IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v71y2010i11p2020-2027.html
   My bibliography  Save this article

Urban-rural differences in dental caries of 5-year old children in Scotland

Author

Listed:
  • Levin, Kate A.
  • Davies, Carolyn A.
  • Douglas, Gail V.A.
  • Pitts, Nigel B.

Abstract

Previous research suggests there are significant differences between urban and rural areas in Scotland for health outcomes including heart disease, cancer and self reported health. The aim of this study was to describe the contemporary urban/rural variation in obvious decay experience amongst 5-year-olds in Scotland. Scotland was split into 6 geographies, ranging from 'The 4 Cities' (Glasgow, Edinburgh, Dundee and Aberdeen) to 'Remote Rural' areas. Data derived from the 2007/08 National Dental Inspection Programme, representative of the whole of Scotland, were modelled using Bayesian multilevel zero-inflated Negative Binomial and multilevel Poisson modelling, adjusting for age, sex and deprivation. The outcome variables modelled were d3mft (carious, extracted or filled deciduous teeth), d3t (carious teeth), mt (missing teeth, extracted due to caries) and ft (filled teeth). The proportion of 5-year old children in Scotland with d3mft = 0 was 58% in 2008. Adjusting for age and sex, the odds of a child in a Remote Rural area having d3mft>0 was 0.52 that of a city dweller. However, when deprivation was included in the model, the odds of having d3mft >0 rose to 0.74. The odds of d3mft>0 in 'Accessible Rural' areas also remained significantly lower than in the 4 Cities after adjustment for deprivation. For those with d3mft>0, the relative risk of additional d3mft was also significantly lower in Remote Rural areas, however this was explained by deprivation, while in Accessible Rural areas this remained significant even after adjustment for deprivation. The odds of having any extractions was lower in Rural areas, even after adjustment for deprivation, while the Care Index (ft/d3mft) was higher in Remote Towns. Deprivation, therefore, accounted for much but not all of the geographical difference in d3mft which exist in Scotland. Children in Remote and Rural areas appear to have better dental health and a higher proportion of filled teeth when compared with those living in Cities. Possible reasons for these differences and recommendations for future research are discussed.

Suggested Citation

  • Levin, Kate A. & Davies, Carolyn A. & Douglas, Gail V.A. & Pitts, Nigel B., 2010. "Urban-rural differences in dental caries of 5-year old children in Scotland," Social Science & Medicine, Elsevier, vol. 71(11), pages 2020-2027, December.
  • Handle: RePEc:eee:socmed:v:71:y:2010:i:11:p:2020-2027
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00654-4
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Mofidi, M. & Rozier, R.G. & King, R.S., 2002. "Problems with access to dental care for medicaid-insured children: What caregivers think," American Journal of Public Health, American Public Health Association, vol. 92(1), pages 53-58.
    2. Kelly, S.E. & Binkley, C.J. & Neace, W.P. & Gale, B.S., 2005. "Barriers to care-seeking for children's oral health among low-income caregivers," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1345-1351.
    3. Levin, Kate A. & Leyland, Alastair H., 2005. "Urban/rural inequalities in suicide in Scotland, 1981-1999," Social Science & Medicine, Elsevier, vol. 60(12), pages 2877-2890, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Levin, K.A. & Dundas, R. & Miller, M. & McCartney, G., 2014. "Socioeconomic and geographic inequalities in adolescent smoking: A multilevel cross-sectional study of 15 year olds in Scotland," Social Science & Medicine, Elsevier, vol. 107(C), pages 162-170.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Wael Sabbah & Aswathikutty Gireesh & Malini Chari & Elsa K. Delgado-Angulo & Eduardo Bernabé, 2019. "Racial Discrimination and Uptake of Dental Services among American Adults," IJERPH, MDPI, vol. 16(9), pages 1-8, May.
    2. Castañeda, Heide & Carrion, Iraida V. & Kline, Nolan & Tyson, Dinorah Martinez, 2010. "False hope: Effects of social class and health policy on oral health inequalities for migrant farmworker families," Social Science & Medicine, Elsevier, vol. 71(11), pages 2028-2037, December.
    3. Arnaldo Perez & Maryam Amin, 2014. "Dimensional Analysis of Psychosocial Barriers to Prevention of Early Childhood Caries Among Recent Immigrants," SAGE Open, , vol. 4(2), pages 21582440145, June.
    4. Ruxandra Sava-Rosianu & Guglielmo Campus & Anamaria Matichescu & Octavia Balean & Mihaela Adina Dumitrache & Patricia Ondine Lucaciu & Luminita Daguci & Magda Calina Barlean & Laurentiu Maricutoiu & M, 2021. "Caries Prevalence Associated with Oral Health-Related Behaviors among Romanian Schoolchildren," IJERPH, MDPI, vol. 18(12), pages 1-12, June.
    5. Pearce, Jamie & Barnett, Ross & Jones, Irfon, 2007. "Have urban/rural inequalities in suicide in New Zealand grown during the period 1980-2001?," Social Science & Medicine, Elsevier, vol. 65(8), pages 1807-1819, October.
    6. Curtis, Sarah & Cunningham, Niall & Pearce, Jamie & Congdon, Peter & Cherrie, Mark & Atkinson, Sarah, 2021. "Trajectories in mental health and socio-spatial conditions in a time of economic recovery and austerity: A longitudinal study in England 2011–17," Social Science & Medicine, Elsevier, vol. 270(C).
    7. Riva, Mylène & Curtis, Sarah & Norman, Paul, 2011. "Residential mobility within England and urban–rural inequalities in mortality," Social Science & Medicine, Elsevier, vol. 73(12), pages 1698-1706.
    8. Harriss, Louise & Hawton, Keith, 2011. "Deliberate self-harm in rural and urban regions: A comparative study of prevalence and patient characteristics," Social Science & Medicine, Elsevier, vol. 73(2), pages 274-281, July.
    9. Levin, Kate A. & Leyland, Alastair H., 2006. "A comparison of health inequalities in urban and rural Scotland," Social Science & Medicine, Elsevier, vol. 62(6), pages 1457-1464, March.
    10. Hempstead, Katherine, 2006. "The geography of self-injury: Spatial patterns in attempted and completed suicide," Social Science & Medicine, Elsevier, vol. 62(12), pages 3186-3196, June.
    11. repec:mpr:mprres:4732 is not listed on IDEAS
    12. Destiny Kelley & Shipeng Sun, 2021. "How Phantom Networks, Provider Qualities, and Poverty Sway Medicaid Dental Care Access: A Geospatial Analysis of Manhattan," IJERPH, MDPI, vol. 18(23), pages 1-20, November.
    13. Gartner, Andrea & Farewell, Daniel & Roach, Paul & Dunstan, Frank, 2011. "Rural/urban mortality differences in England and Wales and the effect of deprivation adjustment," Social Science & Medicine, Elsevier, vol. 72(10), pages 1685-1694, May.
    14. Sojung Lim, 2019. "Mothers’ Nonstandard Employment, Family Structure, and Children’s Health Insurance Coverage," Journal of Family and Economic Issues, Springer, vol. 40(2), pages 148-164, June.
    15. Brumbaugh, Anne M. & Rosa, José Antonio, 2009. "Perceived Discrimination, Cashier Metaperceptions, Embarrassment, and Confidence as Influencers of Coupon Use: An Ethnoracial–Socioeconomic Analysis," Journal of Retailing, Elsevier, vol. 85(3), pages 347-362.
    16. Boyle, Paul J. & Norman, Paul & Popham, Frank, 2009. "Social mobility: Evidence that it can widen health inequalities," Social Science & Medicine, Elsevier, vol. 68(10), pages 1835-1842, May.
    17. Levin, K.A. & Dundas, R. & Miller, M. & McCartney, G., 2014. "Socioeconomic and geographic inequalities in adolescent smoking: A multilevel cross-sectional study of 15 year olds in Scotland," Social Science & Medicine, Elsevier, vol. 107(C), pages 162-170.
    18. Kim, Myoung-Hee & Jung-Choi, Kyunghee & Jun, Hee-Jin & Kawachi, Ichiro, 2010. "Socioeconomic inequalities in suicidal ideation, parasuicides, and completed suicides in South Korea," Social Science & Medicine, Elsevier, vol. 70(8), pages 1254-1261, April.
    19. Cheung, Yee Tak Derek & Spittal, Matthew J. & Pirkis, Jane & Yip, Paul Siu Fai, 2012. "Spatial analysis of suicide mortality in Australia: Investigation of metropolitan-rural-remote differentials of suicide risk across states/territories," Social Science & Medicine, Elsevier, vol. 75(8), pages 1460-1468.
    20. Matteo Migheli, 2017. "Size of Town, Level of Education and Life Satisfaction in Western Europe," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 108(2), pages 190-204, April.
    21. Page, Andrew & Morrell, Stephen & Taylor, Richard & Dudley, Michael & Carter, Greg, 2007. "Further increases in rural suicide in young Australian adults: Secular trends, 1979-2003," Social Science & Medicine, Elsevier, vol. 65(3), pages 442-453, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:71:y:2010:i:11:p:2020-2027. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.