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