Inequalities in dental caries of 5-year-old children in Scotland, 1993-2003

Levin, Kate Ann; Davies, Carolyn; Topping, Gail; Assaf, Andréa Videira; Pitts, Nigel

doi:10.1093/eurpub/ckp035

Cited by 33 publications

(29 citation statements)

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“…This is in line with previous research, where lower versus higher social groups were compared [4,8,23,35]. Secondly in addition to a difference between high and low educated groups, we also observed a social gradient for caries in five-year-olds, which confirms the results of previous studies that investigated this subject [13,17,28]. This social gradient was also observed for the oral healthrelated behaviours, as maternal educational level was positively related with the tendency to avoid the consumption of in-between drinks, with brushing frequency and with visiting the dentist regularly.…”

Section: Discussionsupporting

confidence: 93%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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Abstract.This study aims to investigate the social gradient in the reported oral health-related behaviour and oral health status of preschool children. Participants were 1,057 children born between October 2003 and July 2004 in Flanders, Belgium. Oral health examinations were performed by trained dentists when the children were three and five years old (respectively in 2007 and 2009); data on dietary habits, oral hygiene habits and dental attendance of the children were obtained through structured questionnaires completed by the parents. Maternal educational level, measured in four categories, was used as a proxy of socio-economic status. Logistic and ordinal regressions showed a social gradient for the oral health-related behaviours: a lower educational level of the mother was related to a higher consumption of sugared drinks between meals and to a lower brushing frequency and dental attendance of the child. Children from low-educated mothers also had seven times more chance to present with caries experience than children from mothers with a bachelor degree. Contrary to the expectations, there was a deviation from the gradient in three-year-olds from the highest educational group showing an increased risk for caries experience (OR=3.84, 95% CI=1.08-13.65). Conclusion. Already in very young children, a graded relationship is observed between socio-economic position, oral health and related behaviours. The results suggest that different approaches are required to promote oral health during early childhood depending on the mother's educational background. As children from the highest social group also have an increased caries risk, specific techniques may be needed.2

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Section: Discussionsupporting

confidence: 93%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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“…This finding is consistent with the large body of evidence indicating the influence that individual-and neighbourhood-level socio-economic circumstances have on disparate health outcomes across geographic areas. [27][28][29][30][31][32] In 2006/07 and 2009/10, the average rate of visible dental decay was highest in the most socio-economically disadvantaged neighbourhoods, with approximately half of the children experiencing visible dental decay; whereas in the moderately high SES neighbourhoods, approximately one third of children experienced visible dental decay. The results indicated that although the highest rates of visible dental decay were found in the most socio-economically disadvantaged neighbourhoods, the highest numbers of children with dental decay were in the middle SES neighbourhoods.…”

Section: Discussionmentioning

confidence: 99%

Dental caries disparities in early childhood: A study of kindergarten children in British Columbia

Poon

Holley

Louie³

et al. 2015

Can J Public Health

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OBJECTIVE: The objective of this paper was to describe results of a public health-administered, provincial dental survey of children aged 4-6 years old in British Columbia, and assess the changes in rates of dental caries geographically and by neighbourhood socio-economic status between baseline (2006/07) and follow-up data collection (2009/10). METHOD:The study design involved two retrospective cohorts of kindergarten children who received a public health-administered dental assessment in the years 2006/07 and 2009/10. Neighbourhood socio-economic status was measured by an index created from Canadian Census and Tax Filer data sets. The dental outcomes included previous decay experience, untreated visible decay, and urgent treatment needs. RESULTS:The analysis comprised dental outcomes for 35,602 kindergarten children in 2006/07 and 35,215 children in 2009/10. There was a modest decrease in dental decay rates between surveys, with rates of decay experience -previous and untreated -of 38.9% and 36.7% respectively. However, there were disparities, with almost 50% of children with dental decay in the most socio-economically disadvantaged neighbourhoods, and approximately 30% with dental decay in the least disadvantaged areas. CONCLUSION:The kindergarten dental survey had extensive coverage, was at the population level, and enabled analysis of change in early childhood dental decay rates over time and by geography. Although overall rates improved, dental health inequalities persisted in both survey years at both regional and neighbourhood levels.KEY WORDS: Dental caries; oral health; child; trends; surveillance; British Columbia La traduction du résumé se trouve à la fin de l'article.

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“…2 In addition, the programme aims to reduce the marked and longstanding oral health inequalities due to deprivation. 3 The Childsmile programme has three phases: 1: Demonstration Phase (2006-2008) -West: Childsmile Practice; East: Childsmile Nursery and Childsmile School; 2: Interim Phase (2009-11) -development of an integrated programme across Scotland; 3: Mainstream into dental services. At the end of the Demonstration Phase the programme was reconfigured into four interlocking and coordinated elements: Childsmile Practice, Nursery, School, and Core, all with specific monitoring arrangements.…”

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confidence: 99%

Childsmile: the national child oral health improvement programme in Scotland. Part 2: monitoring and delivery

et al. 2010

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Inequalities in dental caries of 5-year-old children in Scotland, 1993-2003

Cited by 33 publications

References 25 publications

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Dental caries disparities in early childhood: A study of kindergarten children in British Columbia

Childsmile: the national child oral health improvement programme in Scotland. Part 2: monitoring and delivery

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