September 2007

Volume 24, Issue 3

Dental caries in 5-year-old children attending multi-ethnic schools in Greater Glasgow – the impact of ethnic background and levels of deprivation

Authors: H. Gilmour D.R. McCall I. Quarrell D. I. Conway


Objective: To examine levels of dental caries of 5-year-olds attending multi-ethnic schools in Greater Glasgow and to explore the effects of deprived backgrounds and ethnic identity on their dental health. Design Between October 2001 and February 2002 a cross-sectional dental epidemiology survey of a sample of 721 5-year-olds was undertaken in schools having at least 25 per cent of pupils from black or minority ethnic groups. Background data on participating children were obtained from school records, including: ethnic origin, mothers’ ability to speak English, religion, and demographics. Statistical analyses included two way analysis of variance to determine the effect of ethnicity after adjusting for socio-economic factors. Results Complete data were available for 649 (90%) children. The sample broadly divided into white (52%), Pakistani (33%), and other minority ethnic groups (15%). Based on repeat observations, diagnosis reliability was good (Kappa = 0.77). The caries experience of Pakistani children (d3mft = 4.1; 95%CI 3.6 to 4.6) was significantly higher (p < 0.001) than the white children (d3mft = 2.3; 95%CI 1.9 to 2.6). Only 25% (95% CI 17 to 34) of the Pakistani children had no obvious decay, significantly lower (p < 0.001) than their white contemporaries (48%, 95% CI 39 to 58). Pakistani ethnic origin was associated with significantly higher levels of dental caries (p < 0.001), after adjusting for socio-economic deprivation. Conclusion Children from deprived backgrounds have worse dental caries levels than their affluent counterparts and, over and above this effect, minority ethnic children of Pakistani background have higher levels than their white peers. Key words: Caries prevalence, children, ethnicity, inequalities, oral health


Other articles in this issue

Article Pages Access
The positive and negative impacts, and dangers of the Impact Factor 130-134 Download
The prescription and outcomes of fissure sealants applied to a group of high caries risk children by general dental practitioners working in the North West of England 135-139 Download
Prevalence of dental developmental anomalies: a radiographic study. 140-144 Download
Assessment of orthodontic treatment needs in Brazilian schoolchildren according to the Dental Aesthetic Index (DAI). 145-148 Download
Oral health acculturation in Albanian-speakers in south London 149-155 Download
Signs and symptoms of temporomandibular disorders in Nigerian adult patients with and without occlusal tooth wear 156-160 Download
Dental caries in 5-year-old children attending multi-ethnic schools in Greater Glasgow – the impact of ethnic background and levels of deprivation 161-165 Download
Cross-cultural adaptation of the Oral Health Impact Profile (OHIP) for the Malaysian adult population. 166-175 Download
Dental erosion among 12-14 year old school children in Khartoum: A pilot study 176-180 Download
Provision of dental services in a dedicated clinic for HIV infected people in Greece 181-185 Download
Reduction of caries in rural school-children exposed to fluoride through a Milk-Fluoridation Programme in Araucania, Chile 186-191 Download


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