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Factors associated with restoration and extraction receipt among New Zealand children

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Summary:

Demographic socioeconomic, physical/lifestyles, dietary, food security and dental factors contributing to restoration or extraction receipt were assessed among 3,275 New Zealand children aged 5–14 years (37.4% were Mäori, 32.3% Pacific and 30.3% NZ European and Other [NZEO]). Mäori children had higher odds of having received a restoration than NZEO children after adjusting for age, gender and length of time lived in New Zealand and with addition of household SES, lifestyle, dietary, food security or dental factors. By contrast, Pacific children had higher odds of having received an extraction than NZEO children when age, gender and length of time lived in New Zealand were taken into account, and with addition of household SES, lifestyle, dietary, food security or other dental factors.

Comment:
This paper highlights the significant ethnic disparities in dental health outcomes in Aotearora and provides evidence for the association between oral health and deprivation (lower socioeconomic status or reduced availability/access to nutritious food) for Mäori and Pacifica children. Public health strategies are required alongside other prevention programmes (access to fluoridated water, regular dental checks).
Reference: Community Dent Health. 2008;25:59-64
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.

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