scholarly journals Deprived areas and community water fluoridation: a multilevel approach for refocusing the public policy

2021 ◽  
pp. e2021031
Author(s):  
Franklin Barbosa da Silva ◽  
José Leopoldo Ferreira Antunes ◽  
Paulo Frazão
Keyword(s):  
Public Policy ◽  
Water Fluoridation ◽  
Multilevel Approach ◽  
The Public ◽  
Community Water ◽  
Community Water Fluoridation ◽  
Deprived Areas

scholarly journals Area-level deprivation, childhood dental ambulatory sensitive hospitalizations and community water fluoridation: evidence from New Zealand

2020 ◽  
Vol 49 (3) ◽  
pp. 908-916 ◽  
Author(s):  
Matthew Hobbs ◽  
Alicia Wade ◽  
Peter Jones ◽  
Lukas Marek ◽  
Melanie Tomintz ◽  
...  
Keyword(s):  
New Zealand ◽  
Environmental Science ◽  
Negative Binomial ◽  
Health Gain ◽  
Water Fluoridation ◽  
Cross Sectional ◽  
Community Water ◽  
Structural Inequities ◽  
Community Water Fluoridation ◽  
Deprived Areas

Abstract Background We examined the association between area-level deprivation and dental ambulatory sensitive hospitalizations (ASH) and considered the moderating effect of community water fluoridation (CWF). The hypothesis was that higher levels of deprivation are associated with higher dental ASH rates and that CWF will moderate this association such that children living in the most deprived areas have greater health gain from CWF. Methods Dental ASH conditions (dental caries and diseases of pulp/periapical tissues), age, gender and home address identifier (meshblock) were extracted from pooled cross-sectional data (Q3, 2011 to Q2, 2017) on children aged 0–4 and 5–12 years from the National Minimum Dataset, New Zealand (NZ) Ministry of Health. CWF was obtained for 2011 and 2016 from the NZ Institute of Environmental Science and Research. Dental ASH rates for children aged 0–4 and 5–12 years (/1000) were calculated for census area units (CAUs). Multilevel negative binomial models investigated associations between area-level deprivation, dental ASH rate and moderation by CWF status. Results Relative to CWF (2011 and 2016), no CWF (2011 and 2016) was associated with increased dental ASH rates in children aged 0–4 [incidence rate ratio (IRR) = 1.171 (95% confidence interval 1.064, 1.288)] and aged 5–12 years [IRR = 1.181 (1.084, 1.286)]. An interaction between area-level deprivation and CWF showed that the association between CWF and dental ASH rates was greatest within the most deprived quintile of children aged 0–4 years [IRR = 1.316 (1.052, 1.645)]. Conclusions CWF was associated with a reduced dental ASH rate for children aged 0–4 and 5–12 years. Children living in the most deprived areas showed the greatest effect of CWF on dental ASH rates, indicating that the greater health gain from CWF occurred for those with the highest socio-economic disadvantage. Variation in CWF contributes to structural inequities in oral-health outcomes for children.

Dental Cleaning, Community Water Fluoridation and Preterm Birth, Massachusetts: 2009–2016

2018 ◽  
Vol 23 (4) ◽  
pp. 451-458 ◽  
Author(s):  
Xiyuan Zhang ◽  
Emily Lu ◽  
Sarah L. Stone ◽  
Hafsatou Diop
Keyword(s):  
Preterm Birth ◽  
Water Fluoridation ◽  
Community Water ◽  
Community Water Fluoridation

Community water fluoridation and health outcomes in England: a cross-sectional study

2015 ◽  
Vol 43 (6) ◽  
pp. 550-559 ◽  
Author(s):  
Nicholas Young ◽  
John Newton ◽  
John Morris ◽  
Joan Morris ◽  
John Langford ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Water Fluoridation ◽  
Cross Sectional ◽  
Community Water ◽  
Community Water Fluoridation

scholarly journals Reduction of Dental Caries Among Children and Adolescents From a 15-Year Community Water Fluoridation Program in a Township Area, Korea

2019 ◽  
Vol 16 (7) ◽  
pp. 1306 ◽  
Author(s):  
Han-Na Kim ◽  
Wook-Sung Kong ◽  
Jung-Ha Lee ◽  
Jin-Bom Kim
Keyword(s):  
Children And Adolescents ◽  
Permanent Teeth ◽  
Water Fluoridation ◽  
Korean Children ◽  
Community Water ◽  
The Mean ◽  
Aged Subjects ◽  
And Gender ◽  
Community Water Fluoridation ◽  
And Control

Since 2000, a community water fluoridation program (CWFP) has been implemented in Hapcheon for over 15 years. We aimed to evaluate the caries-reducing effect on permanent teeth after this implementation. In 2015, evaluation surveys were conducted by our study group, 498 subjects aged 8, 10, 12, and 15 years. As the control, 952 similarly aged subjects were selected from the Sixth Korean National Health and Nutrition Examination Survey (2013-2015 KNHANES). Data of a prospective cohort of 671 8-,10- and 12-year-olds, collected when CWFP started, were used for the evaluation. Caries-reducing effects were estimated by decayed, missing and filled teeth (DMFT) scores between CWFP and control groups, pre- and post-program. Confounders including the mean number of sealant teeth and gender were adjusted for. The mean adjusted DMFT scores of 10-, 12- and 15-year-olds in Hapcheon were significantly lower compared to KNHANES DMFT scores; in addition, those of 8-, 10- and 12-year-olds after the 15-year CWFP were significantly lower than in 2000. The caries-reducing effect among 12-year-olds was 37.6% compared to those recorded in KNHANES, and 67.4% compared to those in 2000. In conclusion, the caries-reducing effect was so high that health policy makers should consider CWFP as a priority policy for caries-reducing in Korean children and adolescents.

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