Association Between Environmental Health, Ecosystem Vitality, and Early Childhood Caries
Notice bibliographique
Résumé
Background: Environmental issues lead to serious health issues in young growing children. This study aims to determine the association between a country’s level of environmental health, ecosystem vitality and prevalence of early childhood caries (ECC). Methods: This was an ecological study. The data for the explanatory variables - country-level environmental performance index (EPI), environmental health and ecosystem vitality - were obtained from the Yale Center for Environmental Law and Policy. The outcome variables were country-level prevalence of ECC in 0-2 and 3-5-year-old children. The country EPI, environmental health and ecosystem vitality were matched with country ECC prevalence for 0-2-year-olds and 3-5-year-olds for the period of 2007 to 2017. Differences in the variables by country income level were determined using ANOVA. Multivariate ANOVA was used to determine the association between ECC prevalence in 0-2-year-olds and 3-5-year-olds, and EPI, environmental health and ecosystem vitality, adjusting for each country’s per capita gross national income. Results: Thirty-seven countries had complete data on ECC in 0-2 and 3-5-year-olds, EPI, environmental health and ecosystem vitality scores. There were significant differences in ECC prevalence of 0-2-year-olds and 3-5-year-olds between countries with different income levels. Also, there were significant differences in EPI (p< 0.0001), environmental health score (p< 0.0001) and ecosystem vitality (p=0.01) score by country income levels. High-income countries had significantly higher EPI scores than did low-income countries (p=0.001), lower-middle-income countries (p<0.0001) and upper-middle-income countries (p<0.0001). There was an inverse non-significant relationship between ECC prevalence and EPI in 0-2-year-olds (B=-0.06; p=0.84) and 3-5-year-olds (B=-0.30; p=0.50), and ecosystem vitality in 0-2-year-olds (B=-0.55, p= 0.08) and 3-5-year-olds (B=-0.96; p=0.02). Environmental health was directly and insignificantly associated with ECC in 0-2-year-olds (B=0.20; p=0.23) and 3-5-year-olds (B=0.22; p=0.32). Conclusions: The inverse, non-significant associations between ECC prevalence, EPI and ecosystem vitality, and direct association between ECC prevalence and ecosystem vitality, which was only significant for 3-5-year-olds indicates a complex relationship between various indicators of environmental performance. There may be higher risk of ECC with greater economic development, industrialization and urbanization, while better ecosystem vitality may offer protection against ECC through the rational use of resources, healthy life choices and preventive health practices.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».