Language and literacy relate to lack of children's dental sealant use
dc.contributor.author | Mejia, G. | |
dc.contributor.author | Weintraub, J. | |
dc.contributor.author | Cheng, N. | |
dc.contributor.author | Grossman, W. | |
dc.contributor.author | Han, P. | |
dc.contributor.author | Phipps, K. | |
dc.contributor.author | Gansky, S. | |
dc.date.issued | 2011 | |
dc.description.abstract | <h4>Objectives</h4>This study aimed to determine the percent of California's third grade public school children lacking sealants by child and family factors and to measure social disparities for lacking sealants.<h4>Methods</h4>The study analyzed data from the California Oral Health Needs Assessment (COHNA) 2004-2005, a complex stratified cluster sample of children (n = 10,450) from 182 randomly selected public elementary schools in California. The dependent variable was absence of sealants in first permanent molars. The independent variables included child race/ethnicity; socio-economic position (SEP) measured as child's participation in the free or reduced-price lunch program at the individual and school level; acculturation measured as language spoken at home and school level percent of English language learners; and parent functional health literacy measured as correctly following questionnaire instructions. Absolute differences and health disparity indices (i.e. Slope Index of Inequality, Relative Index of Inequality-mean, Absolute Concentration Index) were used to measure absolute and relative disparities.<h4>Results</h4>The percent of children lacking sealants was high in all racial/ethnic groups; no child or school level SEP differences in lacking sealants were seen, but significant differences existed by acculturation (child and school level) and parental functional health literacy.<h4>Conclusions</h4>NonEnglish language and poor parental functional health literacy are potential barriers that need to be addressed to overcome disparities in sealant utilization. | |
dc.description.statementofresponsibility | Gloria C. Mejia, Jane A. Weintraub, Nancy F. Cheng, Wynne Grossman, Pamela Z. Han, Kathy R. Phipps and Stuart A. Gansky | |
dc.identifier.citation | Community Dentistry and Oral Epidemiology, 2011; 39(4):318-324 | |
dc.identifier.doi | 10.1111/j.1600-0528.2010.00599.x | |
dc.identifier.issn | 0301-5661 | |
dc.identifier.issn | 1600-0528 | |
dc.identifier.orcid | Mejia, G. [0000-0003-2189-3525] | |
dc.identifier.uri | http://hdl.handle.net/2440/64732 | |
dc.language.iso | en | |
dc.publisher | Blackwell Munksgaard | |
dc.rights | © 2010 John Wiley & Sons A/S | |
dc.source.uri | https://doi.org/10.1111/j.1600-0528.2010.00599.x | |
dc.subject | disparities | |
dc.subject | sealants | |
dc.title | Language and literacy relate to lack of children's dental sealant use | |
dc.type | Journal article | |
pubs.publication-status | Published |