June 2020

Volume 37, Issue 2

Greater child dental health inequality in England compared to Wales and Northern Ireland, despite lower average disease levels

Authors: Ahmad Sofi-Mahmudi Sara Moradi Candy C. Salomon-Ibarra John Morris Vahid Ravaghi
doi: 10.1922/CDH_00007Ravaghi05

Abstract

Introduction: Dental caries and inequalities in dental health are major public health concerns. Aim: To report variation in dental caries experience across deprivation quintiles and the magnitude of inequalities between countries. Design: Secondary analyses of cross-sectional data from the 2013 Child Dental Health Survey (CDHS) in England, Wales, and Northern Ireland. Materials and methods: Distribution of dental caries across deprivation quintiles were estimated using as proportions and means. The magnitude of inequalities was calculated using the Relative Index of Inequality (RII). Main outcomes: Dental caries experience as indicated by the prevalence (%dmft/DMFT>0) and severity (dmft/DMFT) of ‘obvious’ and ‘clinical’ decay experience in both primary and permanent dentitions. Results: Children from more deprived quintiles showed higher prevalence and severity of dental caries. RIIs for dental caries were greater in England than Wales or Northern Ireland, indicating greater relative inequalities despite lower average dental caries experience. The prevalence and severity of dental caries among the most deprived children in England were 1.7 to 3.7 times greater than those of the least deprived. Conclusion: There is a deprivation gradient in child dental caries in all three countries, with England showing the greatest inequalities. Keywords: Dental Caries, Dental Health Surveys, DMF Index, Socioeconomic status

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Other articles in this issue

Article Pages Access
Editorial: Child oral health; is there anything more to know? 108-109 Download
Caregiver oral health literacy: relationship with socioeconomic factors, oral health behaviors and perceived child dental status 110-114 £10 single article
Associations between caries levels and BMI measures among five-year-old children. Analysis and cross-sectional multi-variable analysis at an individual child level 115-120 £10 single article
Dental Public Health in Action:Challenges and learning in carrying out an enhanced sample to provide small area data for the dental survey of five-year-old children in England 121-124 £10 single article
Randomized Controlled Trial: The effects of Short Message Service on mothers’ oral health knowledge and practice 125-131 £10 single article
Outcomes of a co-designed, community-led oral health promotion program for Aboriginal children in rural and remote communities in New South Wales, Australia 132-137 £10 single article
Greater child dental health inequality in England compared to Wales and Northern Ireland, despite lower average disease levels 138-142 Download
Everyone else is using it, so why isn’t the UK? Silver diamine fluoride for children and young people 143-149 £10 single article
Community-based oral health interventions for people experiencing homelessness: a scoping review 150-160 £10 single article
Deprivation and child dental attendance in England: exploring the shape and moderators 161-166 £10 single article
Letter to the Editor 167-168 £10 single article
Meeting report: The 4th Iranian Congress of Community Oral Health 169-169 £10 single article
IADR Symposium report Special Supplement in the March 2020 Issue of Community Dental Health 170-170 £10 single article

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