Early childhood caries in Switzerland: a marker of social inequalities

BMC Oral Health

Carlos Madrid²  Mario Gehri⁵  Patrick Bodenmann¹  Marcelo Abarca³  Stéphanie Baggio⁴ 

[1] Vulnerable Population Unit, Department of Ambulatory Care and Community Medicine, University of Lausanne & Lausanne University Hospital, Lausanne, Switzerland;Stomatology and Dentistry Unit, Lausanne University Hospital, Lausanne, Switzerland;Private practice, University of Lausanne, Lausanne, Switzerland;Life Course and Inequality Research Centre, University of Lausanne, Lausanne, Switzerland;Children’s Hospital, Lausanne University Hospital, Lausanne, Switzerland

关键词: Socioeconomic background;    Social inequalities;    Early childhood caries;    Dental health;   

Others  :  1221092
DOI  :  10.1186/s12903-015-0066-y

 received in 2015-05-13, accepted in 2015-07-13,  发布年份 2015

【 摘 要 】

Background

Early childhood caries (ECC) is a marker of social inequalities worldwide because disadvantaged children are more likely to develop caries than their peers. This study aimed to define the ECC prevalence among children living in French-speaking Switzerland, where data on this topic were scarce, and to assess whether ECC was an early marker of social inequalities in this country.

Methods

The study took place between 2010 and 2012 in the primary care facility of Lausanne Children’s Hospital. We clinically screened 856 children from 36 to 71 months old for ECC, and their caregivers (parents or legal guardians) filled in a questionnaire including items on socioeconomic background (education, occupation, income, literacy and immigration status), dental care and dietary habits. Prevalence rates, prevalence ratios and logistic regressions were calculated.

Results

The overall ECC prevalence was 24.8 %. ECC was less frequent among children from higher socioeconomic backgrounds than children from lower ones (prevalence ratios ≤ 0.58).

Conclusions

This study reported a worrying prevalence rate of ECC among children from 36 to 71 months old, living in French-speaking Switzerland. ECC appears to be a good marker of social inequalities as disadvantaged children, whether from Swiss or immigrant backgrounds, were more likely to have caries than their less disadvantaged peers. Specific preventive interventions regarding ECC are needed for all disadvantaged children, whether immigrants or Swiss.

【 授权许可】

   
2015 Baggio et al.

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