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Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office

Dawson, Gabriel M
http://orcid.org/0000-0003-2547-1645
http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364

Abstract Details

2016, Master of Science, Ohio State University, Dentistry.
Purpose: To determine the relationship between toxic stress from negative social determinants of health and behavior of children at the initial dental visit. Methods: Using a 17-state sample of children 4-5 years-old, behavior ratings, using a 4-point scale, applied by trained dental professionals at initial dental visits were analyzed using bivariate and multivariate logistic regression models as well as Naive Bayes classification and chi-squared tests. Each child’s behavior rating was correlated with social determinants using geographic mapping for racial/ethnic status, violence, education level, income, living conditions and other factors known to influence health. Results: Behavior ratings for 4-year-old (n=17,486) and 5-year-old (n=19,613) children were obtained for first dental visit over a five year period (2009-2013). Behavior was good (n=11,999) and not good (n=25,100). The odds ratio correlating individual socioeconomic factors to behavior showed that children with more negative behavior were more likely to experience violent crime (P=.0004), parental unemployment (P=.0002), less parental education (P=.0006), high expense on food and transportation per capita income (P=.0005), living in a more densely populated area (P=.028), non-homeowner (P=.0001), with a greater amount spend on housing per capita income (P=.0009), African-American (P=.0008), and a lower median household age (P=.0003). Children with good behavior rating were more likely to be of Latino or white ethnicity (P=.0002), come from homes owned by parents (P=.007), having a male to female ratio closer to 1:1 (P=.031), spent a greater amount on health related expenses (P=.015), and a larger average home size (P=.0002). Conclusion: This study of 37,099 4-and-5-year-old children, found poorer behavior at initial dental examination for children exposed to violence crime, parental unemployment, less parental education, high expense on food and transportation per capita income, non-homeowners with a short length of residence in the current domicile, African-American, in a more densely populated area, with a lower median household age. Children of Latino or white ethnicity, greater parental income, parents owning current residence, greater home size, and a male to female ratio approaching 1:1, were more likely to be rated “good” at the initial dental visit.
Paul Casamassimo (Advisor)
Dennis McTigue (Advisor)
Nowak Arthur (Advisor)
31 p.
Dentistry
toxic stress; social determinants of health, prefrontal cortex, SES, socio-economic status, behavior, dental clinic, geo-mapping

Recommended Citations

Citations

  • Dawson, G. M. (2016). Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364

    APA Style (7th edition)

  • Dawson, Gabriel. Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office. 2016. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364.

    MLA Style (8th edition)

  • Dawson, Gabriel. "Relationship Between Factors Associated with Toxic Stress and Child Behavior in the Dental Office." Master's thesis, Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1469537364

    Chicago Manual of Style (17th edition)

osu1469537364
605
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This open access ETD is published by The Ohio State University and OhioLINK.