An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India: Health in Orphanages Project (HOPe)

Bradley Christian, Rahila Ummer-Christian, Anthony Blinkhorn, Vijaya Hegde, K. Nandakumar, Rodrigo Marino, Amit Chattopadhyay

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. Aim: To determine caries status and associated risk factors among children in orphanages in Kerala, India. Methods: This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant. Results: Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6-year-old children the prevalence of caries was 77% and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95% confidence interval: 0.38–0.95). Conclusion: Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.

Original languageEnglish
Pages (from-to)113-118
Number of pages6
JournalInternational Dental Journal
Volume69
Issue number2
DOIs
Publication statusPublished - 01-04-2019
Externally publishedYes

Fingerprint

Orphanages
Dental Caries
Epidemiologic Studies
India
Health
Oral Health
Tooth
Regression Analysis
Orphaned Children
Health Behavior
Vulnerable Populations
Primary Prevention
Cluster Analysis
Cross-Sectional Studies
Logistic Models
Odds Ratio
Confidence Intervals

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

Christian, Bradley ; Ummer-Christian, Rahila ; Blinkhorn, Anthony ; Hegde, Vijaya ; Nandakumar, K. ; Marino, Rodrigo ; Chattopadhyay, Amit. / An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India : Health in Orphanages Project (HOPe). In: International Dental Journal. 2019 ; Vol. 69, No. 2. pp. 113-118.
@article{a83dbd414bf34a03b95b202653ef8040,
title = "An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India: Health in Orphanages Project (HOPe)",
abstract = "Background: It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. Aim: To determine caries status and associated risk factors among children in orphanages in Kerala, India. Methods: This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant. Results: Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82{\%} of the sample. In 6-year-old children the prevalence of caries was 77{\%} and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44{\%} and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95{\%} confidence interval: 0.38–0.95). Conclusion: Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.",
author = "Bradley Christian and Rahila Ummer-Christian and Anthony Blinkhorn and Vijaya Hegde and K. Nandakumar and Rodrigo Marino and Amit Chattopadhyay",
year = "2019",
month = "4",
day = "1",
doi = "10.1111/idj.12419",
language = "English",
volume = "69",
pages = "113--118",
journal = "International Dental Journal",
issn = "0020-6539",
publisher = "Wiley-Blackwell",
number = "2",

}

An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India : Health in Orphanages Project (HOPe). / Christian, Bradley; Ummer-Christian, Rahila; Blinkhorn, Anthony; Hegde, Vijaya; Nandakumar, K.; Marino, Rodrigo; Chattopadhyay, Amit.

In: International Dental Journal, Vol. 69, No. 2, 01.04.2019, p. 113-118.

Research output: Contribution to journalArticle

TY - JOUR

T1 - An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India

T2 - Health in Orphanages Project (HOPe)

AU - Christian, Bradley

AU - Ummer-Christian, Rahila

AU - Blinkhorn, Anthony

AU - Hegde, Vijaya

AU - Nandakumar, K.

AU - Marino, Rodrigo

AU - Chattopadhyay, Amit

PY - 2019/4/1

Y1 - 2019/4/1

N2 - Background: It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. Aim: To determine caries status and associated risk factors among children in orphanages in Kerala, India. Methods: This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant. Results: Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6-year-old children the prevalence of caries was 77% and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95% confidence interval: 0.38–0.95). Conclusion: Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.

AB - Background: It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. Aim: To determine caries status and associated risk factors among children in orphanages in Kerala, India. Methods: This cross-sectional study assessed caries using World Health Organization (WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation (SD)] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P<0.05 was considered as statistically significant. Results: Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6-year-old children the prevalence of caries was 77% and the mean dmft score was 3.60 (SD= 3.50); in 12-year-old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12-year-old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio = 0.62; 95% confidence interval: 0.38–0.95). Conclusion: Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence-based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.

UR - http://www.scopus.com/inward/record.url?scp=85052835299&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052835299&partnerID=8YFLogxK

U2 - 10.1111/idj.12419

DO - 10.1111/idj.12419

M3 - Article

C2 - 30101521

AN - SCOPUS:85052835299

VL - 69

SP - 113

EP - 118

JO - International Dental Journal

JF - International Dental Journal

SN - 0020-6539

IS - 2

ER -