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https://hdl.handle.net/2440/64732
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Type: | Journal article |
Title: | Language and literacy relate to lack of children's dental sealant use |
Author: | Mejia, G. Weintraub, J. Cheng, N. Grossman, W. Han, P. Phipps, K. Gansky, S. |
Citation: | Community Dentistry and Oral Epidemiology, 2011; 39(4):318-324 |
Publisher: | Blackwell Munksgaard |
Issue Date: | 2011 |
ISSN: | 0301-5661 1600-0528 |
Statement of Responsibility: | Gloria C. Mejia, Jane A. Weintraub, Nancy F. Cheng, Wynne Grossman, Pamela Z. Han, Kathy R. Phipps and Stuart A. Gansky |
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. |
Keywords: | disparities sealants |
Rights: | © 2010 John Wiley & Sons A/S |
DOI: | 10.1111/j.1600-0528.2010.00599.x |
Published version: | http://dx.doi.org/10.1111/j.1600-0528.2010.00599.x |
Appears in Collections: | Aurora harvest Dentistry publications |
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