Trends in Oral Health Status and Obesity among Illinois Children: The Health

Smiles Across America Webinar Series

Trends in Oral Health and Obesity Status among Illinois Children

Date: 05/06/2016

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OUR MISSION Oral Health America’s mission is to change lives by connecting communities with resources to drive access to care, increase health literacy, and advocate for policies that improve overall health through better oral health for all Americans, especially those most vulnerable.

OHA PRIORITIES OHA’s Programs and Campaigns are designed to improve access to care, oral health literacy and policies that prioritize the impact of oral health on the overall health of all Americans – particularly those most vulnerable.

ACCESS

HEALTH LITERAC Y

ADVOCA CY

Campaigns for Oral Health Equity Educate the public, including policy makers, about the importance of oral health for overall health Emphasize the need to prioritize oral disease alongside other serious health conditions

Advocate for policies that positively impact programs and stakeholders Current campaigns include:

toothwisdom.or g

Advocacy

Health Education & Communications

Professional Symposia

Demonstration Projects

Grant Funding

Product Donation

Technical Assistance

Trends in Oral Health and Obesity Status among Illinois Children

Alejandra Valencia Project Director The Oral Health Forum May 6, 2016

Healthy Smiles, Health Growth Objectives ď‚—

To obtain regional and statewide estimates of

the oral health and overweight/obese status of Illinois third grade children ď‚—

HSHG 2003-2004 HSHG 2008-2009 HSHG 2013-2014

HSHG 2013-2014 Partners 

The Oral Health Forum (OHF) Leading organization



Illinois Department of Public Health (IDPH) ◦ Division of Oral Health ◦ Division of Chronic Disease Prevention and Control



Chicago Department of Public Health (CDPH)



Cook County Health & Hospital System

Basic Screening Survey (BSS) 

Utilized Healthy People oral health objectives



Standardized o

Screening & diagnostic criteria



Makes oral health data comparable



Assists public health programs to monitor diseases and the effectiveness of interventions

National Oral Health Surveillance System (NOHSS) Indicator Data Source Dental visits







NHIS, BRFSS

Collaboration between

Teeth cleaning BRFSS

CDC and ASTDD

No tooth loss

BRFSS

States have to follow BSS

Complete tooth loss

BRFSS

protocol, sampling and

Cancer of Oral Cancer Cavity registry

analysis requirements

Fluoridation status

WFRS

Caries experience, untreated caries, dental sealants

Basic Screening Survey

Data from 43 states

NOHSS - Illinois Data

http://www.cdc.gov/oralhealthdata/

HSHG 2013-2014 Measures BSS Measures

Definition

Untreated Decay

Presence of dental cavities

Treated Decay

Presence of any type of dental fillings

Caries Experience

Past and current dental decay experience

Dental Sealants

One sealant present on a permanent first molar

Treatment needs

Early and urgent treatment need

Rampant Decay

Severe dental decay history (7+ teeth affected)

HSHG 2013-2014 Measures 

Height and Weight ◦ Stadiometer and weighing scales



Calculate Body Mass Index



Follow CDC protocols for classification

Illinois Public Health Regions

Participating Counties 100 schools selected 88 schools participated 3,772 children screened

Illinois Trends

Dental Caries Status 60%

Percentage of children

50%

40%

30% 55% 20%

2003-04

53%

2008-09

52%

2013-14

43%

29% 30%

10%

22%

4%

0% Treated Decay*

Untreated Decay

*Data from previous surveys was not available Note: Confidence interval bars based on standard errors are included for 2013-14

Caries Experience

Rampant Decay*

Treatment Needs 30%

Percentage of children

25%

20%

15%

2003-04 2008-09 2013-14

10% 19.9% 5.4% 4.0%

5%

2.0% 0% Early care need* *Data from previous surveys was not available Note: Confidence interval bars based on standard errors are included for 2013-14

Urgent care need

Dental Sealants Present 100%

Percentage of Children

80%

60% 2003-04 2008-09 40%

2013-14

20%

27%

42%

0% Dental Sealants present Note: Confidence interval bars based on standard errors are included for 2013-14

50%

Overweight and Obese Status 40%

Percentage of Children

30%

2003-04 2008-09 2013-14

20%

10%

20%

18%

17%

21%

20%

0% Overweight Note: Confidence interval bars based on standard errors are included for 2013-14

Obese

19%

Illinois Progress toward Healthy People 2020 Objectives 22%

Untreated Decay

Objective Met

26%

52%

Caries Experience

Progress Needed

49%

50%

Dental Sealants

Objective Met

28%

19%

Obesity

Progress Needed

16%

0%

20%

40% Illinois

60%

Healthy People 2020

80%

100%

Important Inequalities

100%

Percentage of Children

80%

58%

60% 54%

51% 47% 39%

40% 29%

20%

20%

38%

55%

47%

53%

White African American Latinos

41%

Asian

Other

27% 21%

21%

0% Untreated decay

Treated decay

Caries Experience

Caries Experience by Race/Ethnicity

40%

Percentage of Children

30% 3%

4%

26% 24% 20%

1% 2%

3%

19% 18%

17%

Urgent Care Early Care

10%

0%

White

African American

Latinos

Asian

Other

Note: Other category includes American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, and multiracial.

Treatment Need by Race/Ethnicity

100%

Percentage of Children

80%

White

60%

56% 49%

40%

49%

51%

African American Latinos

39%

Asian Other 20%

0% Dental sealants

Dental Sealants by Race/Ethnicity

100%

Percentage of Children

80%

59%

60%

51% 49%

48% 42% 40%

No Eligible

35% 26%

20%

Eligible

24% 16%

15%

6% 2% 1%

2%

0% Untreated decay Treated decay

Caries Experience

Early Care

Urgent Care Rampant decay Dental sealants

Oral Health Status by Children’s Eligibility for FRMP

100%

80%

Percentage of children

62%

60%

60%

Chicago 51%

51%

49%

West Chicago

46% 43%

41%

40%

36%

Suburban Cook

42%

Urban Rural

35% 30%

21% 20%

17%

15%

0% Untreated decay

Treated decay

Caries Experience

Caries Experience by Illinois Regions

100%

80%

60%

60%

Chicago

57%

Suburban Cook

51%

50% 47%

West Chicago Urban Rural

40%

Illinois

20%

18%

0% Dental sealants

Dental Sealants by Illinois Regions

50%

Percentage of Children

40%

30% Chicago Suburban Cook

23%

22%

21% 20%

20% 16%

17%

19%

18% 16%

West Chicago Urban Rural

13% 10%

0% Overweight

Obese

Note: Other category includes American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, and multiracial

Overweight and Obese Children by Illinois Region

50%

Percentage of Children

40%

30%

30%

27%

White African American

19%

20%

Latinos

21%

20%

Asian

18%

Other

15%

15% 11% 10%

7%

0%

Overweigth

Obese

Note: Other category includes American Indian/Alaskan Native, Native Hawaiian/Pacific Islander, and multiracial.

Overweight and Obese Children by Race/Ethnicity

Key Findings

Oral Health Status 

Tooth decay is still a significant public health problem affecting more than half of Illinois third grade children



Important improvements in the percentage of children with untreated decay in the last decade



Around half of Illinois third graders have dental sealants present



Approximately 3,000 third graders are sitting in the classroom with pain and infection

Oral Health Status Significant oral health inequalities are affecting children from vulnerable populations: African American children– Untreated Decay  Latino children – Caries Experience  Children from low income families  Children living in Suburban Cook County and rural Illinois 

Growth Status 

1 out-of 3 Illinois third grade children is either overweight or obese



1 out-of 3 Latino third grade children in Illinois is obese



Almost half of Chicago third graders are either overweight or obese

Thanks!!

Question and Answer Session • Questions are welcome! This session may last for 10-15 minutes.

• Write your questions in your control panel on the upper right hand of your screen.

• Submit questions at any time.

Contact Information Alejandra Valencia avalencia@heartlandalliance.org Phone: 773.491.2632

Tyler Brown tyler.brown@oralhealthamerica.org