Systems mapping of multilevel factors contributing to dental caries in adolescents

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dc.contributor.authorSadjadpour, Fatimaen
dc.contributor.authorHosseinichimeh, Niyoushaen
dc.contributor.authorPahel, Bhavna T.en
dc.contributor.authorMetcalf, Sara S.en
dc.date.accessioned2024-07-30T15:02:39Zen
dc.date.available2024-07-30T15:02:39Zen
dc.date.issued2024-01-31en
dc.description.abstractDental caries is a prevalent chronic disease among adolescents. Caries activity increases significantly during adolescence due to an increase in susceptible tooth surfaces, immature permanent tooth enamel, independence in pursuing self-care, and a tendency toward poor diet and oral hygiene. Dental caries in permanent teeth is more prevalent among adolescents in low-income families and racial/ethnic minority groups, and these disparities in adolescent dental caries experience have persisted for decades. Several conceptual and datadriven models have proposed unidirectional mechanisms that contribute to the extant disparities in adolescent dental caries experience. Our objective, using a literature review, is to provide an overview of risk factors contributing to adolescent dental caries. Specifically, we map the interactive relationships of multilevel factors that influence dental caries among adolescents. Such interactive multilevel relationships more closely reflect the complex nature of dental caries experience among the adolescent population. The methods that we use are two-fold: (1) a literature review using PubMed and Cochrane databases to find contributing factors; and (2) the system dynamics approach for mapping feedback mechanisms underlying adolescent dental caries through causal loop diagramming. The results of this study, based on the review of 138 articles, identified individual, family and community-level factors and their interactions contributing to dental caries experience in adolescents. Our results also provide hypotheses about the mechanisms underlying persistence of dental caries among adolescents. Conclusions: Our findings may contribute to a deeper understanding of the multilevel and interconnected factors that shape the persistence of dental caries experience among adolescents.en
dc.format.extent14 pagesen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSadjadpour F, Hosseinichimeh N, Pahel BT and Metcalf SS (2024) Systems mapping of multilevel factors contributing to dental caries in adolescents. Front. Oral. Health 4:1285347. doi: 10.3389/froh.2023.1285347en
dc.identifier.doihttps://doi.org/10.3389/fpsyg.2023.1331200en
dc.identifier.urihttps://hdl.handle.net/10919/120757en
dc.identifier.volume4en
dc.language.isoenen
dc.publisherFrontiers Mediaen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectdental cariesen
dc.subjectadolescentsen
dc.subjectsystems scienceen
dc.subjectsystem dynamicsen
dc.subjectcausal loop diagramen
dc.titleSystems mapping of multilevel factors contributing to dental caries in adolescentsen
dc.title.serialFrontiers in Oral Healthen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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