Evidence map›Paper›PMID 38816920›Full record

ArticleInternational journal of paediatric dentistry2025

Social inequities in early childhood caries in Australia: A population-based study on statewide public dental services data.

Ankur Singh, Shalika Hegde, Mihiri Silva, Martin Whelan, Amalia Karahalios, David J Manton, Sharon Goldfeld, Dallas R English, Stuart Dashper

Abstract read
In one paragraph

Article in International journal of paediatric dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Causal effect of molar incisor hypomineralisation on oral health-related quality of life of Australian children aged 7-16 years.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ankur SinghMelbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia.
Shalika HegdeDental Health Services Victoria, Melbourne, Victoria, Australia.
Mihiri SilvaMelbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia.
Martin WhelanDental Health Services Victoria, Melbourne, Victoria, Australia.
Amalia KarahaliosCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
David J MantonMelbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia.
Sharon GoldfeldDepartment of Paediatrics, Melbourne Medical School, University of Melbourne, Melbourne, Victoria, Australia.
Dallas R EnglishCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Stuart DashperMelbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia.

Funding

Australian Research Council DECRA FellowshipMelbourne Children's Clinician-Scientist FellowshipNHMRC Practitioner Fellowship
6 · The paper itself

Abstract

backgroundSocial disadvantage leads to dental caries during childhood.

aimThis study investigated whether dental caries occur earlier in children from households experiencing social disadvantage than those not experiencing social disadvantage.

designThe overall risk of, and relative time to, early childhood caries (ECC) according to sociodemographic characteristics in Victoria, Australia, was quantified. Records for 134 463 children in Victoria, Australia, from 2009 to 2019 were analysed. Time ratios (TR) and hazard ratios (HR) of carious lesion(s) in early childhood were estimated.

resultsCompared with reference groups, Indigenous children had an adjusted TR of 0.80 (95% CI: 0.78, 0.82), children from households with languages other than English had an adjusted TR of 0.83 (95% CI: 0.82, 0.84), and dependants of concession cardholders had an adjusted TR of 0.81 (95% CI: 0.80, 0.81); therefore, 20%, 17% and 19% reduced times to the first carious lesion, respectively. The estimated HRs were 1.57 (95% CI: 1.49, 1.67) for Indigenous children, 1.46 (95% CI: 1.42, 1.50) for children from households with other languages and 1.57 (CI: 1.53, 1.60) for dependants of concession cardholders.

conclusionPreventive oral health interventions must be targeted early in children from households experiencing social disadvantage to avoid social inequities in ECC.

Indexed as

Dental CariesChildChild, PreschoolFemaleHumansInfantMaleSocioeconomic FactorsVictoriacarieschild dentistrydental public healthepidemiologyinequalities

Identifiers

PMID38816920
PMCPMC11626491

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.