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Socio-Economic Status May Associate Different Risk(s) with Early Childhood Caries (ECC) That Can Cause the Development of Psychomotor Deficiency in Preschool Children Aged 3–6 Years Old: The Results of Preliminary Analysis from a Cohort Study

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  • Andy Yen-Tung Teng

    (Center for Osteoimmunology and Biotechnology Research (COBR), School of Dentistry, College of Dental Medicine, Kaohsiung Medical University (KMU) & KMU-Hospital, Kaohsiung 80708, Taiwan
    Laboratory of Molecular Microbial Immunity, Division of Periodontology, The Eastman Institute for Oral Health (EIOH), School of Medicine & Dentistry, University of Rochester, Rochester, NY 14620, USA)

  • Chen-Yi Liang

    (Department of Childhood Education and Nursery, Chia Nan University of Pharmacy & Science, Tainan 71710, Taiwan)

  • Yen Chun Grace Liu

    (Center for Osteoimmunology and Biotechnology Research, Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

Abstract

Background: We have recently shown that there is a positive correlation between severe caries and developing psychomotor deficiency in preschool children. To fully re-assess such a relationship, we embarked on a 3-year longitudinal follow-up study of kindergarteners, where we aimed to: (i) confirm whether early childhood caries is causally related to the development of psychomotor deficiency as proposed, and (ii) address any significant role or contribution of socio-economic status associated with caries–psychomotor interactions in the preschooler family cohorts studied, over time. Methods: A longitudinal study was designed where the total sum of 159 kindergarteners aged 3–6 from the central and southern regions of Taiwan were randomly selected and recruited for clinical examination of caries, together with questionnaires for personal, demographic and dietary information, socio-economic status, and the children’s psychomotor development scales which were collected and analyzed over time. Student’s t test, chi-squared test, correlation coefficients, and multiple linear regression analysis with R 2 determinants were employed to assess any attributable differences (of 0~1) between SES vs. psychomotor manifests and caries measured among all variables computed. Results: The results of our preliminary analyses show that: (i) there was likely a causal relationship between caries activities and aspects of general development scale via the Chinese Child Development Inventory over time (4.01 ± 3.47 vs. 5.88 ± 2.58, respectively) in the 3–6-year-old preschoolers, and (ii) there was significantly more attributable influence (via higher R-squared values) from SES and psychomotor manifests than that of caries and the Chinese Child Development Inventory counterparts, as detected over time. Conclusion: Collectively, the resulting analyses support our previous findings and confirm that there is likely a causal relationship between severe caries and psychomotor deficiency in growing preschoolers; the resulting analyses revealed that such causally related interactions may be attributably explainable by a content-reliant association via socio-economic status analyzed in the kindergartener family cohorts studied. Thus, the socio-economic status or its constituents/factors will have a much broader influence not only associated with developing early childhood caries (a biologic trait), but also for psychomotor deficiency (a social trait) in vulnerable children at risk.

Suggested Citation

  • Andy Yen-Tung Teng & Chen-Yi Liang & Yen Chun Grace Liu, 2021. "Socio-Economic Status May Associate Different Risk(s) with Early Childhood Caries (ECC) That Can Cause the Development of Psychomotor Deficiency in Preschool Children Aged 3–6 Years Old: The Results o," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9011-:d:622700
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    References listed on IDEAS

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    1. Jianxing Yu & Yonghui Ma & Sen Yang & Kai Pang & Yaqin Yu & Yuchun Tao & Lina Jin, 2015. "Risk Factors for Cardiovascular Disease and Their Clustering among Adults in Jilin (China)," IJERPH, MDPI, vol. 13(1), pages 1-10, December.
    2. Chen-Yi Liang & Yen-Chun G. Liu & Tien-Yu Shieh & Yi-Chun Tseng & Andy Yen-Tung Teng, 2019. "Higher Levels of Early Childhood Caries (ECC) Is Associated with Developing Psychomotor Deficiency: The Cross- Sectional Bi-Township Analysis for The New Hypothesis," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
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    Cited by:

    1. Chen-Yi Liang & Andy Yen-Tung Teng & Yen Chun Liu, 2022. "Early Childhood Caries Is Causally Attributed to Developing Psychomotor Deficiency in Pre-School Children: The Resultant Covariate and Confounder Analyses in a Longitudinal Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-15, June.

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    1. Chen-Yi Liang & Andy Yen-Tung Teng & Yen Chun Liu, 2022. "Early Childhood Caries Is Causally Attributed to Developing Psychomotor Deficiency in Pre-School Children: The Resultant Covariate and Confounder Analyses in a Longitudinal Cohort Study," IJERPH, MDPI, vol. 19(11), pages 1-15, June.

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