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The Impact of Policy Modifiable Factors on Inequalities in Rates of Child Dental Caries in Australia

Bibliographic Data

ID15480470
AuthorsSharon Goldfeld (0000-0001-6520-7094, Royal Children's Hospital, corresponding author), Kate L Francis (0000-0002-1751-5313, Royal Children's Hospital), Monsurul Hoq (0000-0002-0504-9335, Royal Children's Hospital), Loc Do (0000-0003-3684-9949, The University of Adelaide), Elodie O’connor (0000-0002-6194-481X, Royal Children's Hospital), Fiona Mensah (0000-0002-6951-9949, Royal Children's Hospital)
Year2019
Volume16
Issue11
Pages1970-1970
Publication date2019-06-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16111970
PMID31163687
OpenAlexW2947769244
LanguageEN
Citations received1
References cited5

Background : Poor oral health in childhood can lead to adverse impacts later in life. We aimed to estimate the prevalence and population distribution of childhood dental caries in Australia and investigate factors that might ameliorate inequalities. Methods : Data from the nationally representative birth cohort Longitudinal Study of Australian Children (N = 5107), using questions assessing: The experience of dental caries during each biennial follow-up period (2-3 years to 10-11 years), socioeconomic position (SEP), and policy modifiable oral health factors. Results : The odds of dental caries were higher for children with lowest vs. highest SEP (adjusted OR (adjOR) 1.92, 95% CI 1.49-2.46), and lower where water was fluoridated to recommended levels (adjOR 0.53, 95% CI 0.43-0.64). There was no evidence of an association between caries experience and either reported sugary diet or tooth brushing. When SEP and fluoridation were considered in conjunction, compared to the highest SEP group with water fluoridation children in the lowest SEP with fluoridation had adjOR 1.54 for caries, (95% CI 1.14-2.07), and children in the lowest SEP without fluoridation had adjOR 4.06 (95% CI 2.88-5.42). For patterns of service use: The highest SEP group reported a greater percentage of service use in the absence of caries. Conclusions : Dental caries appears prevalent and is socially distributed in Australia. Policy efforts should consider how to ensure that children with dental caries receive adequate prevention and early care with equitable uptake

Environmental health · Inequality · Dental Education, Practice, Research · Dental Health and Care Utilization · Global Health Workforce Issues · Mathematics · Medicine

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Unique citing works1
Citations per year0.2
Citation span2021 - 2021 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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