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A Formative Assessment of Social Determinants of Health Related to Early Childhood Caries in Two American Indian Communities

Author

Listed:
  • Kristan Elwell

    (Department of Health Sciences, Northern Arizona University, Flagstaff, AZ 86011, USA)

  • Carolyn Camplain

    (Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA)

  • Christine Kirby

    (Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA)

  • Katharine Sanderson

    (Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA)

  • Gloria Grover

    (Hopi Department of Health and Human Services, Kykotsmovi, AZ 86039, USA)

  • Gerlinda Morrison

    (Little Big Horn College, Crow Agency, MT 59022, USA)

  • Amy Gelatt

    (Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA)

  • Julie A. Baldwin

    (Department of Health Sciences, Northern Arizona University, Flagstaff, AZ 86011, USA
    Center for Health Equity Research, Northern Arizona University, Flagstaff, AZ 86011, USA)

Abstract

In the United States, children from diverse ethnic groups and those with low socioeconomic status are at a significantly increased risk for early childhood caries. Despite the efforts focused on decreasing early childhood caries in American Indian (AI) populations, these children have the highest incidence of dental caries of any ethnic group, with four times the cases of untreated dental caries compared to white children. This qualitative formative assessment was conducted in two AI communities. Semi-structured interviews ( n = 57) were conducted with caregivers and providers to understand the social and community contexts in which oral health behaviors and practices occur from the perspective of the caregivers, oral health care providers, and social service providers in the communities. The analysis was informed by the social determinants of health framework. The key social determinants of pediatric oral health relevant to our study communities included limited access to: oral health promoting nutritious foods, transportation for oral health appointments, and pediatric specialty care. This formative assessment provided locally and contextually relevant information to shape the development of an oral health clinical trial intervention to address early childhood caries in these two communities.

Suggested Citation

  • Kristan Elwell & Carolyn Camplain & Christine Kirby & Katharine Sanderson & Gloria Grover & Gerlinda Morrison & Amy Gelatt & Julie A. Baldwin, 2021. "A Formative Assessment of Social Determinants of Health Related to Early Childhood Caries in Two American Indian Communities," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9838-:d:638329
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    References listed on IDEAS

    as
    1. Chi, D.L. & Masterson, E.E. & Carle, A.C. & Mancl, L.A. & Coldwell, S.E., 2014. "Socioeconomic status, food security, and dental caries in us children: Mediation analyses of data from the national health and nutrition examination survey, 2007-2008," American Journal of Public Health, American Public Health Association, vol. 104(5), pages 860-864.
    2. John Frank & Thomas Abel & Stefano Campostrini & Sarah Cook & Vivian K. Lin & David V. McQueen, 2020. "The Social Determinants of Health: Time to Re-Think?," IJERPH, MDPI, vol. 17(16), pages 1-8, August.
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    Cited by:

    1. Amy H. Park & Rachel J. Kulchar & Sita Manasa Susarla & Bathsheba Turton & Karen Sokal-Gutierrez, 2023. "Fewer Children in Families Associated with Lower Odds of Early Childhood Caries: A Sample from Three Countries," IJERPH, MDPI, vol. 20(3), pages 1-14, January.

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