Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children
Abstract Aim To determine whether psychosocial determinants of adverse childhood experiences (ACE), from pregnancy to 2 years old, are associated with severe early childhood caries (S‐ECC) in Indigenous children. Design Secondary data analyses from an ECC prevention trial among 344 First Nations mot...
Published in: | International Journal of Paediatric Dentistry |
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crwiley:10.1111/ipd.12891 2024-04-28T08:19:00+00:00 Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children Tsai, Wan Ting Lawrence, Herenia Procopio Institute of Aboriginal Peoples Health 2021 http://dx.doi.org/10.1111/ipd.12891 https://onlinelibrary.wiley.com/doi/pdf/10.1111/ipd.12891 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/ipd.12891 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor International Journal of Paediatric Dentistry volume 32, issue 3, page 352-366 ISSN 0960-7439 1365-263X General Dentistry journal-article 2021 crwiley https://doi.org/10.1111/ipd.12891 2024-04-08T06:54:21Z Abstract Aim To determine whether psychosocial determinants of adverse childhood experiences (ACE), from pregnancy to 2 years old, are associated with severe early childhood caries (S‐ECC) in Indigenous children. Design Secondary data analyses from an ECC prevention trial among 344 First Nations mother‐child dyads living on‐ and off‐reserve in Ontario and Manitoba, Canada. Stratified (on‐/off‐reserve) logistic regression, controlling for mother's age and income source, assessed three categories of psychosocial ACE determinants: alcohol/drug misuse, household financial hardship (overcrowding and food insecurity) and emotional/social well‐being (Perceived Stress Scale (PSS‐14), sense of personal control (SOC), social support, subjective social status). Results Household overcrowding [adjusted odds ratio (AOR) = 1.89 (95% CI: 1.06–3.38)], food insecurity [AOR = 2.86 (1.53–5.34)] and mothers’ high perceived stress [AOR = 2.48 (1.40–4.37)] were associated with S‐ECC (dmft > 9) for those on‐reserve. Maternal SOC had a protective effect for off‐reserve children [AOR = 0.17 (0.03–0.95)]. Conclusions Increased efforts to reduce psychosocial ACE determinants are paramount to decreasing Indigenous children's vulnerability to S‐ECC. Article in Journal/Newspaper First Nations Wiley Online Library International Journal of Paediatric Dentistry 32 3 352 366 |
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Wiley Online Library |
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language |
English |
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General Dentistry |
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General Dentistry Tsai, Wan Ting Lawrence, Herenia Procopio Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
topic_facet |
General Dentistry |
description |
Abstract Aim To determine whether psychosocial determinants of adverse childhood experiences (ACE), from pregnancy to 2 years old, are associated with severe early childhood caries (S‐ECC) in Indigenous children. Design Secondary data analyses from an ECC prevention trial among 344 First Nations mother‐child dyads living on‐ and off‐reserve in Ontario and Manitoba, Canada. Stratified (on‐/off‐reserve) logistic regression, controlling for mother's age and income source, assessed three categories of psychosocial ACE determinants: alcohol/drug misuse, household financial hardship (overcrowding and food insecurity) and emotional/social well‐being (Perceived Stress Scale (PSS‐14), sense of personal control (SOC), social support, subjective social status). Results Household overcrowding [adjusted odds ratio (AOR) = 1.89 (95% CI: 1.06–3.38)], food insecurity [AOR = 2.86 (1.53–5.34)] and mothers’ high perceived stress [AOR = 2.48 (1.40–4.37)] were associated with S‐ECC (dmft > 9) for those on‐reserve. Maternal SOC had a protective effect for off‐reserve children [AOR = 0.17 (0.03–0.95)]. Conclusions Increased efforts to reduce psychosocial ACE determinants are paramount to decreasing Indigenous children's vulnerability to S‐ECC. |
author2 |
Institute of Aboriginal Peoples Health |
format |
Article in Journal/Newspaper |
author |
Tsai, Wan Ting Lawrence, Herenia Procopio |
author_facet |
Tsai, Wan Ting Lawrence, Herenia Procopio |
author_sort |
Tsai, Wan Ting |
title |
Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
title_short |
Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
title_full |
Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
title_fullStr |
Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
title_full_unstemmed |
Association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among First Nations children |
title_sort |
association between psychosocial determinants of adverse childhood experiences and severe early childhood caries among first nations children |
publisher |
Wiley |
publishDate |
2021 |
url |
http://dx.doi.org/10.1111/ipd.12891 https://onlinelibrary.wiley.com/doi/pdf/10.1111/ipd.12891 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/ipd.12891 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
International Journal of Paediatric Dentistry volume 32, issue 3, page 352-366 ISSN 0960-7439 1365-263X |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/ipd.12891 |
container_title |
International Journal of Paediatric Dentistry |
container_volume |
32 |
container_issue |
3 |
container_start_page |
352 |
op_container_end_page |
366 |
_version_ |
1797582734514716672 |