Title: 2769 - Adverse Childhood Events and Predictors of Poor Oral Health Outcomes
Aderonke Akinkugbe (Presenter)
Virginia Commonwealth University, School of Dentistry
Objectives: Adverse childhood events (ACEs) are negative life events experienced before the age of 18. ACEs are reported as risk factors for negative health outcomes like heart diseases, and diabetes in adult life. Furthermore, individuals who experience ACEs are more likely to smoke and become obese, factors associated with poor oral health outcomes. This study aimed at investigating whether ACEs are associated with predictors of poor oral health.
Methods: Data from 16,354 participants of the 2010 Behavioral risk factor surveillance system in 10 states and the District of Columbia with information on ACEs were analyzed using SAS v. 9.4. ACEs score in the abuse (emotional, physical or sexual); and household challenges (parental separation or divorce, intimate partner violence, household substance abuse, household mental illness and incarceration) domains were calculated. ACEs score ranging from 0-11 were categorized into 0, 1, 2, 3, ≥4. Predictors of poor oral health included: >1year since last dental visit; ≥6 teeth extracted; last dental cleaning ≥2 years ago. Survey logistic regression estimated OR and 95% CI of the association between categories of ACEs score and the respective predictors of poor oral health adjusted for age, gender, race/ethnicity and educational attainment.
Results: The mean (SD) ACEs score was 1.88 (2.16). The proportion of participants with 0, 1, 2, 3, ≥4 ACEs score were 34.4%, 22.2%, 14.2% and 19.9% respectively. 25% of study participants reported >1year since last dental visit; 41.3% reported missing ≥6 teeth; and 16.9% reported ≥2 years since last dental cleaning. There appeared to be a dose-response association between the number of ACEs score and the respective dental outcomes. Specifically, compared to participants with zero ACEs score, those with 1, 2, 3 and ≥4 had adjusted OR (95% CI) of 1.09 (0.81, 1.48), 1.18 (0.88, 1.58), 1.38 (0.99, 1.92), and 1.66 (1.28, 2.16) respectively for reporting ≥2 years since last dental cleaning. Likewise, the OR (95% CI) comparing participants with 0 to 1 and ≥4 ACEs score were 1.18 (0.97, 1.45), 1.53 (1.26, 1.87) respectively for missing ≥6 teeth.
Conclusions: Findings suggest that experiencing ACEs might be associated with predictors of poor oral health. However, due to the cross-sectional design, causality cannot be inferred.
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE