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  • Title: Mother-perceived social capital and children's oral health and use of dental care in the United States.
    Author: Iida H, Rozier RG.
    Journal: Am J Public Health; 2013 Mar; 103(3):480-7. PubMed ID: 23327253.
    Abstract:
    OBJECTIVES: We examined the association between mother-perceived neighborhood social capital and oral health status and dental care use in US children. METHODS: We analyzed data for 67 388 children whose mothers participated in the 2007 National Survey of Children's Health. We measured mothers' perceived social capital with a 4-item social capital index (SCI) that captures reciprocal help, support, and trust in the neighborhood. Dependent variables were mother-perceived ratings of their child's oral health, unmet dental care needs, and lack of a previous-year preventive dental visit. We performed bivariate and multivariable logistic regression analyses for each outcome. RESULTS: After we controlled for potential confounders, children of mothers with high (SCI = 5-7) and lower levels (SCI ≥ 8) of social capital were 15% (P = .05) and about 40% (P ≤ .02), respectively, more likely to forgo preventive dental visits than were children of mothers with the highest social capital (SCI = 4). Mothers with the lowest SCI were 79% more likely to report unmet dental care needs for their children than were mothers with highest SCI (P = .01). CONCLUSIONS: A better understanding of social capital's effects on children's oral health risks may help address oral health disparities.
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