Home > Review Articles > Ethnic disparities > Water fluoridation and ethnic inequities in dental caries profiles of New Zealand children aged 5 and 12–13 years: analysis of national cross-sectional registry databases for the decade 2004–2013

Water fluoridation and ethnic inequities in dental caries profiles of New Zealand children aged 5 and 12–13 years: analysis of national cross-sectional registry databases for the decade 2004–2013

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Authors:
Summary:

These researchers analysed national aggregated data collected from children’s routine child oral health service dental examinations during the period 2004–2013, to analyse patterns in the prevalence of no obvious decay experience (caries-free) and mean decayed-missing-filled teeth indices over time. The researchers obtained demographic information from Statistics New Zealand for children aged 5 years and in school year 8 (generally aged 12–13 years), as well as information on the children’s community water fluoridation (CWF) status, which was defined by the public water supply status of their school. Dental examination data were available from 417,318 children aged 5 years and 471,333 year 8 children; of whom 93,715 (22.5%) and 94,001 (19.9%), respectively, were Māori. Dental examination coverage of Māori children was significantly less than their non-Māori counterparts (approximately 11% for children aged 5 years and 14% for year 8 children). In regression analysis, caries-free prevalence and mean decayed-missing-filled teeth indices significantly improved over the study period for both age groups. Significant and sustained differences were observed between Māori and non-Māori children, and between CWF and non-CWF exposed groups. In contrast, dental profiles converged between non-Māori children in CWF and non-CWF regions.

Comment:
Comment (MH): The study focused on the contribution that water fluoridation has on inequities in oranga niho. However, the results also show that Māori children have much lower rates for seeing a dental provider at 5 years of age and in school year 8. The researchers suggest this may be explained by inaccurate ethnicity data. Either way, the quality of dental care for Māori (whether poor data collection or inadequate access for tamariki) requires attention.
Reference: BMC Oral Health. 2016;16(1):21
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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