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Traumatic dental injuries and socioeconomic position – findings from the Children's Dental Health Survey 2013
aim of this study was to assess whether traumatic dental injuries (TDI)
were socially graded among children and adolescents in England, Wales
and Northern Ireland, using nationally representative data from the
Children's Dental Health Survey (CDHS) 2013.
cross-sectional study used data from the Children's Dental Health
Survey 2013 which was conducted among a nationally representative sample
of schoolchildren in England, Wales and Northern Ireland. Children's
family socioeconomic position (SEP) was measured through free school
meal eligibility and relative area deprivation using the Indices of
Multiple Deprivation. The analytical sample included 6707 schoolchildren
aged 8, 12 and 15. Multiple logistic regression was used to model the
associations between experience of TDI and the two markers of SEP, after
adjusting for sex and age.
The overall prevalence of traumatic dental injuries to permanent incisors was 9% (n = 590). There were no statistically significant associations between TDI and either SEP measure. Further subgroup analyses (n
= 2650) showed also no significant associations between TDI and
additional SEP markers (parental education and social class). The odds
of having sustained a traumatic dental injury were higher for boys than
for girls and were greater in older age groups.
study found no significant relationships between the experience of
traumatic dental injuries and two markers of family socioeconomic
position among children living in England, Wales and Northern Ireland.
This implies that rather than specifically targeting the more deprived
sectors of society, TDI prevention policies should use upstream public
health strategies incorporating a whole-population approach.