Differences in oral health behaviour between children from high and children from low SES schools in The Netherlands.
OBJECTIVE
To identify the determinants of dental caries in relation to socio-economic status (SES) within oral health, children's eating habits and parental attitudes towards oral health.


METHODS
Dental screening data were collected from 6- and 10-year-old schoolchildren from low and high SES schools in The Netherlands in this cross-sectional study.


METHODS
The clinical examination was performed by trained dental hygiene students who collected the data on dental caries, dental plaque and duration of brushing. The paper questionnaire completed by the parents included 18 questions about oral health behaviour, eating habits and parental attitudes towards oral health.


RESULTS
Two of the six parameters of oral health behaviour were statistically associated with the high caries prevalence in the low SES group (brushing frequency (p = 0.028) and age at the first visit to the dentist (p = 0.044)). High intake of fruit juices and/or soft drinks (p = 0.043) and low calcium intake (p = 0.028) were identified as risk determinants for caries with low SES. All parameters of parental attitudes towards oral health were associated with caries, but not with SES.


CONCLUSIONS
This study confirmed that the high caries prevalence in children from low SES schools was associated with oral health behaviour and eating habits. The role of parents was indirectly associated with the occurrence of dental caries. Therefore, it is important to include parents in all intervention programmes in order to reduce the prevalence of caries.
Jerkovic
K
K
Research and Innovation Group in Health Care and in Nursing, Hanze University Groningen, University of Applied Sciences. k.jerkovic@med.umcg.nl
Binnekade
J M
JM
van der Kruk
J J
JJ
van der Most
J A
JA
Talsma
A C
AC
van der Schans
C P
CP
D002648:Child; D003430:Cross-Sectional Studies; D003731:Dental Caries / Q000453:epidemiology*; D006801:Humans; D009426:Netherlands / Q000453:epidemiology; D009909:Oral Health; D012574:Schools; D012923:Social Class