountability (ß = 0.12) was indirectly associated with a higher ECC prevalence. Overall, voice and accountability (ß = - 0.49), political stability/absence of terrorism (ß = 0.34) and higher female GNI (ß = - 0.33) had the greatest effects on ECC prevalence.CONCLUSION:
Distal risk indicators may have a stronger impact on ECC prevalence than do proximal risk indicators.. Approaches to control ECC may need to include political reforms.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cárie Dentária
Tipo de estudo:
Etiology_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Child
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Child, preschool
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Female
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Humans
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Newborn
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article