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Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India.


ABSTRACT:

Objectives

To determine whether socioeconomic inequalities are correlated to dental caries experience and decayed teeth of Indian adolescents, and assess whether behavioural and psychosocial factors mediate this association.

Methods

Cross-sectional study of 1386 adolescents living in three diverse areas of New Delhi. Caries experience and number of decayed teeth were assessed clinically and a questionnaire was used to gather sociodemographic and psychosocial data. Zero Inflated Negative Binomial regression models were used to assess the relationship between the outcomes (caries experience and decayed teeth) and area of residence, adjusting for covariates.

Results

Significant inequalities in caries experience and number of decayed teeth were observed. Odds of an adolescent being caries free decreased by 66% (OR 0.34, 95% CI 0.23 to 0.49) and 70% (OR 0.30, 95% CI 0.21 to 0.43) in adolescents living in resettlement communities or urban slums, respectively, when compared with the middle class group. No difference was observed among those with caries experience/decayed teeth. Adjusting for covariates did not affect the inequalities.

Conclusions

Area of residence appears to be a very strong and significant determinant for an adolescent to be caries/decay free in India. Psychosocial and behavioural factors do not mediate the association between area of residence and oral health.

SUBMITTER: Mathur MR 

PROVIDER: S-EPMC4267077 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature

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Publications

Socioeconomic inequalities in dental caries and their determinants in adolescents in New Delhi, India.

Mathur Manu Raj MR   Tsakos Georgios G   Millett Christopher C   Arora Monika M   Watt Richard R  

BMJ open 20141212 12


<h4>Objectives</h4>To determine whether socioeconomic inequalities are correlated to dental caries experience and decayed teeth of Indian adolescents, and assess whether behavioural and psychosocial factors mediate this association.<h4>Methods</h4>Cross-sectional study of 1386 adolescents living in three diverse areas of New Delhi. Caries experience and number of decayed teeth were assessed clinically and a questionnaire was used to gather sociodemographic and psychosocial data. Zero Inflated Ne  ...[more]

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