Socio-economic inequality in oral health in childhood to young adulthood, despite full dental coverage

European Journal of Oral Sciences
Deborah A VerlindenAnnemarie A Schuller

Abstract

The aim of this cross-sectional study was to assess differences in caries experience according to socio-economic status (SES) in a health-care system with full coverage of dental costs for children up to the age of 18 yr. In 2011 and 2014, by performing hurdle negative binomial models, we obtained data on 3,022 children and young adults aged 5, 8, 11, 14, 17, 20, and 23 yr, living in four cities in the Netherlands. At all ages between 5 and 23 yr, the percentages of children with caries-free dentitions were lower and mean caries experience were higher in low-SES than in high-SES participants. In 5-yr-old children with dmft > 0, mean caries experience was 3.6 in those with low SES and 2.3 in those with high SES. In 23-yr-old participants, these estimates were 6.8 and 4.4, respectively (P < 0.05). Low-SES children have a greater risk of more caries experience than high-SES children. Thus, in a system with full free paediatric dental coverage, socio-economic inequality in caries experience still exists. Dental health professionals, well-child care doctors and nurses, general practitioners, and elementary school teachers should collaborate to promote oral health at the community level, with specific targeting of low-SES families. W...Continue Reading

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Citations

Jan 28, 2021·Nutrients·Eva Peris RenggliArnaud Laillou
Oct 30, 2020·International Journal of Environmental Research and Public Health·Ji-Eun JeonJae-In Ryu
Feb 25, 2021·European Journal of Public Health·Agatha W van Meijeren-van LunterenLea Kragt
Aug 2, 2021·BDJ Open·Jennie HagmanMagnus Hakeberg
Oct 13, 2021·Archives of public health = Archives belges de santé publique·Iraj ZarebanDaniel Delaney

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