Non-Cochrane · aetiology · PM38987729

Prevalence of dental caries and associated factors among primary school children in Ethiopia: systematic review and meta-analysis.

Yirsaw Amalku Nigussie, Bogale Eyob Ketema, Tefera Mitiku, et al. · BMC oral health · 2024 · PubMed · doi:10.1186/s12903-024-04555-5

Oral HealthDental cariesAMSTAR 2: not applicable
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
12
current version
GRADE rated
0
No studies
0
Included studies
10
linked below
No studies 0 · 0%Ungraded 12 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationPrimary school children in EthiopiaPrimary school children in Ethiopia (7 studies; 3,711 children; primary studies 2000-2022)
InterventionPrevalence objective: not applicable (descriptive). Associated-factors objective: exposures/risk factors for dental caries (dietary, oral-hygiene, behavioral, academic, microbial)8 pooled associated factors: high sweet intake, poor tooth cleaning, grade 1-4, toothache history, no toothpaste use, academic-score reduction, high microbial load, acidic bacillary pH (n=7)
ComparisonPrevalence: not applicable. Associated factors: children with vs without the factorChildren with vs without each factor (single-group pooled for prevalence)
OutcomesPrevalence of dental caries; factors associated with dental caries (odds ratios)Pooled prevalence 35% (95% CI 27-43); 8 pooled odds ratios (7 significant, 1 non-significant)
Study designsObservational (cross-sectional) studies; PRISMA-guided selection; risk of bias by Hoy 2012 tool and JBI critical-appraisal checklist7 cross-sectional studies (all cross-sectional); JBI scores 7-9; Hoy 2012 risk of bias low in 4 and moderate in 3
TimingPoint prevalence (cross-sectional)Point prevalence; primary studies conducted 2000-2022

Search date: January 2024. Databases: Google Scholar; PubMed; Scopus; MEDLINE; Cochrane Library

Questions and results

Not applicable (single-group prevalence) vs Not applicable (single-group prevalence)

Population: Primary school children in Ethiopia
4 questions
OutcomeEffectEvidenceStatus / GRADE
Dental caries, prevalence
Sampling technique: systematic random sampling
Among studies using systematic random sampling, the pooled prevalence of dental caries was 35% (ungraded; CI not reported).
Source: Results 'Prevalence...' and 'Characteristics of the studies'; Fig. 4 (subgroup by sampling technique; image not available); Table 1 · same question in other reviews
Prevalence 30 [15, 44]2 studies · 554 participantsUngraded
Dental caries, prevalence
Sampling technique: multi-stage random sampling
Among studies using multi-stage random sampling, the pooled prevalence of dental caries was 30% (ungraded; CI not reported).
Source: Results 'Prevalence...' and 'Characteristics of the studies'; Fig. 4 (subgroup by sampling technique; image not available); Table 1 · same question in other reviews
Prevalence 21 [19, 23]1 study · 1736 participantsUngraded
Dental caries, prevalence
Sampling technique: simple random sampling
Among studies using simple random sampling, the pooled prevalence of dental caries was 42% (ungraded; CI not reported).
Source: Results 'Prevalence...' and 'Characteristics of the studies'; Fig. 4 (subgroup by sampling technique; image not available); Table 1 · same question in other reviews
Prevalence 42 [35, 49]4 studies · 1421 participantsUngraded
Dental caries, prevalence
Overall (all included studies)
The pooled prevalence of dental caries among primary school children in Ethiopia was 35% (95% CI 27-43), with very high heterogeneity (I2=95.93%); ungraded.
Source: Results 'Prevalence of dental caries among primary school children in Ethiopia'; Abstract; Fig. 2 (forest plot); Table 1 (participant sum) · same question in other reviews
Prevalence 35 [27, 43]7 studies · 3711 participantsUngraded

High intake of sweets vs Lower/less intake of sweets

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
A high intake of sweets was associated with higher odds of dental caries (OR 2.71, 95% CI 1.968-3.451; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 2.71 [1.968, 3.451]5 studiesUngraded

Poor habit of tooth cleaning vs Good tooth-cleaning habit

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
A poor tooth-cleaning habit was associated with higher odds of dental caries (OR 3.90, 95% CI 2.761-5.045; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 3.90 [2.761, 5.045]NRUngraded

Grade level 1-4 (first cycle) vs Grade level 5 or above

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Being in grade levels 1-4 was associated with higher odds of dental caries (OR 2.46, 95% CI 1.523-3.397; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 2.46 [1.523, 3.397]NRUngraded

History of toothache vs No history of toothache

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
A history of toothache was associated with higher odds of dental caries (OR 2.99, 95% CI 2.679-3.314; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 2.99 [2.679, 3.314]NRUngraded

Absence of toothpaste use vs Toothpaste use

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Absence of toothpaste use was not significantly associated with dental caries (OR 1.42, 95% CI -1.278 to 4.109, p=0.3029; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 1.42 [-1.278, 4.109]NRUngraded

Reduction in previous year's academic score vs No reduction in academic score

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Reduction in previous year's academic score
Dental caries was associated with higher odds of a reduction in the previous year's academic score (OR 5.51, 95% CI 1.952-9.066; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 5.51 [1.952, 9.066]NRUngraded

Significant salivary microbial (Lactobacillus) load vs No/low significant microbial load

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
A significant salivary microbial (Lactobacillus) load was associated with higher odds of dental caries (OR 3.82, 95% CI 3.439-4.192; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 3.82 [3.439, 4.192]NRUngraded

Acidic bacillary pH on teeth vs Non-acidic bacillary pH

Population: Primary school children in Ethiopia
1 question
OutcomeEffectEvidenceStatus / GRADE
Dental caries
Acidic bacillary pH on the teeth was associated with higher odds of dental caries (OR 2.42, 95% CI 1.494-3.335; ungraded).
Source: Results 'Pooled effect size'; Table 4 (pooled odds ratios of associated factors) · same question in other reviews
OR 2.42 [1.494, 3.335]NRUngraded

Included primary studies 10

Open as a trial list
StudyAlso included byOutcomes it informs hereTrial PICOResults
Teshome 2016
matched by author and year (probable)
2 other reviewsDental caries, prevalencenot extracted yetnot extracted yet
Ademe 2020
Analysis of salivary level Lactobacillus spp. and associated factors as determinants of dental caries amongst primary school children in…
PMID:31948433
1 other reviewDental caries, prevalencenot extracted yetnot extracted yet
Aynalem 2020
Magnitude of Dental Caries and Its Associated Factors Among Governmental Primary School Children in Debre Berhan Town, North-East Ethiopia.
PMID:32765157
1 other reviewDental caries, prevalencenot extracted yetnot extracted yet
Mulu 2014
Dental caries and associated factors among primary school children in Bahir Dar city: a cross-sectional study.
PMID:25540044
1 other reviewDental caries, prevalencenot extracted yetnot extracted yet
Ademe 2018
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Shitie 2021
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Shitie 2021
[Immunogenicity and toxicity of soluble trichloroacetic acid precipitate from pertussis microbes and its fractions].
PMID:202117
this review onlyDental caries, prevalencenot extracted yetnot extracted yet
Simon 2000
matched by author and year (probable)
this review onlynot statednot extracted yetnot extracted yet
Simon 2022
Assessment of the oral health status of school children in Addis Ababa.
PMID:15227890
this review onlyDental caries, prevalencenot extracted yetnot extracted yet
Teshome 2016
Patterns of cigarette smoking, alcohol use and other substance use among Chinese university students in Hong Kong.
PMID:12202016
this review onlynot statednot extracted yetnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).