Top

Journal of Autism and Developmental Disorders

08-08-2024 | Original Article

Autism Severity, Adverse Childhood Experiences, and Oral Health: A Comparative Study of Adolescents in the United States

Auteurs: Jesse J. Helton, Cathy Koetting, Rebecca Kronk, Vibol Kong, Yunyoung Sophia Kim

Gepubliceerd in: Journal of Autism and Developmental Disorders

Abstract

Dental health significantly influences overall child physical well-being, academic success, and psychosocial development. This paper explores the intersection of a range of Autism Spectrum Disorder (ASD) functionality, multiple types of Adverse Childhood Experiences (ACEs), and dental health in adolescents. The purpose is to investigate the independent and interactive effects of ASD severity and ACEs on dental outcomes. Data from the 2018 and 2019 National Surveys of Children’s Health were analyzed, focusing on 28,263 adolescents (ages 11–17). Logistic regressions assessed associations between ASD severity (mild, moderate, severe), cumulative number of ACEs, and dental outcomes (teeth condition, cavities or bleeding gums, check-ups, cleanings). Covariates included demographic and socioeconomic factors. Controlling for covariates, severe autism independently increased the odds of poor teeth (odds ratio = 6.17), cavities or bleeding gums (OR = 3.76), no previous year check-up(OR = 2.94), and no previous year cleaning (OR = 4.20). Higher ACE scores also independently increased the odds of all dental outcomes. Interactions revealed a cumulative effect of multiple ACEs on poor dental outcomes only for adolescents with severe levels of autism. This study illuminates the heightened vulnerability of adolescents with severe autism and a history of ACEs, emphasizing the need for targeted interventions. Multidisciplinary strategies integrating dental care and mental health support within tailored interventions are crucial for improving dental health and access for older youth with low functioning autism. While these findings provide valuable insights, the cross-sectional design and reliance on parental reports necessitate cautious interpretation.

Adjaye-Gbewonyo, D., & Black, L. I. (2021). Dental Care utilization among children aged 1–17 years: United States, 2019 and 2020. NCHS data Brief, (424), 1–8.

Alshihri, A. A., Al-Askar, M. H., & Aldossary, M. S. (2020). Brief report: At-home oral care experiences and challenges among children with Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 79, 101679.CrossRef

American Psychological Association (2013). Neurodevelopmental Disorders. In Diagnostic and Statistical Manual of Mental Disorders. https://doi.org/10.1176/appi.books.9780890425596.dsm01.

American Academy of Pediatric Dentistry (2016). Definition of dental neglect. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2022:16.

Berg, K. L., Shiu, C. S., Acharya, K., Stolbach, B. C., & Msall, M. E. (2016). Disparities in adversity among children with autism spectrum disorder: A population-based study. Dev Med Child Neurol, 58(11), 1124–1131. https://doi.org/10.1111/dmcn.13161.CrossRefPubMed

Blumer, S., Dagon, N., Peretz, B., Ratson, T., & Kharouba, J. (2021). Function of the family unit, oral hygiene rules and attitudes to dental health in children during first-wave 2020 COVID-19 lockdown. Journal of Clinical Pediatric Dentistry, 45(1), 1–7.CrossRefPubMed

Bright, M. A., Alford, S. M., Hinojosa, M. S., Knapp, C., & Fernandez-Baca, D. E. (2015). Adverse childhood experiences and dental health in children and adolescents. Community Dentistry and Oral Epidemiology, 43(3), 193–199. https://doi.org/10.1111/cdoe.12137.CrossRefPubMed

Carrillo-Diaz, M. A. R. I. A., Crego, A., Romero‐Maroto, M. A. R., & T. I., N. (2013). The influence of gender on the relationship between dental anxiety and oral health‐related emotional well‐being. International Journal of Paediatric Dentistry, 23(3), 180–187.CrossRefPubMed

Choi, S. E., Mo, E., Sima, C., Wu, H., Thakkar-Samtani, M., Tranby, E. P., Frantsve-Hawley, J., & Barrow, J. R. Impact of COVID-19 on Dental Care utilization and oral Health conditions in the United States. JDR Clinical and Translational Research.

Croen, L. A., Zerbo, O., Qian, Y., Massolo, M. L., Rich, S., Sidney, S., & Kripke, C. (2015). The health status of adults on the autism spectrum. Autism: The International Journal of Research and Practice, 19(7), 814–823. https://doi.org/10.1177/1362361315577517.CrossRefPubMed

Crouch, E., Radcliff, E., Nelson, J., & Strompolis, M., Martin A (2018). The experience of adverse childhood experiences and dental care in childhood. Community Dent Oral Epidemiol, 00, 1–7. https://doi.org/10.1111/cdoe.12389.CrossRef

U.S. Department of Health & Human Service (2022, December 29). Oral Health Promotion. Head Start | ECLKC - Early Childhood Learning and Knowledge Center. https://eclkc.ohs.acf.hhs.gov/school-readiness.

Du, R. Y., Yiu, C. C. Y., Wong, V. C. N., & McGrath, C. P. (2015). Autism Developmental profiles and Cooperation with oral health screening. Journal of Autism and Developmental Disorders, 45(9), 2758–2763. https://doi.org/10.1007/s10803-015-2416-7.CrossRefPubMed

Dube, S. R., Cook, M. L., & Edwards, V. J. (2010). Health-related outcomes of adverse childhood experiences in Texas, 2002. Preventing Chronic Disease, 7(3), A52.PubMedPubMedCentral

Erwin, J., Paisi, M., Neill, S., Burns, L., Vassallo, I., Nelder, A., & Witton, R. (2022). Factors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: A mixed-methods systematic review. Health Expectations, 25(4), 1269–1318.CrossRefPubMedPubMedCentral

Felitti. (2002). The relationship between adverse childhood experiences and adult health: Turning gold into lead. The Permanente Journal, 6(1), 44–51.PubMedPubMedCentral

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. E., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood events (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.CrossRefPubMed

Fenning, R. M., Steinberg-Epstein, R., Butter, E. M., & Chan, J. McKinnon-Berminghan, K., Hammersmith, K. J., Moffitt, J., Shui, A. M., Parker, R. A., Coury, D. L., Wang, P. P., & Kuhlthau, K. A. Access to Dental visits and correlates of Preventative Dental Care in Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders(50)10, 3739–3747. https://doi.org/10.1007/s10803-020-04420-8.

Ford, K., Brocklehurst, P., Hughes, K., et al. (2020). Understanding the association between self-reported poor oral health and exposure to adverse childhood experiences: A retrospective study. Bmc Oral Health, 20, 51. https://doi.org/10.1186/s12903-020-1028-6.CrossRefPubMedPubMedCentral

Guarnizo-Herreño, C. C., & Wehby, G. L. (2012). Children’s dental health, school performance, and psychosocial well-being. The Journal of Pediatrics, 161(6), 1153–1159. https://doi.org/10.1016/j.jpeds.2012.05.025.CrossRefPubMedPubMedCentral

Hantman, R. M., Johnston, E. B., & Tager-Flusberg, H. (2022). Parental perspectives: How sensory sensitivities impact the transition to Adulthood in adolescents and Young adults with Autism Spectrum disorder [Original Paper]. Journal of Autism and Developmental Disorders, 1–19. https://doi.org/10.1007/s10803-022-05815-5.

Hoover, D. W. (2015). The effects of psychological trauma on children with autism spectrum disorders: A research review. Review Journal of Autism and Developmental Disorders, 2, 287–299.CrossRef

Jackson, S. L., Kotch, J. B., Pahel, B. T., & Lee, J. Y. (2011). Impact of poor oral health on children’s School Attendance and Performance. American Journal of Public Health, 101(10), 1900–1906. https://doi.org/10.2105/AJPH.2010.200915.CrossRefPubMedPubMedCentral

Kiatipi, M., Davidopoulou, S., Arapostathis, K., & Arhakis, A. (2021). Dental neglect in children: A comprehensive review of the literature. The Journal of Contemporary Dental Practice, 22(2), 199–204.CrossRefPubMed

Kopycka-Kedzierawski, D. T., & Auinger, P. (2008). Dental needs and status of autistic children: Results from the National Survey of children’s Health. Pediatric Dentistry, 30(1), 54–58. https://www.ncbi.nlm.nih.gov/pubmed/18402100.PubMed

Krol, D. M., Whelan, K., & HEALTH, T. S. O. O. (2022). Maintaining and improving the oral health of Young Children. Pediatrics. https://doi.org/10.1542/peds.2022-060417.CrossRef

Lee, J., & Chang, J. (2021). Oral health issues of young adults with severe intellectual and developmental disabilities and caregive.

Leeners, B., Stiller, R., Block, E., Görres, G., Imthurn, B., & Rath, W. (2007). Consequences of childhood sexual abuse experiences on dental care. Journal of Psychosomatic Research, 62(5), 581–588. https://doi.org/10.1016/j.jpsychores.2006.11.009.CrossRefPubMed

Mehtar, M., & Mukaddes, N. M. (2011). Posttraumatic stress disorder in individuals with diagnosis of autistic spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 539–546.CrossRef

Myran, L., Sen, A., Willumsen, T., Havnen, A., Kvist, T., Rønneberg, A., & Høvik, H. (2023). Associations of adverse childhood experiences with caries and toothbrushing in adolescents. The Young-HUNT4 Survey. Bmc Oral Health, 23(1), 760.CrossRefPubMedPubMedCentral

National Institutes of Health (2021). Oral Health in America: Advances and Challenges. Bethesda, MD: US Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research, 2021. Use of trade names is for identification only and does not constitute endorsement by the US Department of Health and Human Services.

Northridge, M. E., Kumar, A., & Kaur, R. (2020). Disparities in access to oral health care. Annual Review of Public Health, 41, 513–535.CrossRefPubMedPubMedCentral

Oh, J. E., & López-Santacruz, H. D. (2020). Adaptation measures in dental care for children with history of adverse childhood experiences: A practical proposal. Special Care in Dentistry, 1–10. https://doi.org/10.1111/scd.12527.

Pfeffer, R. (2016). Childhood victimization in a National Sample of Youth with Autism Spectrum disorders. Journal of Policy and Practice in Intellectual Disabilities, 13(4), 311–319.CrossRef

Piraneh, H., Gholami, M., Sargeran, K., & Shamshiri, A. R. (2022). Oral health and dental caries experience among students aged 7–15 years old with autism spectrum disorders in Tehran, Iran. Bmc Pediatrics, 22(1), 116. https://doi.org/10.1186/s12887-022-03178-5.CrossRefPubMedPubMedCentral

Qiao, Y., Wu, M., Feng, Y., Zhou, Z., Chen, L., & Chen, F. (2018). Alterations of oral microbiota distinguish children with autism spectrum disorders from healthy controls. Scientific Reports, 8(1), 1–12.CrossRef

Robertson, A. E., & Simmons, D. R. (2013). The relationship between sensory sensitivity and autistic traits in the general population Journal of Autism and Developmental Disorders, 43(4), 775–784. https://doi.org/10.1007/s10803-012-1608-7.

Ronis, S. D., Lee, E., Cuffman, C., & Burkhart, K. (2021). Impact of social and relational adversity on access to services among US children with autism spectrum disorder 2016–2019. Children, 8(12), 1099. https://doi.org/10.3390/children8121099.CrossRefPubMedPubMedCentral

Sa, F. O., Jl, L., Ar, T., & American Academy Of Pediatrics, Section On Oral Health Committee On Child Abuse And Neglect, American Academy Of Pediatric Dentistry, Council On Clinical Affairs, Council On Scientific Affairs. (2017). Aap Ad Hoc Work Group On Child Abuse And Neglect. Oral And Dental Aspects Of Child Abuse And Neglect. Pediatrics. ;140(2):E20171487.CrossRef

Saccomanno, S., Luca, M. D., Saran, S., Petricca, M. T., Caramaschi, E., Mastrapasqua, R. F., Messina, G., & Gallusi, G. (2023). The importance of promoting oral health in schools: A pilot study. European Journal of Translational Myology, 33(1). https://doi.org/10.4081/ejtm.2023.11158.

Schüler, I., Bock, B., Heinrich-Weltzien, R., et al. (2017). Status and perception of oral health in 6–17-year-old psychiatric inpatients—randomized controlled trial. Clinical Oral Investigations, 21, 2749–2759. https://doi.org/10.1007/s00784-017-2077-3.CrossRefPubMed

Simon, A., Cage, J., & Akinkugbe, A. A. (2021). Adverse childhood experiences and oral health outcomes in US children and adolescents: A cross-sectional study of the 2016 national survey of children’s health. International Journal of Environmental Research and Public Health, 18(23), 12313.CrossRefPubMedPubMedCentral

Stein, L. I., Polido, J. C., & Cermak, S. A. (2013). Oral care and sensory over-responsivity in children with autism spectrum disorders. Pediatric Dentistry, 35(3), 230–235.PubMed

Straker, C. A., Russell, B. D. C., Teram, E., & Schacter, C. L. (2005). Providing dental care to survivors of childhood sexual abuse: Treatment considerations for the practitioner. The Journal of the American Dental Association, 136(9), 1277–1281. https://doi.org/10.14219/jada.archive.2005.0344.CrossRef

U.S. Department of Health and Human Services. (2022, February). Oral health in America - February 2022 bulletin. National Institute of Dental and Craniofacial Research. https://www.nidcr.nih.gov/research/oralhealthinamerica/section-2-summary.

US Department of Health and Human Services. (2011). Fast Facts: 2011/12 National Survey of Children’s Health. Data Resource Center. supported by Cooperative Agreement 1-U59‐MC06980‐01. www.childhealthdata.org.

Waizbard-Bartov, E., Ferrer, E., Heath, B., Rogers, S. J., Nordahl, C. W., Solomon, M., & Amaral, D. G. (2022). Identifying autism symptom severity trajectories across childhood. Autism Research, 15(4), 687–701. https://doi.org/10.1002/aur.2674.CrossRefPubMed

Wiener, R. C., & Bhandari, R. (2022). Association between adverse childhood experiences among children with special healthcare needs and dental care utilization. Journal of Public Health Dentistry, 82(2), 194–203. https://doi.org/10.1111/jphd.12450.CrossRefPubMed

Willumsen, T. (2001). Dental fear in sexually abused women. European Journal of Oral Sciences, 109(5), 291–296. https://doi.org/10.1034/j.1600-0722.2001.00069.x.CrossRefPubMed

Titel: Autism Severity, Adverse Childhood Experiences, and Oral Health: A Comparative Study of Adolescents in the United States
Auteurs: Jesse J. Helton
Cathy Koetting
Rebecca Kronk
Vibol Kong
Yunyoung Sophia Kim
Publicatiedatum: 08-08-2024
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-024-06488-y

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen