{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T19:00:26Z","timestamp":1780945226918,"version":"3.54.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T00:00:00Z","timestamp":1686614400000},"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":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Early Childhood Caries (ECC) can negatively impact the lives of young children, despite being preventable. The purpose of this study was to utilize available data in Alaska to describe changes in parent reports of ECC, and identify factors related to ECC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Childhood Understanding Behaviors Survey (CUBS) is a population\u2010based survey of parents of 3\u2010year\u2010old children and was utilized to describe changes in: parent\u2010reported ECC among children with a dental visit, access to and or utilization of dental care, and consumption of three or more cups of sweetened beverages between 2009\u20132011 and 2016\u20132019. Logistic regression modeling was used to explore factors associated with parent\u2010reported ECC among children with a dental visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over time, a significantly smaller proportions of parents whose 3\u2010year\u2010old child had seen a dental professional reported ECC. Additionally, a smaller proportion of parents reported three or more cups of sweetened beverage consumption by their child, while larger proportions had seen a dental professional by age 3. Factors associated with parent\u2010reported ECC included consumption of three or more cups of sweetened beverages, and enrollment in Medicaid or Tribal health care insurance, while protective factors included a parent earning a college degree, and military insurance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although at the statewide level, improvements were observed in parent\u2010reported measures over time, regional disparities were apparent. Social and economic factors as well as excessive consumption of sweetened beverages appear to play important roles in ECC. CUBS data can help identify trends in ECC within Alaska.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12577","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T07:34:10Z","timestamp":1686641650000},"page":"284-291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring factors associated with parent\u2010reported early childhood caries with Alaska's childhood understanding behaviors survey data"],"prefix":"10.1111","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8694-156X","authenticated-orcid":false,"given":"Laura","family":"Grage","sequence":"first","affiliation":[{"name":"Division of Population Health Sciences University of Alaska Anchorage  Anchorage AK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7002-7969","authenticated-orcid":false,"given":"Frances","family":"Wise","sequence":"additional","affiliation":[{"name":"State of Alaska, Department of Health  Anchorage AK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7617-1856","authenticated-orcid":false,"given":"Jennifer","family":"Meyer","sequence":"additional","affiliation":[{"name":"Division of Population Health Sciences University of Alaska Anchorage  Anchorage AK USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,13]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Rural health information hub. Alaska [Internet].2023Accessed March 15 2023. Available from:https:\/\/www.ruralhealthinfo.org\/states\/alaska"},{"key":"e_1_2_7_3_1","volume-title":"Early dental visits increase \u2014 Alaska CUBS, 2009\u20132017 [Internet]","author":"Stephens K","year":"2019"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jphd.12263"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248399221115763"},{"key":"e_1_2_7_6_1","first-page":"1","article-title":"Lack of in\u2010home piped water and reported consumption of sugar\u2010sweetened beverages among adults in rural Alaska","volume":"11","author":"Mosites E","year":"2019","journal-title":"Public Health Nutr"},{"issue":"1","key":"e_1_2_7_7_1","article-title":"Reducing Alaska native paediatric oral health disparities: a systematic review of oral health interventions and a case study on multilevel strategies to reduce sugar\u2010sweetened beverage intake","volume":"72","author":"Chi DL","year":"2013","journal-title":"Int J Circumpolar Health"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12494"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jds.2020.11.014"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303687"},{"key":"e_1_2_7_11_1","unstructured":"World Health Organization.Oral health [Internet].2022Accessed January 7 2022. Available from:https:\/\/www.who.int\/health-topics\/oral-health\/#tab=tab_2"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12484"},{"key":"e_1_2_7_13_1","unstructured":"American Academy of Pediatric Dentistry.Policy on early childhood caries (ECC): classifications consequences and preventive strategies [Internet].2020Accessed March 15 2023. Available from:https:\/\/www.aapd.org\/media\/policies_guidelines\/p_eccclassifications.pdf"},{"key":"e_1_2_7_14_1","unstructured":"AnnieE.Casey Foundation: Kids Count Data Center. Diagnosis of early tooth decay or cavities by region in Alaska [Internet].2021Accessed February 5 2021. Available from:https:\/\/datacenter.kidscount.org\/data\/tables\/9988\u2010diagnosis\u2010of\u2010early\u2010tooth\u2010decay\u2010or\u2010cavities\u2010by\u2010region?loc=3&loct=5#detailed\/5\/185\u2010191\/true\/1757 1687 1652 1564 1491 1443 1218 1049 995\/any\/19349"},{"key":"e_1_2_7_15_1","unstructured":"Alaska Department of Health.Alaska Childhood Understanding Behaviors Survey [Internet].2022Accessed March 1 2022. Available from:https:\/\/dhss.alaska.gov\/dph\/wcfh\/pages\/mchepi\/cubs\/default.aspx"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304563"},{"key":"e_1_2_7_17_1","unstructured":"Association of State and Territorial Dental Directors.Dental Public Health Activity Descriptive Report: Alaska Childhood Understanding Behaviors Survey [Internet].2017Accessed March 5 2023. Available from:https:\/\/www.astdd.org\/bestpractices\/DES02004AKcubs-2017.pdf"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/cre2.244"},{"key":"e_1_2_7_19_1","unstructured":"Alaska Department of Health.Alaska Health Data Geographic Descriptions [Internet].2022Accessed January 6 2022. Available from:https:\/\/health.alaska.gov\/dph\/Chronic\/Pages\/Data\/geo_bhs.aspx"},{"key":"e_1_2_7_20_1","unstructured":"R Core Team.R: A language environment for statistical computing [Internet].2020Available from:https:\/\/www.r-project.org\/"},{"key":"e_1_2_7_21_1","unstructured":"WickhamH FrancoisR HenryL MullerK.dplyr: A Grammar of Data Manipulation [Internet].2022. Available from:https:\/\/cran.r-project.org\/package=dplyr"},{"key":"e_1_2_7_22_1","unstructured":"LumleyT.Analysis of Complex Survey Samples [Internet]. R.2021Available from:http:\/\/r-survey.r-forge.r-project.org\/survey\/"},{"key":"e_1_2_7_23_1","first-page":"246","volume-title":"Statistics for epidemiology","author":"Jewell NP","year":"2004"},{"issue":"1","key":"e_1_2_7_24_1","first-page":"1","article-title":"Consequences of community water fluoridation cessation for Medicaid\u2010eligible children and adolescents in Juneau","volume":"18","author":"Meyer J","year":"2018","journal-title":"Alaska BMC Oral Health"},{"key":"e_1_2_7_25_1","unstructured":"ReichardtP StolzbergR NewberryR TaylorB BraddockJ MedfordB.Report of the Fairbanks Fluoride Task Force. [Internet].2011Accessed November 1 2020. Available from:http:\/\/ffo-olf.org\/files\/FairbanksFinalReport.pdf"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608-017-0178-9"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0583"},{"key":"e_1_2_7_28_1","article-title":"The burden of early childhood caries in Canadian children and associated risk factors","volume":"7","author":"Pierce A","year":"2019","journal-title":"Front Public Heal"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12259"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18189838"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40368-020-00580-4"},{"key":"e_1_2_7_32_1","volume-title":"Fluoridation at DoD owned or operated potable water treatment plants","author":"Conger J","year":"2013"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-14-00364"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.21444"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2002.tb03445.x"}],"container-title":["Journal of Public Health Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jphd.12577","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T16:52:19Z","timestamp":1694710339000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jphd.12577"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,13]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/jphd.12577"],"URL":"https:\/\/doi.org\/10.1111\/jphd.12577","archive":["Portico"],"relation":{},"ISSN":["0022-4006","1752-7325"],"issn-type":[{"value":"0022-4006","type":"print"},{"value":"1752-7325","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,13]]},"assertion":[{"value":"2022-12-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}