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Survey of dental caries in Filipino-Canadian preschool children
K.G. CARINO, and R. HARRISON, University of British Columbia, Vancouver, Canada | Province-wide screenings in British Columbia (BC), Canada indicate a decrease in caries-free kindergarten-aged children from 66% (1996) to 59% (2001). Immigrant influx may contribute to this decline. Filipinos are BC's 3rd largest immigrant group; dentists anecdotally report high rates of dental decay among young Filipino immigrant children (FIC). Objectives: (1) to document caries status and treatment needs and (2) to explore association of demographic characteristics and caries status in FIC. Methods: Research design: cross-sectional survey. Subjects: convenience sample of FIC aged ≤71 months recruited at community centers, churches and shopping malls. Methods: (1) dental exam assessing caries status, and (2) questionnaire for demographic information. Caries diagnosis based on ICDAS. Statistics: Kruskall-Wallis and Mann-Whitney-U-tests to determine association between demographic data and caries status. Results: 110 children (55 boys, 55 girls) from 94 families were recruited in 6 months: 26% were born in the Philippines; 68% had caries; 90% had unmet treatment needs; 39% needed urgent care and 50% had never been to the dentist. Dental data is summarized in table below: Age(mos.) | n | Caries-free | dt | Cavitated teeth | dmft (mn±sd) | ≤17 | 8 | 4(50%) | 1.3 | 0 | 1.3±1.6 | 18-35 | 45 | 18 (40%) | 3.8 | 0.3 | 3.8±4.6 | 36-59 | 39 | 11(28%) | 5.7 | 1.4 | 5.8±6.0 | 60-71 | 18 | 2(10%) | 6.3 | 2.4 | 7.3±5.6 | Total | 110 | 35(32%) | 4.7 | 1.0 | 4.9±5.4 | 33% of the families were below Vancouver's low-income-cut-off of $31,804; 69% of mothers and 51% of fathers had at least a bachelor's degree; average years in Canada were 7.2 for mothers/5.2 for fathers. A significant difference in caries status was noted based on child's birthplace (Philippines: dmft=7.1, Canada: dmft=4.3, p=0.022). Family income, parents' education and years in Canada showed no significance (p>0.05).Conclusion: Anecdotal reports that FIC have high rates of dental caries are corroborated by results of this study. (Research supported by the S. Wah Leung Endowment Fund.) | Seq #121 - Epidemiology/ Early Childhood Caries 3:30 PM-4:45 PM, Thursday, July 3, 2008 Metro Toronto Convention Centre Exhibit Hall D-E |
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