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Maternal Allostatic Load, Caretaking Behaviors, and Child Dental Caries Experience

A Cross-Sectional Evaluation of Linked Mother–Child Data From the Third National Health and Nutrition Examination Survey

Bibliographic Data

ID11040294
AuthorsErin E Masterson (0000-0002-1354-7641, Erin E. Masterson is with the Departments of Epidemiology and Oral Health Sciences, Schools of Public Health and Dentistry, University of Washington, Seattle. Wael Sabbah is with the Division of Population and Patient Health, Dental Institute, King’s College London, London, UK.), Wael Sabbah (0000-0002-6339-9480, Erin E. Masterson is with the Departments of Epidemiology and Oral Health Sciences, Schools of Public Health and Dentistry, University of Washington, Seattle. Wael Sabbah is with the Division of Population and Patient Health, Dental Institute, King’s College London, London, UK.)
Year2015
Volume105
Issue11
Pages2306-2311
Publication date2015-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302729
PMID26378856
OpenAlexW1896852783
LanguageEN
Citations received12
References cited30

Objectives. We evaluated the associations between chronic maternal stress measured by allostatic load (AL), maternal caretaking behaviors, and child dental caries experience. We also assessed the role of socioeconomic status in these associations. Methods. We used data from the Third National Health and Nutrition Examination Survey (1988–1994). We included children aged 2 to 6 years who linked to a maternal record (n = 716 maternal–child pairs). The main exposure was maternal AL index (0, 1, or ≥ 2). The primary outcome of interest was child dental caries experience (none or any). We evaluated the association between maternal AL and (1) maternal caretaking behaviors, and (2) child caries status and the role of socioeconomic status in these relationships. Results. Children of mothers with an AL index of at least 2 were significantly more likely to have not been breastfed and to have dental caries than were children of mothers with a normal AL before adjusting for measures of socioeconomic status. Conclusions. Maternal chronic stress, indicated by elevation in markers of AL, has an important role in child caretaking behaviors and in children’s oral health

Allostatic load · Child health · Cross-sectional study · Environmental health · National Health and Nutrition Examination Survey · Population · Dental Anxiety and Anesthesia Techniques · Dental Health and Care Utilization · Medicine · Oral microbiology and periodontitis research · Gerontology · Pediatrics

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Unique citing works12
Citations per year1,5
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10

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