Governance, maternal well-being and early childhood caries in 3-5-year-old children

• Main Authors: Morenike Oluwatoyin Folayan (Author), Maha El Tantawi (Author), Ana Vukovic (Author), Robert J. Schroth (Author), Micheal Alade (Author), Simin Z. Mohebbi (Author), Ola B. Al-Batayneh (Author), Arheiam Arheiam (Author), Rosa Amalia (Author), Balgis Gaffar (Author), Nneka Kate Onyejaka (Author), Hamideh Daryanavard (Author), Arthur Kemoli (Author), Aída Carolina Medina Díaz (Author), Navneet Grewal (Author), on behalf of the Global Early Childhood Caries Research Group (Author)
• Format: Book
• Published: BMC, 2020-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.1186/s12903-020-01149-9; 1472-6831
• Keywords: Preschoolers; Global; Prevalence; Voice and accountability; Control of corruption; Political stability/absence of terrorism; Dentistry; RK1-715
• Source: BMC Oral Health, Vol 20, Iss 1, Pp 1-8 (2020)

Abstract Background This study assessed the direct, indirect and total effect of distal - political - risk indicators (affecting populations), and proximal risk indicators (affecting women) on the global prevalence of early childhood caries (ECC) in 3-5 year old children. Methods Data on global ECC prevalence were obtained from a prior study. Data for distal risk indicators (voice and accountability; political stability/absence of terrorism; control of corruption) were obtained from the World Bank Governance indicators, 2016. Data for proximal risk indicators (women's opportunity for leadership; percentage of female legislators, top officials and managers; basic employability status of women; ability of women to afford time off work to care for newborns; gross national income (GNI) per capita for females) were derived from the Human Development Index, 2016. Associations between variables were assessed with path analysis. Results Voice and accountability (β = − 0.60) and GNI per capita for females (β = − 0.33) were directly associated with a lower ECC prevalence. Political stability/absence of terrorism (β =0.40) and higher percentage of female legislators, senior officials and managers (β = 0.18) were directly associated with a higher ECC prevalence. Control of corruption (β = − 0.23) was indirectly associated with a lower ECC prevalence. Voice and accountability (β = 0.12) was indirectly associated with a higher ECC prevalence. Overall, voice and accountability (β = − 0.49), political stability/absence of terrorism (β = 0.34) and higher female GNI (β = − 0.33) had the greatest effects on ECC prevalence. Conclusion Distal risk indicators may have a stronger impact on ECC prevalence than do proximal risk indicators.. Approaches to control ECC may need to include political reforms.