The Impact of Sugar Intake, Household Income, and Maternal Education on the Occurrence of Dental Caries in Children: A Meta-Analysis
DOI:
https://doi.org/10.26911/jepublichealth.2024.09.02.09Abstract
Background: In Indonesia, the prevalence of dental caries in early childhood is still very high, around 93%. This study aims to analyze and estimate the magnitude of the relationship between sugar consumption, family income, and maternal education and the incidence of dental caries in children, through a meta-analysis of primary studies conducted by previous authors.
Subjects and Method: This study is a systematic review and meta-analysis using PICO as follows, Population: children aged 1 to 5 years 11 months, Intervention: high sugar consumption, high family income, high maternal education, Comparison: low sugar consumption, low family income, low maternal education, and Outcome: dental caries. The articles used in this study were obtained from three databases, namely PubMed, Google Scholar, and Science Direct, using the keywords "Sugar" OR "Sweet food" AND "Household income" OR "Parental income" AND "Parental education" OR "Education status" AND "Dental caries" AND "Child" OR "Children" AND "Cross-sectional" AND “aOR”. The included articles were full-text in English, with a cross-sectional study design from 2013 to 2023, and reported adjusted Odds Ratio (aOR) in multivariate analysis. Article selection was carried out using the PRISMA diagram and analyzed using the ReMan 5.3 application.
Results: A total of 11 cross-sectional were selected for meta-analysis. Children who frequently consume sugar have an increased risk of dental caries 1.50 times compared to children who rarely consume sugar, and this is statistically significant (aOR=1.50; 95% CI=1.32 to 1.70; p<0.001). Children from families with high incomes had a reduced risk of dental caries 0.65 times compared to children from families with low incomes, and this was statistically significant (aOR=0.65; 95% CI=0.59 to 0.71; p<0.001). Children who have highly educated mothers have a reduced risk of dental caries 0.71 times compared to children who have mothers with low education, and this is statistically significant (aOR=0.71; 95% CI=0.64 to 0.78; p<0.001).
Conclusion: Sugar consumption statistically significantly increases the incidence of dental caries in children. High family income and high maternal education statistically significantly reduce the incidence of dental caries in children.
Keywords:
sugar consumption, family income, mother's education, child, dental cariesReferences
AlMarshad LK, Wyne AH, AlJobair AM (2021). Early childhood caries prevalence and associated risk factors among Saudi preschool children in Riyadh. Saudi Dent J. 33(8):1084–1090.doi:10.1016/j.sdentj.2021.04.003
Almujadi T (2017). Hubungan pengetahuan kesehatan gigi dan mulut terhadap jumlah karies anak kelas III - V di SD Muhammadiyah Sangonan II Godean Yogyakarta. JKG. 4(1). doi: 10.31983/jkg.v4i1.2710.
Almutairi S, Scambler S, Bernabé E (2022). Family functioning and dental caries among preschool children. J Public Health Dent. 82(4):406-414. doi:10.1111/jphd.12475.
Anil S, Anand PS (2017). Early childhood caries: Prevalence, risk factors, and prevention. Front Pediatr. 5:157. doi: 10.3389/fped.2017.00157
Aprilia SD, Kumalasari VA, Utsani WS, Anasulfalah H (2022). Meta-Analysis: Relationship between Obesity and Dental Caries in Children. J Epidemiol Public Healt, 7(2):196–203. doi: 10.26911/jepublichealth.2022.07.02.05.
Boonyawong M, Auychai P, Duangthip D (2022). Risk Factors of Dental Caries in Preschool Children in Thailand: A Cross-Sectional Study. Healthcare. 10(5):794. doi: 10.3390/healthcare10050794
Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H (2022). Early childhood caries prevalence and associated risk factors in Monastir, Tunisia: a cross-sectional study. Front Public Health. 10:821128. doi: 10.3389/fpubh.2022.821128
Ellakany P, Madi M, Fouda S M, Ibrahim M, Alhumaid J (2021). The effect of parental education and socioeconomic status on dental caries among saudi children. Int J Environ Res Public Health. 18(22): 11862. doi: 10.3390/ijerph182211862
Fernandes IB, Ramos-Jorge J, Coelho VS, Pinto ACS, Pordeus IA, Paiva SM, Ramos-Jorge ML (2022). Association between different stages of dental caries in preschoolers and familial socioeconomic factors. Braz Oral Res, 36:e018. doi: 10.1590/1807-3107bor-2022.vol36.0018.
Ghasemianpour M, Bakhshandeh S, Shirvani A, Emadi N, Samadzadeh H, Moosavi FN, Ghasemian A (2019). Dental caries experience and socio-economic status among Iranian children: A multilevel analysis. BMC Public Health. 19(1):1569. doi: 10.1186/s12889-019-7693-1.
Gibbs L, de-Silva AM, Christian B, Gold L, Gussy M, Moore L, Calache H, et al. (2016). Child oral health in migrant families: A cross-sectional study of caries in 1-4 year old children from migrant backgrounds residing in Melbourne, Australia. Community Dent Health. 33(2):100-106.
Kato H, Tanaka K, Shimizu K, Nagata C, Furukawa S, Arakawa M, Miyake Y (2017). Parental occupations, educational levels, and income and prevalence of dental caries in 3-year-old Japanese children. Environ Health Prev Med. 22(1):80. doi:10.1186/s12199-017-0688-6
Kemenkes RI (2018). Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan
Laksmiastuti SR, Astoeti T, Sutadi H, Budiardjo S (2019). Caries risk factors among children aged 3-5 years old in Indonesia. Contemp Clin Dent. 10(3): 507–511.doi: 10.4103/ccd.ccd_ 877_18
Li J, Fan W, Zhou Y, Wu L, Liu W, Huang S (2020). The status and associated factors of early childhood caries among 3 to 5-year-old children in Guangdong, Southern China: A provincial cross-sectional survey. BMC Oral Health. 20(1):265. doi:10.1186/s12903-020-01253-w
Li Y, Wulaerhan J, Liu Y, Abudureyimu A, Zhao J (2017). Prevalence of severe early childhood caries and associated socioeconomic and behavioral factors in Xinjiang, China: A cross-sectional study. BMC Oral Health. 17(1):144. doi: 10.1186/s12903-017-0432-z.
Liu M, Song Q, Xu X, Lai G (2022). Early childhood caries prevalence and associated factors among preschoolers aged 3-5 years in Xiangyun, China: A cross-sectional study. Front Public Health. 10: 959125. doi: 10.3389/fpubh.2022.959125.
Luz PB, Pereira JT, Knorst JK, Bonfadini I, Piva F, Scapinello M, Hugo FN, et al. (2020). The role of mother’s knowledge, attitudes, practices in dental caries on vulnerably preschool children. Pesqui Bras Odontopediatria Clín Integr. 20: e4687. doi: 10.1590/pboci.2020. 007.
Meyer F, Enax J (2018). Early childhood caries: epidemiology, aetiology, and prevention. Int J Dent. 2018:1415873. doi: 10.1155/2018/1415873.
Murti B. (2023). Critical Appraisal Check-list for Cross-Sectional Study. Magister Ilmu Kesehatan Masyarakat, Sekolah Pascasarjana Universitas Sebelas Maret.
Nakayama Y, Mori M (2015). Association between nocturnal breastfeeding and snacking habits and the risk of early childhood caries in 18-to 23-month-old Japanese children. J Epidemiol. 25(2):142–147. doi:10.2188/jea.JE20140097.
Ngantung RA, Pangemanan DHC, Gunawan PN (2015). Pengaruh tingkat sosial ekonomi orang tua terhadap karies anak di TK Hang Tuah Bitung. E-Gigi. 3(2). doi: 10.35790 /eg.3.2.2015.10319
Nursani A R, Murti B, Pamungkasari E P. (2017). Social Learning Theory on Factors Associated with Dental Caries among Mentally Disabled School Children in Surakarta, Central Java. J Epidemiol Public Health. 2(3).
Olczak-Kowalczyka D, Kaczmarek U, Gozdowski D, Kaczmarekc U (2021). Association of parental-reported vitamin D supplementation with dental caries of 3-year-old children in Poland: a cross-sectional study. Clin Oral Investig. 25(11): 6147–6158. doi: 10.1007/s00784-021-03914-8.
Olczak-Kowalczyk D, Gozdowski D, Kaczmarekc U (2020). Factors Associated with Early Childhood Caries in Polish. Oral Health Prev Dent. 18:833–841.
Phantumvanit P, Makino Y, Ogawa H, Rugg-Gunn A, Moynihan P, Petersen PE, Evans W, et al. (2018). WHO global consultation on public health intervention against early childhood caries. Community Dent Oral Epidemiol. 46(3): 280–287. doi: 10.1111/cdoe.12362.
Pinto-Sarmento TC, Abreu MH, Gomes MC, Costa EM, Martins CC, Granville-Garcia AF, Paiva SM (2016). Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS. PLoS One. 11(2):e0150116. doi: 10.1371/journal.pone.0150116.
Pradono J, Sulistyowati N (2014). Correlation between education level, knowledge of environmental health, healthy behavior with health status (correlation study on people aged 10–24 in Jakarta Pusat). Buletin Penelitian Sistem Kesehatan. 17(1): 89–95.
Ramayanti S, Purnakarya I (2013). Peran makanan terhadap kejadian karies gigi. J Kesehat Masyarakat Andalas. 7(2):89-93.
Sandy LPA, Helmyati S, Amalia R (2023). Nutritional factors associated with early childhood caries: A systematic review and meta-analysis. Saudi Dent J. doi: 10.1016/j.sdentj.2023.12. 001.
Sharma K, Gupta K, Gaur A, Sharma A, Pathania V, Thakur V (2019). A cross-sectional study to assess the prevalence of early childhood caries and associated risk factors in preschool children in district Mandi, Himachal Pradesh. J Indian Soc Pedod Prev Dent. 37(4): 339–344. doi: 10.4103/JISPPD.JISPPD.
Sudarsini E, Wardhani PK, Supartinah A (2020). Pengaruh tingkat kariogenitas dan frekuensi makan terhadap tingkat keparahan early childhood caries pada anak usia 3-5 tahun dengan status sosial ekonomi rendah (kajian di PAUD Kecamatan Pulo Gadung Jakarta Timur. Universitas Gajah Mada.
Sun HB, Zhang W, Zhou XB (2017). Risk factors associated with early childhood caries. Chin J Dent Res. 20(2):97–104. doi: 10.3290/j.cjdr. a38274.
Tanaka K, Miyake Y, Sasaki S, Hirota Y (2013). Socioeconomic status and risk of dental caries in Japanese preschool children: the Osaka Maternal and child health study. J Public Health Dent. 73(3):217-23. doi:10.1111/jphd.12016.
Thwin KM, Zaitsu T, Ueno M, Kawaguchi Y (2016). Early childhood caries and related risk factors among Myanmar preschool children. Int J Clin Prev Dent. 12(4): 229–236. doi: 10.15236/ijcpd.2016.12.4.229.
Utomo A I, Murti B, Pamungkasari E P. (2023). Meta-Analysis the Effectiveness of Fluoride Varnish Use to Prevent Deciduous Dental Caries in Children. J Epidemiol Public Healt, 8(2): 205–212. doi:10.26911/jepublichealth.2023.08.02.05.
WHO (2022). Oral health. World Health Organization.
WHO (2015). WHO calls on countries to reduce sugars intake among adults and children. World Health Organization.
Wulaerhan J, Abudureyimu A, Bao X L, and Zhao J (2014). Risk determinants associated with early childhood caries in Uygur children: A preschool-based cross-sectional study. BMC Oral Health. 14(1). doi: 10.1186/1472-6831-14-136.
Yousaf M, Aslam T, Saeed S, Sarfraz A, Sarfraz Z, Cherrez-Ojeda I (2022). Individual, Family, and Socioeconomic Contributors to Dental Caries in Children from Low- and Middle-Income Countries. Int J Environ Res Public Health. 19(12). doi: 10.3390/ijerph19127114.
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Published
2024-04-16
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Vol. 9 No. 2 (2024)
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