trends in oral health status and obesity among illinois children: the health

Smiles Across America Webinar Series

Date: 05/06/2016

Trends in Oral Health and

Obesity Status among

Illinois Children

/Oral Health America @Smile4Health

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/Oral Health America @Smile4Health

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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

ADVOCACY

HEALTH LITERAC

YACCESS

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.

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 Demonstration

Projects

Professional

Symposia

Advocacy Health Education &

Communications

Technical Assistance

Product Donation

Grant Funding

Trends in Oral Health and

Obesity Status among Illinois Children

Alejandra ValenciaProject DirectorThe Oral Health Forum

May 6, 2016

Healthy Smiles, Health Growth Objectives

To obtain regional and statewide estimates of

the oral health and overweight/obese status

of Illinois third grade children

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

Teeth cleaning BRFSS

No tooth loss BRFSS

Complete tooth loss

BRFSS

Cancer of Oral Cavity

Cancer registry

Fluoridation status

WFRS

Caries experience, untreated caries, dental sealants

Basic

Screening

Survey

Collaboration between

CDC and ASTDD

States have to follow BSS

protocol, sampling and

analysis requirements

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

30%

55%

29%

53%

43%

22%

52%

4%0%

10%

20%

30%

40%

50%

60%

Treated Decay* Untreated Decay Caries Experience Rampant Decay*

Per

cen

tage

of

child

ren

*Data from previous surveys was not available

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

2003-04

2008-09

2013-14

Treatment Needs

4.0%5.4%

19.9%

2.0%

0%

5%

10%

15%

20%

25%

30%

Early care need* Urgent care need

Per

cen

tage

of

child

ren

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

2003-04

2008-09

2013-14

Dental Sealants Present

27% 42% 50%0%

20%

40%

60%

80%

100%

Dental Sealants present

Per

cen

tage

of

Ch

ildre

n

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

2003-04

2008-09

2013-14

Overweight and Obese Status

20% 21%18% 20%17% 19%0%

10%

20%

30%

40%

Overweight Obese

Per

cen

tage

of

Ch

ildre

n

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

2003-04

2008-09

2013-14

Illinois Progress toward Healthy People 2020 Objectives

16%

28%

49%

26%

19%

50%

52%

22%

0% 20% 40% 60% 80% 100%

Obesity

Dental Sealants

Caries Experience

Untreated Decay

Illinois Healthy People 2020

Objective Met

Objective Met

Progress Needed

Progress Needed

Important Inequalities

20%

39%

47%

29%

38%

54%

21%

51%

58%

27%

41%

55%

21%

47%

53%

0%

20%

40%

60%

80%

100%

Untreated decay Treated decay Caries Experience

Perc

enta

geo

fCh

ildre

n

White

African American

Latinos

Asian

Other

Caries Experience by Race/Ethnicity

Treatment Need by Race/Ethnicity

17%

26%

19%

24%

18%

2%

3%

1%

4%

3%

0%

10%

20%

30%

40%

White African American Latinos Asian Other

Perc

enta

geo

f C

hild

ren

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

Urgent Care

Early Care

Dental Sealants by Race/Ethnicity

49%

39%

56%

49%51%

0%

20%

40%

60%

80%

100%

Dental sealants

Perc

enta

ge o

f C

hild

ren

White

African American

Latinos

Asian

Other

Oral Health Status by Children’s Eligibility for FRMP

26%

48%

59%

24%

2%6%

49%

16%

35%

42%

15%

1% 2%

51%

0%

20%

40%

60%

80%

100%

Untreated decay Treated decay CariesExperience

Early Care Urgent Care Rampant decay Dental sealants

Per

cen

tage

of

Ch

ildre

n

Eligible

No Eligible

Caries Experience by Illinois Regions

17%

41%

51%

36%

49%

62%

15%

35%

42%

21%

43%

51%

30%

46%

60%

0%

20%

40%

60%

80%

100%

Untreated decay Treated decay Caries Experience

Per

cen

tage

of

child

ren

Chicago

Suburban Cook

West Chicago

Urban

Rural

Dental Sealants by Illinois Regions

57%

18%

60%

51%

47%

50%

0%

20%

40%

60%

80%

100%

Dental sealants

Chicago

Suburban Cook

West Chicago

Urban

Rural

Illinois

Overweight and Obese Children by Illinois Region

22%23%

13%

20%

16% 16%17%

19%18%

21%

0%

10%

20%

30%

40%

50%

Overweight Obese

Per

cen

tage

of

Ch

ildre

n

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

Chicago

Suburban Cook

West Chicago

Urban

Rural

Overweight and Obese Children by Race/Ethnicity

15% 15%

19%21%

20%

30%

11%

7%

18%

27%

0%

10%

20%

30%

40%

50%

Overweigth Obese

Pe

rce

nta

ge o

f C

hild

ren

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

White

African American

Latinos

Asian

Other

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 Valenciaavalencia@heartlandalliance.orgPhone: 773.491.2632

Tyler Browntyler.brown@oralhealthamerica.org