Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland

a population data-linkage study

Alex D McMahon, Lawrie Elliott, Lorna MD Macpherson, Katharine H Sharpe, Graham Connelly, Ian Milligan, Philip Wilson, David Clark, Albert King, Rachael Wood, David I Conway

Research output: Contribution to journalArticle

5 Citations (Scopus)
26 Downloads (Pure)

Abstract

Background: There is limited information on the health needs and service access among children and young people who are looked after by the State. The aim of this study was to compare dental treatment need and access to dental services (as an exemplar of wider health and wellbeing concerns) among children and young people who are looked after with the general child population. Methods: Population data linkage study utilising: national datasets of social work referrals for “looked after” placements, the Scottish census of children in local authority schools, and NHS dental health and service datasets. Results: 633204 children in publicly funded schools in Scotland during academic year 2011/12, of whom 10927 (1.7%) were known to be looked after during that or a previous (from 2007/08) year. The children in the LAC group were more likely to have urgent dental treatment need at 5-years of age: 23% vs 10% (n=209/16533), adjusted (for age, sex, and area socioeconomic deprivation) odds-ratio 2.65 (95%CI 2.30, 3.05); were less likely to attend a dentist regularly: 51% vs 63% (n=5519/388934), 0.55 (0.53, 0.58); and more likely to have teeth extracted under general anaesthetic: 9% vs 5% (n=967/30253), 1.91 (1.78, 2.04). Conclusions: Looked after children are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and health care for looked after children and to develop preventive care pathways upon entering and throughout their time in the care system.
Original languageEnglish
Number of pages19
JournalArchives of Disease in Childhood
DOIs
Publication statusPublished - 18 Aug 2017

Fingerprint

Information Storage and Retrieval
Scotland
Tooth
Health
health
dental treatment
Population
Dental Health Services
General Anesthetics
Preventive Medicine
Health Services Needs and Demand
sociodemographic factors
Censuses
Child Care
dentist
Dentists
Social Work
deprivation
pharmaceutical
school

Keywords

  • LAC-dental
  • looked after children
  • data-linkage
  • dental caries
  • tooth extraction

Cite this

McMahon, Alex D ; Elliott, Lawrie ; Macpherson, Lorna MD ; Sharpe, Katharine H ; Connelly, Graham ; Milligan, Ian ; Wilson, Philip ; Clark, David ; King, Albert ; Wood, Rachael ; Conway, David I. / Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland : a population data-linkage study. In: Archives of Disease in Childhood. 2017.
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abstract = "Background: There is limited information on the health needs and service access among children and young people who are looked after by the State. The aim of this study was to compare dental treatment need and access to dental services (as an exemplar of wider health and wellbeing concerns) among children and young people who are looked after with the general child population. Methods: Population data linkage study utilising: national datasets of social work referrals for “looked after” placements, the Scottish census of children in local authority schools, and NHS dental health and service datasets. Results: 633204 children in publicly funded schools in Scotland during academic year 2011/12, of whom 10927 (1.7{\%}) were known to be looked after during that or a previous (from 2007/08) year. The children in the LAC group were more likely to have urgent dental treatment need at 5-years of age: 23{\%} vs 10{\%} (n=209/16533), adjusted (for age, sex, and area socioeconomic deprivation) odds-ratio 2.65 (95{\%}CI 2.30, 3.05); were less likely to attend a dentist regularly: 51{\%} vs 63{\%} (n=5519/388934), 0.55 (0.53, 0.58); and more likely to have teeth extracted under general anaesthetic: 9{\%} vs 5{\%} (n=967/30253), 1.91 (1.78, 2.04). Conclusions: Looked after children are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and health care for looked after children and to develop preventive care pathways upon entering and throughout their time in the care system.",
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Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland : a population data-linkage study. / McMahon, Alex D; Elliott, Lawrie; Macpherson, Lorna MD; Sharpe, Katharine H; Connelly, Graham; Milligan, Ian; Wilson, Philip; Clark, David; King, Albert; Wood, Rachael; Conway, David I.

In: Archives of Disease in Childhood, 18.08.2017.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Inequalities in the dental health needs and access to dental services amongst looked after children in Scotland

T2 - a population data-linkage study

AU - McMahon, Alex D

AU - Elliott, Lawrie

AU - Macpherson, Lorna MD

AU - Sharpe, Katharine H

AU - Connelly, Graham

AU - Milligan, Ian

AU - Wilson, Philip

AU - Clark, David

AU - King, Albert

AU - Wood, Rachael

AU - Conway, David I

PY - 2017/8/18

Y1 - 2017/8/18

N2 - Background: There is limited information on the health needs and service access among children and young people who are looked after by the State. The aim of this study was to compare dental treatment need and access to dental services (as an exemplar of wider health and wellbeing concerns) among children and young people who are looked after with the general child population. Methods: Population data linkage study utilising: national datasets of social work referrals for “looked after” placements, the Scottish census of children in local authority schools, and NHS dental health and service datasets. Results: 633204 children in publicly funded schools in Scotland during academic year 2011/12, of whom 10927 (1.7%) were known to be looked after during that or a previous (from 2007/08) year. The children in the LAC group were more likely to have urgent dental treatment need at 5-years of age: 23% vs 10% (n=209/16533), adjusted (for age, sex, and area socioeconomic deprivation) odds-ratio 2.65 (95%CI 2.30, 3.05); were less likely to attend a dentist regularly: 51% vs 63% (n=5519/388934), 0.55 (0.53, 0.58); and more likely to have teeth extracted under general anaesthetic: 9% vs 5% (n=967/30253), 1.91 (1.78, 2.04). Conclusions: Looked after children are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and health care for looked after children and to develop preventive care pathways upon entering and throughout their time in the care system.

AB - Background: There is limited information on the health needs and service access among children and young people who are looked after by the State. The aim of this study was to compare dental treatment need and access to dental services (as an exemplar of wider health and wellbeing concerns) among children and young people who are looked after with the general child population. Methods: Population data linkage study utilising: national datasets of social work referrals for “looked after” placements, the Scottish census of children in local authority schools, and NHS dental health and service datasets. Results: 633204 children in publicly funded schools in Scotland during academic year 2011/12, of whom 10927 (1.7%) were known to be looked after during that or a previous (from 2007/08) year. The children in the LAC group were more likely to have urgent dental treatment need at 5-years of age: 23% vs 10% (n=209/16533), adjusted (for age, sex, and area socioeconomic deprivation) odds-ratio 2.65 (95%CI 2.30, 3.05); were less likely to attend a dentist regularly: 51% vs 63% (n=5519/388934), 0.55 (0.53, 0.58); and more likely to have teeth extracted under general anaesthetic: 9% vs 5% (n=967/30253), 1.91 (1.78, 2.04). Conclusions: Looked after children are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and health care for looked after children and to develop preventive care pathways upon entering and throughout their time in the care system.

KW - LAC-dental

KW - looked after children

KW - data-linkage

KW - dental caries

KW - tooth extraction

UR - http://adc.bmj.com/

U2 - 10.1136/archdischild-2016-312389

DO - 10.1136/archdischild-2016-312389

M3 - Article

JO - Archives of Disease in Childhood

JF - Archives of Disease in Childhood

SN - 0003-9888

ER -