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

Autor: Giles E; Department of Paediatric Dentistry, School of Dentistry, University of Leeds, Leeds, UK., Relins S; Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Bradford, UK., Gray-Burrows K; Department of Paediatric Dentistry, School of Dentistry, University of Leeds, Leeds, UK., Baker SR; Unit of Oral Health, Dentistry and Society, School of Clinical Dentistry, University of Sheffield, Sheffield, UK., Day PF; Department of Paediatric Dentistry, School of Dentistry, University of Leeds, Leeds, UK.; Bradford Institute for Health Research, Temple Bank House, Bradford Royal Infirmary, Bradford, UK.; Community Dental Service, Bradford District Care NHS Foundation Trust, Bradford, UK.
Jazyk: angličtina
Zdroj: Community dentistry and oral epidemiology [Community Dent Oral Epidemiol] 2024 Oct; Vol. 52 (5), pp. 723-730. Date of Electronic Publication: 2024 Apr 28.
DOI: 10.1111/cdoe.12968
Abstrakt: 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 (d 3 mft). 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.
(© 2024 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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