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Association between autism spectrum disorder and caregiver-reported dental caries in children

Rezaie, Azadeh (2020) Association between autism spectrum disorder and caregiver-reported dental caries in children. Master Essay, University of Pittsburgh.

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Objectives: There is evidence that dental caries is both increased and decreased in children with autism spectrum disorder (ASD). Previous studies used limited sample sizes, were conducted in health-seeking populations or examined caregiver-reported child global oral health status. The purpose of this study was to examine the relationship between ASD and caregiver-reported dental caries status using a non-health-seeking sample of children that is nationally representative.
Methods: We used the 2016 National Survey of Children’s Health to perform a cross-sectional examination of the association between ASD and the probability of having caregiver-reported dental caries. Our final analytic sample excluded subjects with missing data for ASD and caregiver-reported dental caries. We used logistic regression controlling for child (age, gender, race/ethnicity, insurance coverage, preventive dental use) and family (caregiver education and federal poverty level) characteristics.
Results: Among the 45,155 children in our sample, 1,228 (2.5%) had ASD. A higher percentage of children had caregiver-reported dental caries when the children had ASD compared to no ASD (15% versus 10%, p<0.001). In our adjusted analysis, children with ASD had 1.4 greater odds of having caregiver-reported dental caries compared to children without ASD (95% CI 1.2-1.7), controlling for the aforementioned covariates.
Conclusions: Using a nationally representative sample, we found that children with ASD had significantly greater odds of having caregiver-reported dental caries compared children without ASD. This finding highlights that there is a public health importance on oral health education for families with children who have ASD as well as oral health services and policies tailored to the children with ASD.
Keywords: Dental Caries, Autism Spectrum Disorder, Child


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Rezaie, Azadehazr9@pitt.eduazr9
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBurgette, Jacquelinejacqueline@pitt.edujacquelineUNSPECIFIED
Committee MemberFinegold, Daviddnf@pitt.edudnfUNSPECIFIED
Date: 2 March 2020
Date Type: Submission
Number of Pages: 24
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 02 Sep 2020 19:27
Last Modified: 02 Sep 2020 19:27


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