Key Points
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Highlights the fact that stark inequalities exist in relation to deprivation and negative behaviours
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Highlights the behaviours of young people with respect to their reported alcohol use and smoking habits.
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Considers reported tooth brushing habits and behaviours in boys and girls by age, sex and country of residence.
Abstract
Background The 2013 Children's Dental Health Survey is the fifth in a series of national surveys.
Aim To describe the oral health behaviours in children and adolescents in England, Wales and Northern Ireland.
Method A representative sample of children (aged 5, 8 12 and 15 years) in England, Wales and Northern Ireland were invited to participate in dental examinations. Children and parents were also invited to complete a questionnaire about oral health behaviours.
Results Overall, the majority of children and young people reported good oral health behaviours. For example, more than three quarters of the 12- and 15-year-olds reported brushing their teeth twice a day or more often. However, a sizeable proportion of the sample reported less positive behaviours. Nearly 30% of 5-year-olds first started to brush their teeth after the age of one year. Among 15-year-olds, 11% were current smokers and 37% reported that they currently drank alcohol. Sixteen percent of 12-year-olds reported to consume drinks containing sugar four or more times a day. Of particular concern was the marked differences that existed by level of deprivation. Children living in lower income households (eligible for free school meals) were less likely to brush their teeth twice a day, more likely to start brushing after six months, more likely to be a smoker and more likely to consume frequent amounts of sugary drinks.
Conclusion Despite some encouraging overall patterns of good oral health behaviours, a sizeable proportion of children and young people reported behaviours that may lead to poorer oral and general health. Preventive support should be delivered in clinical dental settings to encourage positive oral health behaviours. Public health strategies are also needed to reduce inequalities in oral health behaviours among children and young people.
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References
World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: World Health Organization, 2009.
Sheiham A, Watt R G . The common risk factor approach: a rational basis for promoting oral health. Community Dent Oral Epidemiol 2000; 28: 399–406.
Paavola M, Vartiainen E, Haukkala A . Smoking, alcohol use, and physical activity: A 13-year longitudinal study ranging from adolescence into adulthood. J Adolesc Health 2004; 35: 238–244.
Kelder S H, Perry C L, Klepp K I, Lytle L L . Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviours. Am J Public Health 1994; 84: 1121–1126.
Anderson T, Thomas C, Ryan R, Dennes M, Fuller E . Children's Dental Health Survey 2013 Technical Report England, Wales and Northern Ireland. London: Health and Social Care Information Centre, 2015.
World Health Organization. Guideline: Sugars intake for adults and children. Geneva: World Health Organization, 2014.
Scientific Advisory Committee on Nutrition. Carbohydrates and Health London: TSO, 2015.
Fuller E, Henderson H, Nass L, Payne C, Phelps A, Ryley A . Smoking, drinking and drug use among young people in England in 2012. London: Health and Social Care Information Centre, 2013.
Randall D M, Fernandes M F . The social desirability response bias in ethics research. J Bus Ethics 1991; 10: 805–817.
Acknowledgements
The authors wish to thank the children and young people who took part in the research as well as their parents and guardians. In addition, the authors express gratitude to the dental examining teams, field workers from the Office for National Statistics, staff in the schools visited and the individuals involved in the consortium for their invaluable contributions. The 2013 CDHS was commissioned by the Health and Social Care Information Centre (HSCIC) and the research was carried out by a consortium led by the Office for National Statistics. We particularly extend our thanks to Tom Anderson of the ONS Social Survey Division and the wider ONS research team.
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Porter, J., Ravaghi, V., Hill, K. et al. Oral health behaviours of children in England, Wales and Northern Ireland 2013. Br Dent J 221, 263–268 (2016). https://doi.org/10.1038/sj.bdj.2016.646
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DOI: https://doi.org/10.1038/sj.bdj.2016.646


