title: Oral health status of mississippi delta 3- to 5-year-olds in child care: an exploratory study of dental health status and risk factors for dental disease and treatment needs.
abstract: OBJECTIVE
  For poor and minority young children, disparities exist in dental health and treatment. In rural impoverished areas, institutions that reach young children and potentially offer access to care are limited. In the current Mississippi Delta study, child care centers were examined as potential venues for oral health intervention and research, and potential risk factors for dental caries and treatment urgency in high-risk preschool children were explored.
  
  
  METHODS
  Child care centers were selected and attending children recruited. Data on oral health practices were collected from surveys of center directors and parents/caregivers. Children were examined for caries and treatment urgency at centers by dentists. Bivariate and multivariate analyses with a 0. 05 alpha were used to examine data.
  
  
  RESULTS
  A total of 346 preschool children at 15 participating centers were examined: 46% were female, 68% minority. Minority children and those with public insurance were more than twice as likely to have caries and urgent treatment needs as non-minorities or those with private insurance. The odds of children having caries were half as great if parents reported using floss and nearly twice as great if the parent had experienced a dental abscess. For every soft drink the parent consumed daily, the odds of dental caries for children increased by 44%.
  
  
  CONCLUSIONS
  Conducting oral health exams and research in child care venues was possible, yet presented challenges. The combined use of two parental variables, reported soft drink consumption and abscess history, appears promising for caries prediction. Implementation of oral health programs and research in child care venues merits further exploration.
authors.affiliation: Social Science Research Center, P. O. Box 5287, Mississippi State, MS 39762, USA. linda.southward@ssrc.msstate.edu
authors.forename: Linda H
authors.initials: LH
authors.lastname: Southward
authors.forename: Angela
authors.initials: A
authors.lastname: Robertson
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Wells-Parker
authors.forename: Neva Penton
authors.initials: NP
authors.lastname: Eklund
authors.forename: Stephen L
authors.initials: SL
authors.lastname: Silberman
authors.forename: James J
authors.initials: JJ
authors.lastname: Crall
authors.forename: Burton L
authors.initials: BL
authors.lastname: Edelstein
authors.forename: Dorris H
authors.initials: DH
authors.lastname: Baggett
authors.forename: David R
authors.initials: DR
authors.lastname: Parrish
authors.forename: Heather
authors.initials: H
authors.lastname: Hanna
mesh_terms: D002253:Carbonated Beverages / Q000009:adverse effects; D002648:Child; D002654:Child Care; D002675:Child, Preschool; D003731:Dental Caries / Q000453:epidemiology*; D004812:Epidemiologic Methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D008297:Male; D008922:Mississippi / Q000453:epidemiology; D009909:Oral Health; D012307:Risk Factors; D012423:Rural Health / Q000706:statistics & numerical data; D014099:Toothbrushing / Q000706:statistics & numerical data