Dental caries and school readiness in 5-year-olds: A birth cohort data linkage study

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-04-28 DOI:10.1111/cdoe.12968

Erin Giles, Samuel Relins, Kara Gray-Burrows, Sarah R Baker, Peter F. Day

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Abstract

Objective

To describe the association between dental caries and school readiness in 5-year-old children taking part in the Born in Bradford (BiB) birth cohort, UK.

Methods

The Early Years Foundation Stage Profile (EYFSP) assesses the school readiness of young children and is strongly predictive of future academic attainment. Children are recorded as ‘emerging’ (below expected), ‘expected’, or ‘exceeding’ in five key learning areas. The Oral Health Survey of 5-year-olds (OHS5) is undertaken biennially in England, assessing caries experience at a dentine threshold (d₃mft). EYFSP and OHS5 were available for a proportion of children participating in BiB. Odds ratios and confidence intervals for caries experience were established, and odds ratios adjusted for significant sociodemographic variables.

Results

EYFSP and OHS5 data were available for 2.5% (n = 346) BiB participants. Nearly half (45.2%) had caries. A measure of socio-economic status, receiving free school meals, was the only demographic variable strongly related to caries experience (OR: 2.8, 95% CI: 1.6–4.9). After adjustment, children ‘emerging’ in EYFSP learning areas had 1.6- to 2.2-fold (95% CI: 1.0–3.8) higher odds of experiencing caries. Children ‘exceeding’ EYFSP learning areas had 2.3- to 4-fold (95% CI: 0.1–0.9) lower odds of caries experience.

Conclusion

This is the first study to explore the association between caries experience and school readiness using a holistic assessment tool. The association was found across different learning areas and was comparable to and independent of socio-economic status. The findings indicate oral health-related absenteeism is not a causative factor. EYFSP shows potential to enhance the targeting of preventive interventions at a child, class or school level.

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5 岁儿童的龋齿和入学准备：出生队列数据关联研究

方法 "幼儿基础阶段档案"（EYFSP）对幼儿的入学准备情况进行评估，对幼儿未来的学业成绩有很强的预测性。儿童在五个关键学习领域的表现被记录为 "崭露头角"（低于预期）、"达到预期 "或 "超过预期"。英格兰每两年进行一次 5 岁儿童口腔健康调查（OHS5），评估牙本质阈值（d3mft）的龋齿情况。有一部分参加 BiB 的儿童可以获得 EYFSP 和 OHS5 的数据。结果2.5%（n = 346）的 BiB 参与者获得了 EYFSP 和 OHS5 数据。近一半（45.2%）的人患有龋齿。社会经济地位的衡量标准--接受免费校餐--是唯一与龋病经历密切相关的人口统计学变量（OR：2.8，95% CI：1.6-4.9）。经过调整后，在《幼儿发展纲要》学习领域 "崭露头角 "的儿童发生龋齿的几率要高出1.6-2.2倍（95% CI：1.0-3.8）。结论这是第一项使用整体评估工具探讨龋齿经历与入学准备之间关系的研究。该研究在不同的学习领域都发现了相关性，并且与社会经济地位相当，也不受社会经济地位的影响。研究结果表明，与口腔健康有关的缺勤并不是致病因素。欧洲青少年口腔健康计划 "显示了在儿童、班级或学校层面提高预防干预措施针对性的潜力。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.