March 2019

Volume 36, Issue 1

Low rates of dental attendance by the age of one and inequality between local government administrative areas in England

Authors: Candy C. Salomon-Ibarra Vahid Ravaghi Kirsty Hill Colwyn M. Jones David P. Landes Alexander J. Morris
doi: 10.1922/CDH_4390Salomon-Ibarra05


Objective: To describe child dental attendance (DA) by 1 year of age in England and its relationship with area deprivation. Basic research design: Analysis of National Health Service data for the 12 months to June 2017. Deprivation was measured by Index of Multiple Deprivation Rank of Average Score (2015) for upper-tier and unitary local authorities in England (LAs, n=151). DA rates were calculated for children under 1 year (<1yr) and children aged 1 year and under (≤1yr). A Spearman’s test assessed strength of association with deprivation. The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) explored equity. Clinical setting: Upper-tier and unitary LAs in England. Main outcome measure: Attending an NHS primary care dental service. Results: DA rates ranged from 0 to 12.3% (Median:2; IQR:1.4,3.9) in children <1yr and from 3.7 to 37.6% (Median:10; IQR:7.4,17) in children ≤1yr. DA rates decreased as deprivation decreased (Spearman=-0.25, p=0.0019 in children <1yr; Spearman=-0.21, p=0.0104 in children ≤1yr). The SII suggested a 2 percentage point difference in DA rate across the deprivation distribution in children <1yr (SII=-0.02, 95% CI=-0.01,-0.04; p=<0.001); and a 5 point difference in children ≤1yr (SII=-0.05, 95% CI=-0.02,-0.09; p=0.003). The DA rate in the most deprived LA was 2.1 higher than the least deprived LA (RII=2.1, 95% CI=1.4,3.2; p=<0.001) in children <1yr and 1.5 higher (RII=1.5, 95% CI=1.2,2; p=0.004) in children ≤1yr. Conclusions: DA rates were low for all LAs and only partially explained by deprivation. More deprived LAs were, unexpectedly, more likely to report higher DA rates. Keywords: Dental Health Services; England; Dental Attendance; Dentistry; Dental Caries


Other articles in this issue

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Editorial ‘No simple solutions, no single ingredient’: Systems-orientated approaches for addressing Wicked Problems in population oral health 3-4 Download
Dental Public Health in Action: The use of the NICE ten step model to conduct an oral health needs assessment in South Yorkshire and Bassetlaw 5-8 Download
Caries-preventive efficacy of a supervised school toothbrushing programme in Northland, New Zealand 9-16 Download
Socioeconomic Variation in the association between Malocclusion and Oral Health Related Quality of Life 17-21 Download
Low rates of dental attendance by the age of one and inequality between local government administrative areas in England 22-26 Download
The relationship between body mass index and oral health status among Saudi adults: a cross-sectional study 27-32 Download
The acceptability of fluoride varnish and fissure sealant treatments in children aged 6-9 delivered in a school setting 33-38 Download
Interventions to reduce socio-economic inequalities in dental service utilisation – a systematic review 39-45 Download
Embarrassing realities: The portrayal of dentistry in reality tv ‘dentertainment’ 46-54 Download
Systems science and oral health: Implications for Dental Public Health? 55-62 Download
The Boundaries between Caries and Periodontal Diseases. What are the Implications for Education in Dental Public Health? Proceedings of EADPH/SESPO Pre-Congress Workshop held on Wednesday, 17 October 2018 at The Centro Cultural Sa Nostra Congress Cen 63-86 Download


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