Social inequities in early childhood caries in Australia: A population‐based study on statewide public dental services data

Ankur Singh; Shalika Hegde; Mihiri Silva; Martin Whelan; Amalia Karahalios; David J. Manton; Sharon Goldfeld; Dallas R. English; Stuart Dashper

doi:10.1111/ipd.13219

journal article Open Access May 30, 2024

Social inequities in early childhood caries in Australia: A population‐based study on statewide public dental services data

Ankur Singh

Shalika Hegde Mihiri Silva

Martin Whelan Amalia Karahalios David J. Manton

Sharon Goldfeld

Dallas R. English

Stuart Dashper

International Journal of Paediatric Dentistry Vol. 35 No. 1 pp. 186-193 · Wiley

View at Publisher Save 10.1111/ipd.13219

Abstract

AbstractBackgroundSocial disadvantage leads to dental caries during childhood.AimThis study investigated whether dental caries occur earlier in children from households experiencing social disadvantage than those not experiencing social disadvantage.DesignThe overall risk of, and relative time to, early childhood caries (ECC) according to sociodemographic characteristics in Victoria, Australia, was quantified. Records for 134 463 children in Victoria, Australia, from 2009 to 2019 were analysed. Time ratios (TR) and hazard ratios (HR) of carious lesion(s) in early childhood were estimated.ResultsCompared with reference groups, Indigenous children had an adjusted TR of 0.80 (95% CI: 0.78, 0.82), children from households with languages other than English had an adjusted TR of 0.83 (95% CI: 0.82, 0.84), and dependants of concession cardholders had an adjusted TR of 0.81 (95% CI: 0.80, 0.81); therefore, 20%, 17% and 19% reduced times to the first carious lesion, respectively. The estimated HRs were 1.57 (95% CI: 1.49, 1.67) for Indigenous children, 1.46 (95% CI: 1.42, 1.50) for children from households with other languages and 1.57 (CI: 1.53, 1.60) for dependants of concession cardholders.ConclusionPreventive oral health interventions must be targeted early in children from households experiencing social disadvantage to avoid social inequities in ECC.

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Details

Published: May 30, 2024
Vol/Issue: 35(1)
Pages: 186-193
License: View

Authors

A

Ankur Singh

Melbourne Dental School University of Melbourne Melbourne Victoria Australia; Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health University of Melbourne Melbourne Victoria Australia

S

Shalika Hegde

Dental Health Services Victoria Melbourne Victoria Australia

M

Mihiri Silva

Melbourne Dental School University of Melbourne Melbourne Victoria Australia; Inflammatory Origins Murdoch Children's Research Institute Melbourne Victoria Australia; Department of Dentistry Royal Children's Hospital Melbourne Victoria Australia; Department of Paediatrics, Melbourne Medical School University of Melbourne Melbourne Victoria Australia

M

Martin Whelan

Dental Health Services Victoria Melbourne Victoria Australia

A

Amalia Karahalios

Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health University of Melbourne Melbourne Victoria Australia

D

David J. Manton

Melbourne Dental School University of Melbourne Melbourne Victoria Australia; Centrum voor Tandheelkunde en Mondzorgkunde University Medical Center Groningen Groningen The Netherlands

S

Sharon Goldfeld

Department of Paediatrics, Melbourne Medical School University of Melbourne Melbourne Victoria Australia; Murdoch Children's Research Institute Melbourne Victoria Australia

D

Dallas R. English

Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health University of Melbourne Melbourne Victoria Australia; Cancer Epidemiology Division Cancer Council Victoria Melbourne Victoria Australia

S

Stuart Dashper

Melbourne Dental School University of Melbourne Melbourne Victoria Australia

Cite This Article

Ankur Singh, Shalika Hegde, Mihiri Silva, et al. (2024). Social inequities in early childhood caries in Australia: A population‐based study on statewide public dental services data. International Journal of Paediatric Dentistry, 35(1), 186-193. https://doi.org/10.1111/ipd.13219

Social inequities in early childhood caries in Australia: A population‐based study on statewide public dental services data

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