Changes in dental health investment across the adolescent years

Telford, Claire; O’Neill, Ciarán

doi:10.1038/sj.bdj.2012.413

Cited by 4 publications

(8 citation statements)

References 14 publications

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“… 25 Access to dental services also became differentiated with age with females being more likely to be registered with an NHS dentist than males by the age of 15–16 years, with no difference at 11–12 years of age. 26 …”

Section: Resultsmentioning

confidence: 99%

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Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Herbert,

Herlitz,

Woodman

et al. 2024

BMJ Open

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ObjectiveTo systematically map evidence to answer the research question:What is the relationship between the characteristics of children and young people (CYP) or their caregivers and primary care service use in the UK, taking into account underlying healthcare needs?DesignScoping review.SettingPrimary care.Eligibility criteriaEnglish-language quantitative or mixed-methods studies published between 2012 and 2022.Data sourcesMedline, Embase, Scopus and Web of Science Social Sciences Citation Index, and grey literature.Results22 eligible studies were identified, covering general practice (n=14), dental health (n=4), child mental health (MN) services (n=3) and immunisation (n=1). Only eight studies (36%) controlled for variables associated with healthcare need (eg, age, birth weight and long-term conditions). In these, evidence of horizontal inequity in primary care use was reported for CYP living in deprived areas in England, with and without complex needs. Horizontal inequity was also identified in primary care MN referrals for CYP in England identifying as mixed-race, Asian or black ethnicity, compared with their white British peers. No evidence of horizontal inequity was observed, however, in primary care use for CYP in England exposed to parental depression, or for CYP children from low-income households in Scotland. Increasing CYP’s age was associated with decreasing primary care use across included studies. No studies were found regarding CYP from Gypsy or Traveller communities, children in care, or those with disabilities or special educational needs.ConclusionsThere is evidence that socioeconomic factors impact on CYP’s primary care use, in particular age, ethnicity and deprivation. However, better quality evidence is required to evaluate horizontal inequity in use and address knowledge gaps regarding primary care use for vulnerable CYP populations and the impact of policy and practice related ‘supply side’ of primary care.

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Section: Resultsmentioning

confidence: 99%

“…In dental care, children in the lowest socioeconomic status group were more likely to require reparative dental treatments, and dental treatment overall, but were less likely to have consumed orthodontic services. 26 34 …”

Section: Resultsmentioning

confidence: 99%

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Herbert,

Herlitz,

Woodman

et al. 2024

BMJ Open

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“…One linked dental registration data to sociodemographic and vital statistics data, informed by a theoretical framework on the changes in health investment between childhood and adolescence. 82 Two investigated the effectiveness of different dental contracting policies on the treatments provided by dental practitioners, using experimental methods such as matched-control and difference-in-difference. 7,51 Two studies were randomised controlled trials; one assessing the effectiveness of individualised audit and feedback on dentists' antibiotic prescribing rate, 24 and the other, the effectiveness and economic value of 'scale and polish' treatments and oral hygiene advice.…”

Section: Narrative Synthesismentioning

confidence: 99%

“…22 None of the studies classified as public health practice or service evaluations had formal ethical approval from an NHS Research Ethics Committee (NHS REC), but two received approval from a University committee. 70,81 In contrast, four of the seven studies classified as research were approved by an NHS Research Ethics Committee (NHS REC), 51,[82][83][84] and one was reviewed but was deemed not to require formal approval. 24 The remaining two received University ethical approval.…”

Section: Narrative Synthesismentioning

confidence: 99%

Unlocking the potential of NHS primary care dental datasets

et al. 2022

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Introduction:Maximising the use of routinely-collected health data for research is a key part of the UK Government's Industrial Strategy. Rich data are generated by NHS primary care dental services, but the extent of their use in research is unknown. Aims:To profile the utility of the post-2006 NHS dental datsets for research, map how they have been used to date, and develop recommendations to maximise their utility. Methods:The content of and access to the four UK NHS dental datasets was collated using publicly available information and a free-text questionnaire completed by the relevant data controllers. A scoping review was carried out to identify and map literature that has utilised NHS dental activity data. Results:The contents of the UK NHS dental activity datasets are described, alongside how they may be accessed for research. Strengths and weaknesses of these datasets for research are highlighted. The scoping review identified 33 studies which had utilised NHS dental activity data since 2006. We classified 15 as public health practice, 11 as service evaluation and seven as research. Conclusion:In comparision to other NHS activity datasets, it appears that the UK dental datasets have been underutilised for research. We make 11 recommendations on how their utility for research may be increased.

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“…General dental practitioners provide a range of services that include treatment and prevention. While those who use services may be able to avail of [ 20 , 21 ] all services, for example, in reality distinct patterns of service use may exist between different types of patient [ 28 , 29 ]. Some who are regular attenders may have relatively speaking good oral health and be more likely to consume preventive services, for example.…”

Section: Introductionmentioning

confidence: 99%

A comparative examination of the role of need in the relationship between dental service use and socio-economic status across respondents with distinct needs using data from the Scottish Health Survey

2023

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Background Disparities in oral health and distinct patterns in service use related to socio-economic status have been shown to exist in the United Kingdom. A number of studies have used the Andersen behavioural model to better understand the factors that influence utilization and thereby inform policies aimed at improving service uptake. As the nature of need may differ across distinct types of patients, however, so too may the distribution of enabling and pre-disposing factors and observed relationships between need, other factors and service use. In this study we compare samples with distinct self-assessed needs in terms of their characteristics and patterns of service use to compare application of the Andersen model to dental services among respondents to a population based survey. Materials and methods Data were taken from the Scottish Health Survey, for 2019. Data on service use, oral hygiene habits, perceived treatment need, and socio-demographic characteristics were extracted. Data were analysed using descriptive statistics, t-tests and ordered logistic regression analyses. Results Two thousand one hundred forty-eight usable responses were obtained from the survey, 74.95% of the sample had visited the dentist less than a year ago, 11.82% between 1 year and up to 2 years ago, 7.12% between 2 and 5 years ago and 6.10% more than 5 years. Descriptive statistics, t-tests and ordered logistic regression analyses revealed distinct patterns of service use when the sample was partitioned based on perceived treatment need. Specifically those with self-assessed treatment need were older, more likely to smoke, be male and be less likely to have a degree than those who did not. While service use was positively related to age (predisposing) among those who did not have self-assessed treatment need, it was negatively related for those with perceived treatment need. Distinct patterns were also evident with respect to sugar exposure (need) and ease with which time off work could be organised (enabling). Discussion The study shows common and distinct patterns of service use related to enabling and predisposing factors across groups differentiated by self-perceived treatment need. If inequalities in health and healthcare use are to be addressed, it is important to understand their origins. Conflation of distinct types of need that may correlate with predisposing and enabling factors complicates this. Conclusion In applying the Andersen model, it is important to take account of potential differences in the types of need expressed where possible to understand the role of other variables in service use.

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Changes in dental health investment across the adolescent years

Cited by 4 publications

References 14 publications

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Patient and caregiver characteristics associated with differential use of primary care for children and young people in the UK: a scoping review

Unlocking the potential of NHS primary care dental datasets

A comparative examination of the role of need in the relationship between dental service use and socio-economic status across respondents with distinct needs using data from the Scottish Health Survey

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