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Governance, Maternal Well-Being and Early Childhood Caries in 3-5-Year-Old Children Publisher Pubmed



Folayan MO1 ; El Tantawi M2 ; Vukovic A3 ; Schroth RJ4 ; Alade M5 ; Mohebbi SZ6, 7 ; Albatayneh OB8 ; Arheiam A9 ; Amalia R10 ; Gaffar B11 ; Onyejaka NK12 ; Daryanavard H13 ; Kemoli A14 ; Diaz ACM15 Show All Authors
Authors
  1. Folayan MO1
  2. El Tantawi M2
  3. Vukovic A3
  4. Schroth RJ4
  5. Alade M5
  6. Mohebbi SZ6, 7
  7. Albatayneh OB8
  8. Arheiam A9
  9. Amalia R10
  10. Gaffar B11
  11. Onyejaka NK12
  12. Daryanavard H13
  13. Kemoli A14
  14. Diaz ACM15
  15. Grewal N16
Show Affiliations
Authors Affiliations
  1. 1. Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
  2. 2. Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
  3. 3. Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia
  4. 4. Department of Preventive Dental Science, Rady Faculty of Health Sciences, Dr. Gerald Niznick College of Dentistry, University of Manitoba, Winnipeg, MB, Canada
  5. 5. Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
  6. 6. Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Preventive Dentistry Department, Jordan University of Science and Technology, PO Box 3030, Irbid, 22110, Jordan
  9. 9. Department of Community and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libyan Arab Jamahiriya
  10. 10. Preventive and Community Dentistry Department, Faculty of Dentistry, Universitas Gadjah Mada Yogyakarta, Yogyakarta, Indonesia
  11. 11. Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  12. 12. Department of Child Dental Health, University of Nigeria, Enugu, Enugu State, Nigeria
  13. 13. Dental Service Department, Dubai Health Authority, Dubai, United Arab Emirates
  14. 14. Department of Paediatric Dentistry and Orthodontics, University of Nairobi, Nairobi, Kenya
  15. 15. Pediatric Dentistry and Orthodontics Department, Universidad Central de Venezuela, Caracas, Venezuela
  16. 16. Amritsar, India

Source: BMC Oral Health Published:2020


Abstract

Background: This study assessed the direct, indirect and total effect of distal-political-risk indicators (affecting populations), and proximal risk indicators (affecting women) on the global prevalence of early childhood caries (ECC) in 3-5 year old children. Methods: Data on global ECC prevalence were obtained from a prior study. Data for distal risk indicators (voice and accountability; political stability/absence of terrorism; control of corruption) were obtained from the World Bank Governance indicators, 2016. Data for proximal risk indicators (women's opportunity for leadership; percentage of female legislators, top officials and managers; basic employability status of women; ability of women to afford time off work to care for newborns; gross national income (GNI) per capita for females) were derived from the Human Development Index, 2016. Associations between variables were assessed with path analysis. Results: Voice and accountability (β =-0.60) and GNI per capita for females (β =-0.33) were directly associated with a lower ECC prevalence. Political stability/absence of terrorism (β =0.40) and higher percentage of female legislators, senior officials and managers (β = 0.18) were directly associated with a higher ECC prevalence. Control of corruption (β =-0.23) was indirectly associated with a lower ECC prevalence. Voice and accountability (β = 0.12) was indirectly associated with a higher ECC prevalence. Overall, voice and accountability (β =-0.49), political stability/absence of terrorism (β = 0.34) and higher female GNI (β =-0.33) had the greatest effects on ECC prevalence. Conclusion: Distal risk indicators may have a stronger impact on ECC prevalence than do proximal risk indicators. Approaches to control ECC may need to include political reforms. © 2020 The Author(s).