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