Advertisement

European Archives of Paediatric Dentistry

, Volume 12, Issue 3, pp 151–158 | Cite as

Oral health in young individuals with foreign and Swedish backgrounds — a ten-year perspective

  • B. JacobssonEmail author
  • G. Koch
  • T. Magnusson
  • A. Hugoson
Article

Abstract

AIM: To investigate oral health status and coherent determinants in children with foreign backgrounds compared with children with a Swedish background, over a ten year period. DESIGN AND METHODS: In 1993 and 2003, cross-sectional studies with random samples of individuals in the age groups 3, 5, 10 and 15 years were performed in Jönköping, Sweden. All the individuals were personally invited to a clinical and radiographic examination of their oral health status. They were also asked about their attitudes to and knowledge of teeth and oral health care habits. The final study sample comprised 739 children and adolescents, 154 with a foreign background (F cohort) and 585 with a Swedish background (S cohort). RESULTS: In both 1993 and 2003, more 3- and 5 year olds in the S cohort were caries-free compared with the F cohort. In 1993, dfs was higher among 3- and 5 year olds in the F cohort (p<0.01) compared with the S cohort. In 2003, dfs/DFS was statistically significantly higher in all age groups among children and adolescents in the F cohort compared with the S cohort. When it came to proximal tooth surfaces, the percentages of individuals who were caries-free, with initial carious lesions, with manifest carious lesions and with restorations among 10-year-olds in the F cohort were 55%, 23%, 4% and 18% in 1993. The corresponding figures for the S cohort were 69%, 20%, 6% and 5% respectively. In 2003, the values for the F cohort were 54%, 29%, 4% and 13% compared with 82%, 12%, 1% and 5% in the S cohort. In 2003, the odds of being exposed to dental caries among 10- and 15-year-olds in the F cohort, adjusted for gender and age, were more than six times higher (OR=6.3, 95% CI:2.51–15.61; p<0.001) compared with the S cohort. CONCLUSIONS: There has been a decline in caries prevalence between 1993 and 2003 in all age groups apart from 3-year-olds. However, the improvement in dfs/DFS was greater in the S cohort compared with the F cohort in all age groups. The difference between the F and S cohorts in terms of dfs/DFS was larger in 2003 compared with 10 years earlier. In 2003, the odds ratio for being exposed to dental caries was almost six times higher for 10- and 15-year-olds with two foreign-born parents compared with their Swedish counterparts.

Key Words

Dental caries epidemiology gingivitis immigrants 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Alm A. On dental caries and caries-related factors in children and teenagers. Swed Dent J Suppl 2008:7–63.Google Scholar
  2. Axelsson P. The effect of a needs-related caries preventive program in children and young adults — results after 20 years. BMC Oral Health 2006;6 Suppl 1:S7.PubMedCrossRefGoogle Scholar
  3. Bissar AR, Oikonomou C, Koch MJ et al. Dental health, received care, and treatment needs in 11- to 13-year-old children with immigrant background in Heidelberg, Germany. Int J Paediatr Dent 2007;17:364–370.PubMedCrossRefGoogle Scholar
  4. Christensen LB, Twetman S, Sundby A. Oral health in children and adolescents with different socio-cultural and socio-economic backgrounds. Acta Odontol Scand 2010;68:34–42.PubMedCrossRefGoogle Scholar
  5. Dahllof G, Bjorkman S, Lindvall K et al. Oral health in adolescents with immigrant background in Stockholm. Swed Dent J 1991;15:197–203.PubMedGoogle Scholar
  6. Declerck D, Leroy R, Martens L et al. Factors associated with prevalence and severity of caries experience in preschool children. Community Dent Oral Epidemiol 2008;36:168–178.PubMedCrossRefGoogle Scholar
  7. Ekman A. Chapter 5.10: major public health problems — dental health. Scand J Public Health Suppl 2006;67:139–146.PubMedCrossRefGoogle Scholar
  8. Flinck A, Kallestal C, Holm AK et al. Distribution of caries in 12-year-old children in Sweden. Social and oral health-related behavioural patterns. Community Dent Health 1999;16:160–165.PubMedGoogle Scholar
  9. Gibson MC, Bol N, Gray JA et al. The art and science of a behavioural approach to care. Perspectives 1999;23:2–8.PubMedGoogle Scholar
  10. Hedman E, Ringberg C, Gabre P. Knowledge of and attitude to oral health and oral diseases among young adolescents in Sweden. Swed Dent J 2006;30:147–154.PubMedGoogle Scholar
  11. Hugoson A, Koch G, Gothberg C et al. Oral health of individuals aged 3–80 years in Jonkoping, Sweden during 30 years (1973–2003). I. Review of findings on dental care habits and knowledge of oral health. Swed Dent J 2005a;29:125–138.PubMedGoogle Scholar
  12. Hugoson A, Koch G, Gothberg C et al. Oral health of individuals aged 3–80 years in Jonkoping, Sweden during 30 years (1973–2003). II. Review of clinical and radiographic findings. Swed Dent J 2005b;29:139–155.PubMedGoogle Scholar
  13. Hugoson A, Koch G, Helkimo AN et al. Caries prevalence and distribution in individuals aged 3–20 years in Jonkoping, Sweden, over a 30-year period (1973–2003). Int J Paediatr Dent 2007;18:18–26.Google Scholar
  14. Jacobsson B, Wendt LK, Johansson I. Dental caries and caries associated factors in Swedish 15-year-olds in relation to immigrant background. Swed Dent J 2005;29:71–79.PubMedGoogle Scholar
  15. Julihn A, Ekbom A, Modeer T. Migration background: a risk factor for caries development during adolescence. Eur J Oral Sci 2010;118:618–625.PubMedCrossRefGoogle Scholar
  16. Karlberg GL, Ringsberg KC. Experiences of oral health care among immigrants from Iran and Iraq living in Sweden. Qualitative Studies on Health and Well-being 2006:120-127.Google Scholar
  17. Koch G. Effect of sodium fluoride in dentifrice and mouthwash on incidence of dental caries in schoolchildren. Odontol Revy 1967;18:Suppl12.Google Scholar
  18. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533–551.PubMedCrossRefGoogle Scholar
  19. Marthaler TM. Changes in dental caries 1953–2003. Caries Res 2004;38:173–181.PubMedCrossRefGoogle Scholar
  20. Mattila M-J, Rautava P, Jaakkola S et al. Childhood caries is still in force: a 15-year follow-up. Acta Odontol Scand 2008;66:189–192.CrossRefGoogle Scholar
  21. Medical Assembly. Declaration of Helsinki. Rekommendations guiding physicians in biomedical research involving human objects. Adopted by the 18th world Medical Assembly, Helsinki, Finland, 1964. Amended by the 29th World Medical Assembly, Tokyo, Japan, 1983 and the 41st World Medical Assembly, Hong Kong, 1989. Hong Kong: Office of Human Subjects Research, 1989.Google Scholar
  22. Ministry of Health and Social Affairs. Swedish Dental Act 1985:125 (in Swedish). Stockholm, Sweden: Socialstyrelsen, 1985.Google Scholar
  23. National Board of Health and Welfare. Public Health Report 2009, (in Swedish). Stockholm, Socialstyrelsen, 2009.Google Scholar
  24. Petersen PE. The world Oral Health Report 2003. Geneva: World Health Organisation, 2003.Google Scholar
  25. Petersen PE. Global policy for improvement of oral health in the 21st century—implications to oral health research of World Health Assembly 2007, World Health Organisation. Community Dent Oral Epidemiol 2009;37:1–8.PubMedCrossRefGoogle Scholar
  26. Silness J, Loe H. Periodontal disease in pregnance. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121–135.PubMedCrossRefGoogle Scholar
  27. Statistics Sweden. Statistics on persons with foreign background: guidelines and recommendations (in Swedish) [database on the Internet]. Statistiska centralbyrån. 2003 [cited 2009-06-04]. Available from: http://www.scb.se/statistik/BE/BE0101/_dokument/BE0101_BS_2003.doc.
  28. Statistics Sweden. Description of Sweden’s population 2008 (in Swedish) [database on the Internet]. Statistiska centralbyrån. 2009 [cited 2010-01-26]. Available from: http://www.scb.se/statistik/_publikationer/BE0101_2008A01_BR_BE0109TEXT.pdf.
  29. Stecksen-Blicks C, Kieri C, Nyman JE et al. Caries prevalence and background factors in Swedish 4-year-old children — a 40-year perspective. Int J Paediatr Dent 2008;18:317–324.PubMedCrossRefGoogle Scholar
  30. Sundby A, Petersen PE. Oral health status in relation to ethnicity of children in the Municipality of Copenhagen, Denmark. Int J Paediatr Dent 2003;13:150–157.PubMedCrossRefGoogle Scholar
  31. Swedish Migration Board. Short about migration 2008 (in Swedish). Norrköping, Sweden, 2009.Google Scholar
  32. Taloyan M, Wajngot A, Johansson SE et al. Cardiovascular risk factors in Assyrians/Syrians and native Swedes with type 2 diabetes: a population-based epidemiological study. Cardiovasc Diabetol 2009;8:59.PubMedCrossRefGoogle Scholar
  33. Wendt LK, Hallonsten AL, Koch G. Oral health in pre-school children living in Sweden. Part III—A longitudinal study. Risk analyses based on caries prevalence at 3 years of age and immigrant status. Swed Dent J 1999;23:17–25.PubMedGoogle Scholar
  34. Wennhall I, Martensson EM, Sjunnesson I et al. Caries-preventive effect of an oral health program for preschool children in a low socio-economic, multicultural area in Sweden: results after one year. Acta Odontol Scand 2005;63:163–167.PubMedCrossRefGoogle Scholar
  35. Wennhall I, Norlund A, Matsson L et al. Cost-analysis of an oral health outreach program for preschool children in a low socioeconomic multicultural area in Sweden. Swed Dent J 2010;34:1–7.PubMedGoogle Scholar

Copyright information

© European Archives of Paediatric Dentistry 2011

Authors and Affiliations

  • B. Jacobsson
    • 1
    Email author
  • G. Koch
    • 2
  • T. Magnusson
    • 1
  • A. Hugoson
    • 1
  1. 1.Centre for Oral Health, School of Health SciencesJönköping UniversityJönköpingSweden
  2. 2.Department of Paediatric DentistryThe Institute for Postgraduate Dental EducationJönköpingSweden

Personalised recommendations