{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:35:09Z","timestamp":1787319309997,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T00:00:00Z","timestamp":1594080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the association between maternal education, income, and decision\u2010making status and the presence of early childhood caries (ECC) and dental\u2010service utilization among young children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study was based on data from a household survey of 1,549 mother\u2010preschool\u2010aged\u2010child dyads conducted in Ife Central Local Government Area, Nigeria. The explanatory variables were maternal education, income, and decision\u2010making status (related to healthcare, large household purchases, and visits to family\/relatives). Outcome variables were the presence of ECC and the child's history of dental\u2010service utilization. Poisson regression analyses were conducted to identify factors associated with outcomes; the models were adjusted for maternal age, child's socioeconomic status, oral hygiene status, and frequency of sugar consumption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study recruited 1,549 mother\u2013child dyads, of which 66 (4.3 percent) children had ECC, and 90 (5.9 percent) children had a history of dental\u2010service utilization. Fewer than half (42.3 percent) of the mothers earned between N18,001($49.00) and 60,000 ($168.00) per month. Also, 896 (57.8 percent) reported not making any independent decisions, 152 (9.8 percent) made one of three decisions independently, and 313 (20.2 percent) made two or three decisions independently. In the adjusted model, children of mothers with monthly income higher than N60,000 were more likely to have used dental services than were those whose mother's monthly income was less than or equal to N18,000 (adjusted prevalence ratio = 2.29; 95%CI: 1.30\u20134.02;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.004). No other maternal factor was associated with ECC.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although maternal socioeconomic factors and decision\u2010making abilities were not associated with ECC prevalence, more preschool children whose mothers had high income used dental services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.12383","type":"journal-article","created":{"date-parts":[[2020,7,7]],"date-time":"2020-07-07T06:55:39Z","timestamp":1594104939000},"page":"288-296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Association between maternal socioeconomic factors, decision\u2010making status, and dental utilization by children with early childhood caries in sub\u2010urban Nigeria"],"prefix":"10.1111","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9008-7730","authenticated-orcid":false,"given":"Morenike Oluwatoyin","family":"Folayan","sequence":"first","affiliation":[{"name":"Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Osun Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micheal","family":"Alade","sequence":"additional","affiliation":[{"name":"Department of Child Dental Health, Obafemi Awolowo University Teaching Hospitals Complex  Ile\u2010Ife Osun Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abiola","family":"Adeniyi","sequence":"additional","affiliation":[{"name":"Department of Child Dental Health, Lagos State University College of Medicine  Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4989-6584","authenticated-orcid":false,"given":"Maha","family":"El Tantawi","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry Alexandria University  Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy L.","family":"Finlayson","sequence":"additional","affiliation":[{"name":"School of Public Health San Diego State University  CA San 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