The Effects of Sugars Intake and Frequency of Ingestion on Dental Caries Increment in a Three-year Longitudinal Study

A three-year longitudinal study was carried out with a group of children, initially aged 11-15, residing in non-fluoridated rural communities in south-central Michigan. This report analyzes the relation between caries increment and consumption of sugars from all sources to see if accepted relationships have changed with the caries decline in the United States. There were 499 children who provided three or more 24-hour dietary recall interviews, and who received dental examinations at baseline and after three years. Caries increment averaged 2.91 DMFS over the three years, with 81 % of new lesions on pit-and-fissure surfaces. Consumption of sugars from all sources averaged 156 g per day for males and 127 g per day for females, an average of 52 kg per person per year. Sugars constituted one-quarter of total caloric intake for both boys and girls, and the average number of eating occasions per day was 4.3. Children who consumed a higher proportion of their total energy intake as sugars had a higher increment of approximal caries, though there was little relation to pit-and-fissure caries. The average number of daily eating occasions was not related to caries increment, nor was the average number of sugary snacks (defined as foods with 15% or more of sugars) consumed between meals, but the average consumption of between-meal sugars was related to the approximal caries increment. When children were categorized by high caries increment compared with no caries increment, a tendency toward more frequent snacks was seen in the high-caries children. In an age of generally declining caries, it was concluded that higher average daily consumption of sugars, and higher between-meal consumption of sugars, was still a risk factor for children susceptible to approximal caries. Overall frequency of eating and frequency of ingestion of sugary foods between meals, however, were both poorly related to approximal caries increment. Pit-and-fissure caries could not be related to any aspect of sugars consumption.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67206/2/10.1177_00220345880670111201.pd

Man to man violence: how masculinity may work as a dynamic risk factor

This article presents masculinity as a dynamic risk factor in offences of violence between men. It argues that existing interventions into such violence, in prison, hospital and community settings may be enhanced by incorporating masculinity as a dynamic risk factor alongside other dynamic risk factors such as difficulties in anger management, social skills deficits or problems in moral reasoning. Masculinity is defined as a common denominator of men, as men, across social divisions, as opposed to existing approaches to men's identity, as men, which employ the concept of different 'masculinities' being produced by men in different social positions. The latter approach, while useful in terms of discovering men's personal identity, may be less useful in terms of explaining commonality between men, across other axes of social identity, and consequent broad patterns of violence between men. The development of masculinity as a dynamic risk factor depends on isolating masculinity from other axes of men's identity. It is argued that the individual man may demonstrate his masculinity by two categories of violence to other men: violence which includes victims in the category 'man' as worthy rivals and violence which excludes victims from the category 'man' as unworthy of being there. Masculinity as a dynamic risk factor in man to man violence is developed with particular reference to racism and homophobia

Collateral damage: men's domestic violence to women seen through men's relations with men

This article examines ‘domestic’ violence through a focus on men, masculinity/masculinities and men’s violence to known women. More specifically it analyses the implications of masculinity for policies and practices aimed at reducing violence and the risk of violence by men against known women, including programmes run by the Probation Service. On the basis of research rooted and tested in probation practice, it argues that masculinity is generated through relations between men, and that ‘domestic’ violence may be a means of regulating those relations. Thus, addressing relations between men is likely to be critical to the effectiveness of relevant programme