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Child use of dental services and receipt of dental care in New Zealand

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Authors:
Summary:

Data from the 2002 National Children’s Nutrition Survey were examined for dental service use and dental care receipt among 3275 participants (37.4% Mäori, 32.2% Pacific and 30.3% New Zealand European or Other). Irregular dental attendance was associated with children who were 11 –14 years, Pacific, had not always lived in New Zealand, lived in rented accommodation, frequently watched television, consumed breakfast on the way to school, purchased lunch, consumed sugar-containing products or had food security issues. Tooth restoration was associated with the 11 –14-year age group, Mäori ethnicity, low household income, households with 4+ children, regular television viewing, consuming breakfast on the way to school, frequent consumption of high-sugar foods, food security issues, children experiencing dental pain at night or who had received dental care under a general anaesthetic. Tooth extraction was associated with Pacific ethnicity, low household income, children who had a disability, purchased their lunch, regularly consumed high-sugar-containing products, had food security issues, had experienced dental pain at night or received dental care under a general anaesthetic.

Comment:
Firstly, I want to apologise to Sugar Te Paa and my mum for taking so long to get oranga niho papers into the Review! I’d also like to thank Te Ao Marama, the Mäori Dental Association, for inviting me to their hui held in Tauranga this month. And now the review. Improving oral health is one of 12 priorities in Mäori Health yet Mäori do not have the same oral health status as non Mäori. This is true across all age groups. The Hauora IV chapter examines disparities in oral health outcomes between Mäori and non Mäori, details sites for differential access to oral health determinants (such as fluoride and income) and describes the discrepancies in access to oral health services along the continuum of care (see http://www.hauora.maori.nz/downloads/ hauora_chapter11 _web.pdf). The paper from the National Children’s Nutrition Survey provides further evidence of the greater need for dental services among Mäori, Pacifica people and those living with deprivation. As my mum has found with her two moko, dental services are not located with these people in mind and she has to travel out of her neighbourhood to access dental care.
Reference: J Paediatr Child Health. 2007;43:732-9
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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