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Oral health of young Alaska Native children and their caregivers in Southwestern Alaska.

TitleOral health of young Alaska Native children and their caregivers in Southwestern Alaska.
Publication TypeJournal Article
Year of Publication2002
AuthorsLewis, CW, Riedy, CA, Grossman, DC, Domoto, PK, Roberts, MC
JournalAlaska Med
Volume44
Issue4
Pagination83-7
Date Published2002 Oct-Dec
ISSN0002-4538
KeywordsAdult, Alaska, Caregivers, Child, Preschool, Dental Caries, Diet, Cariogenic, Female, Humans, Infant, Inuits, Linear Models, Male, Oral Health, Oral Hygiene, Prevalence, Risk Factors, Tobacco, Smokeless
Abstract

OBJECTIVE: We sought to determine the prevalence of caries and associated risk factors in young Native children and their caregivers in two communities in rural Alaska.

METHODS: A random sample of Alaska Native children between 12-36 months and a subset of their caregivers from two Southwestern Alaska communities were examined for dental decay. Caregivers completed a 43-item questionnaire about oral hygiene, dietary and other practices.

RESULTS: Of the 65 children examined, 59% had evidence of decay. Among the 41 primary caregivers examined, 98% had experienced dental decay with an average of 11.4 decayed, missing, and filled teeth. On linear regression analyses, factors significantly associated with more decay in the children included a child taking a juice-containing bottle to bed, eating candy 1 or more times per day, and higher caregiver oral S. mutans counts.

CONCLUSIONS: Our results suggest that preventive efforts for children at high risk for dental decay should begin early in life, should emphasize decreasing candy and bedtime juice bottle use, and should consider the caregivers' oral health status in addition to the child's.

Alternate JournalAlaska Med
PubMed ID12650085