By age 11 years, an American child living in poverty has twice the level of dental caries (tooth decay) as one living at 3 times the poverty threshold.1 To achieve the Healthy People 2020 overarching goal of health equity, interventions must preferentially prevent disease at the lower end of the income distribution. Research conducted in Canada2 suggests that water fluoridation might reduce inequality, but that possibility has not been investigated in the United States. We used 2 nationally representative data sets to investigate whether water fluoridation attenuated income-related inequality in dental caries among US children and adolescents.
Sanders AE, Grider WB, Maas WR, Curiel JA, Slade GD. Association Between Water Fluoridation and Income-Related Dental Caries of US Children and Adolescents. JAMA Pediatr. Published online January 28, 2019173(3):288–290. doi:10.1001/jamapediatrics.2018.5086
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: