title: [Family environment and dental health disparities among urban children in Burkina Faso].
abstract: BACKGROUND
  Dental caries is the most common multifactorial disease in children and has substantial negative impact on daily life. In sub-Saharan Africa, few data are available on the relationship between dental caries and the social and family environment of children. The objectives of the present study were firstly to assess the level of prevalence and severity of dental caries of children in Ouagadougou, the capital city of Burkina Faso and secondly to determine whether or not individual factors, family and living conditions are linked with dental health disparities within the population.
  
  
  METHODS
  Interview and clinical data were obtained from a household-based cross-sectional survey. A two-stage stratified sampling technique was applied in four areas of Ouagadougou representing different stages of urbanization.
  
  
  RESULTS
  The final study population included 1606 children aged 6-12 years. For the overall group the total caries prevalence rate was 48.2%. Results showed that the dental health status of the mother, social integration of the householder and socioeconomic level of the household were associated with the dental health of children. Disparities in dental health were prominent; poor dental health was relatively frequent in children from households poorly integrated into social networks with rather acceptable standard in terms of material wealth.
  
  
  CONCLUSIONS
  Our study showed that individual factors as well as family-related and environmental factors had an influence on their caries experience. The rapidly changing lifestyle affects oral health and the burden of oral diseases is expected to increase initially in people of upper classes and later in disadvantaged people. Disease prevention focussing on common risk factors of chronic diseases should be enhanced. In addition, the accessibility of quality fluoride products (e.g. toothpaste, salt, water) should be facilitated as soon as possible.
authors: Institut de Recherche pour le Développement (IRD), Ouagadougou, Burkina Faso. varenneb@afro.who.int
authors: B
authors: B
authors: Varenne
authors: F
authors: F
authors: Fournet
authors: E
authors: E
authors: Cadot
authors: P
authors: P
authors: Msellati
authors: H Z
authors: HZ
authors: Ouedraogo
authors: P E
authors: PE
authors: Meyer
authors: J-F
authors: JF
authors: Cornu
authors: G
authors: G
authors: Salem
authors: P E
authors: PE
authors: Petersen
mesh_terms: D002050:Burkina Faso / Q000453:epidemiology; D002648:Child; D003731:Dental Caries / Q000453:epidemiology*; D005191:Family Characteristics; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D009909:Oral Health / Q000706:statistics & numerical data*; D015995:Prevalence; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D014504:Urban Health