{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T23:08:49Z","timestamp":1762124929871,"version":"build-2065373602"},"reference-count":33,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"vor","delay-in-days":2146,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,11]]},"abstract":"<jats:p>The aim of this study is to determine where Aboriginal people living in Victoria attend public oral health services; whether they access Aboriginal-specific or mainstream services; and the gap between dental caries (tooth decay) experience in Aboriginal and non-Aboriginal people. Analysis was undertaken on routinely collected clinical data for Aboriginal patients attending Victorian public oral health services and the distribution of Aboriginal population across Victoria. Approximately 27% of Aboriginal people attended public oral health services in Victoria across a 2-year period, with approximately one in five of those accessing care at Aboriginal-specific clinics. In regional Victoria, 6-year-old Aboriginal children had significantly higher levels of dental caries than 6-year-old non-Aboriginal children. There was no significant difference in other age groups. This study is the first to report where Aboriginal people access public oral health care in Victoria and the disparity in disease between Aboriginal and non-Aboriginal users of the Victorian public oral healthcare system. Aboriginal people largely accessed mainstream public oral healthcare clinics highlighting the importance for culturally appropriate services and prevention programs to be provided across the entire public oral healthcare system. The findings will guide development of policy and models of care aimed at improving the oral health of Aboriginal people living in Victoria.<\/jats:p>","DOI":"10.1071\/py18100","type":"journal-article","created":{"date-parts":[[2019,10,2]],"date-time":"2019-10-02T20:56:22Z","timestamp":1570049782000},"page":"317-324","source":"Crossref","is-referenced-by-count":4,"title":["Addressing disparities in oral disease in Aboriginal people in Victoria: where to focus preventive programs"],"prefix":"10.1071","volume":"25","author":[{"given":"Jacqueline M.","family":"Martin-Kerry","sequence":"first","affiliation":[{"name":"ADepartment of Health Sciences, University of York, Heslington, York, YO10 5DD, UK."},{"name":"FCorresponding author. Email: jackie.martin-kerry@york.ac.uk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Whelan","sequence":"additional","affiliation":[{"name":"BDental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Rogers","sequence":"additional","affiliation":[{"name":"CDepartment of Health & Human Services, 50 Lonsdale Street, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil","family":"Raichur","sequence":"additional","affiliation":[{"name":"BDental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia."},{"name":"CDepartment of Health & Human Services, 50 Lonsdale Street, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Cole","sequence":"additional","affiliation":[{"name":"BDental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea M.","family":"de Silva","sequence":"additional","affiliation":[{"name":"DWorksafe Victoria, 1 Malop Street, Geelong, Vic. 3220, Australia."},{"name":"ESchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Vic. 3004, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2019,10,3]]},"reference":[{"key":"2025110218021417800_R1","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1111\/adj.12256","article-title":"Associations with dental caries experience among a convenience sample of Aboriginal Australian adults.","volume":"60","author":"Amarasena","year":"2015","journal-title":"Australian Dental Journal"},{"key":"2025110218021417800_R2","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1353\/hpu.2016.0046","article-title":"Service use and perceived need among an Aboriginal population in Western Australia.","volume":"27","author":"Arrow","year":"2016","journal-title":"Journal of Health Care for the Poor and Underserved"},{"key":"2025110218021417800_R3","unstructured":"Australian Bureau of Statistics (2011) Estimates of Aboriginal and Torres Strait Islander Australians, June 2011. (ABS: Canberra, ACT, Australia) Available at http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/3238.0.55.001 [Verified 12 June 2015]"},{"key":"2025110218021417800_R5","unstructured":"Australian Institute of Health and Welfare (2018) Australia\u2019s health 2018. Australia\u2019s Health Series No. 16. AUS 221. pp. 305\u2013369. (AIHW: Canberra, ACT, Australia) Available at https:\/\/www.aihw.gov.au\/getmedia\/7c42913d-295f-4bc9-9c24-4e44eff4a04a\/aihw-aus-221.pdf.aspx?inline=true [Verified 2 August 2019]"},{"key":"2025110218021417800_R6"},{"key":"2025110218021417800_R7","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1111\/adj.12662","article-title":"Risk factors for oral health in young, urban, Aboriginal and Torres Strait Islander children.","volume":"64","author":"Butten","year":"2019","journal-title":"Australian Dental Journal"},{"key":"2025110218021417800_R8","first-page":"2032","article-title":"A review of dental caries in Australian Aboriginal children: the health inequalities perspective.","volume":"12","author":"Christian","year":"2012","journal-title":"Rural and Remote Health"},{"key":"2025110218021417800_R9","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1071\/AH15157","article-title":"Flying blind: trying to find solutions to Indigenous oral health.","volume":"40","author":"de Silva","year":"2016","journal-title":"Australian Health Review"},{"key":"2025110218021417800_R10","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1071\/AH15229","article-title":"Caries and periodontal disease in Indigenous adults in Australia: a case of limited and non-contemporary data.","volume":"41","author":"de Silva","year":"2017","journal-title":"Australian Health Review"},{"key":"2025110218021417800_R11","unstructured":"Dental Health Services Victoria (2017a) Dental Health Services Victoria Annual Report 2015\u201316. (Dental Health Services Victoria: Carlton, Vic., Australia) Available at https:\/\/www.dhsv.org.au\/__data\/assets\/pdf_file\/0009\/64629\/DHSV_AnnualReport_2015-16-for-web.pdf [Verified 2 August 2019]"},{"key":"2025110218021417800_R12","unstructured":"Dental Health Services Victoria (2017b) Dental Health Services Victoria Annual Report 2016\u201317. (Dental Health Services Victoria: Carlton, Vic., Australia) Available at https:\/\/www.dhsv.org.au\/__data\/assets\/pdf_file\/0018\/79200\/DHSV-AR-2016-2017-complete.pdf [Verified 16 July 2019]"},{"key":"2025110218021417800_R13","doi-asserted-by":"publisher","first-page":"4453","DOI":"10.22605\/RRH4453","article-title":"A collaboration with local Aboriginal communities in rural New South Wales, Australia to determine the oral health needs of their children and develop a community-owned oral health promotion program.","volume":"18","author":"Dimitropoulos","year":"2018","journal-title":"Rural and Remote Health"},{"key":"2025110218021417800_R14","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s12903-018-0643-y","article-title":"An assessment of strategies to control dental caries in Aboriginal children living in rural and remote communities in New South Wales, Australia.","volume":"18","author":"Dimitropoulos","year":"2018","journal-title":"BMC Oral Health"},{"key":"2025110218021417800_R15","first-page":"161","article-title":"The mouth as a site of structural inequalities; the experience of Aboriginal Australians.","volume":"33","author":"Durey","year":"2016","journal-title":"Community Dental Health"},{"key":"2025110218021417800_R16","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-025291","article-title":"Effect of nutrition interventions on diet-related and health outcomes of Aboriginal and Torres Strait Islander Australians: a systematic review.","volume":"9","author":"Gwynn","year":"2019","journal-title":"BMJ Open"},{"key":"2025110218021417800_R17","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1353\/hpu.2016.0034","article-title":"Changes in area-level socioeconomic status and oral health of Indigenous Australian children.","volume":"27","author":"Ha","year":"2016","journal-title":"Journal of Health Care for the Poor and Underserved"},{"key":"2025110218021417800_R18","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph14101270","article-title":"Factors influencing early feeding of foods and drinks containing free sugars \u2013 a birth cohort study.","volume":"14","author":"Ha","year":"2017","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"2025110218021417800_R19","first-page":"238","article-title":"Dental caries trends among indigenous and non-indigenous Australian children.","volume":"24","author":"Jamieson","year":"2007","journal-title":"Community Dental Health"},{"key":"2025110218021417800_R20","doi-asserted-by":"publisher","first-page":"1375","DOI":"10.1177\/0022034516658233","article-title":"Inequalities in Indigenous oral health: findings from Australia, New Zealand, and Canada.","volume":"95","author":"Jamieson","year":"2016","journal-title":"Journal of Dental Research"},{"key":"2025110218021417800_R21","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/S0140-6736(09)60827-8","article-title":"Indigenous health part 2: the underlying causes of the health gap.","volume":"374","author":"King","year":"2009","journal-title":"Lancet"},{"key":"2025110218021417800_R22","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1111\/j.1440-1584.2008.00985.x","article-title":"The oral health status and treatment needs of Indigenous adults in the Kimberley region of Western Australia.","volume":"16","author":"Kruger","year":"2008","journal-title":"The Australian Journal of Rural Health"},{"key":"2025110218021417800_R23","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1071\/PY10028","article-title":"Primary oral health service provision in Aboriginal Medical Services-based dental clinics in Western Australia.","volume":"16","author":"Kruger","year":"2010","journal-title":"Australian Journal of Primary Health"},{"key":"2025110218021417800_R4","unstructured":"National Advisory Committee on Oral Health (2015) Healthy Mouths Healthy Lives: Australia\u2019s National Oral Health Plan 2015\u20132024. (COAG Health Council: Adelaide, SA, Australia) Available at http:\/\/www.coaghealthcouncil.gov.au\/Portals\/0\/Australia%27s%20National%20Oral%20Health%20Plan%202015-2024_uploaded%20170216.pdf [Verified 2 August 2019]"},{"key":"2025110218021417800_R24","first-page":"3","article-title":"Filling the gap: an evaluation of a voluntary dental program within an Aboriginal and Torres Strait Islander community controlled primary health service.","volume":"34","author":"Pulver","year":"2010","journal-title":"Aboriginal and Islander Health Worker Journal"},{"key":"2025110218021417800_R25","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1111\/j.1834-7819.2004.tb00067.x","article-title":"Oral health of Aboriginal Australians.","volume":"49","author":"Roberts-Thomson K, Australian Research Centre for Population Oral Health","year":"2004","journal-title":"Australian Dental Journal"},{"key":"2025110218021417800_R26","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/adj.12138","article-title":"Prevalence, extent and severity of severe periodontal destruction in an urban Aboriginal and Torres Strait Islander population.","volume":"59","author":"Roberts-Thomson","year":"2014","journal-title":"Australian Dental Journal"},{"key":"2025110218021417800_R27","unstructured":"Rogers JG (2011) Evidence based oral health promotion resource (2011). (Government of Victoria, Department of Health: Melbourne, Vic., Australia) Available at https:\/\/www2.health.vic.gov.au\/about\/publications\/policiesandguidelines\/Evidence-based-oral-health-promotion-resource-2011 [Verified 16 July 2019]"},{"key":"2025110218021417800_R28"},{"key":"2025110218021417800_R29","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/j.1875-595X.2007.tb00444.x","article-title":"Oral health in rural and remote Western Australian indigenous communities: a two-year retrospective analysis of 999 people.","volume":"57","author":"Smith","year":"2007","journal-title":"International Dental Journal"},{"key":"2025110218021417800_R30","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1111\/cdoe.12302","article-title":"Oral health programmes in Indigenous communities worldwide \u2013 lessons learned from the field: a qualitative systematic review.","volume":"45","author":"Tsai","year":"2017","journal-title":"Community Dentistry and Oral Epidemiology"},{"key":"2025110218021417800_R31"},{"key":"2025110218021417800_R32","unstructured":"Victorian State Government (2014) Access to Victoria\u2019s public dental care services. (State of Victoria: Melbourne, Vic., Australia) Available at https:\/\/www2.health.vic.gov.au\/primary-and-community-health\/dental-health\/access-public-dental-services [Verified 1 October 2015]"},{"key":"2025110218021417800_R33"}],"container-title":["Australian Journal of Primary Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/25\/4\/317\/795837\/py18100.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/py\/article-pdf\/25\/4\/317\/795837\/py18100.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T23:02:21Z","timestamp":1762124541000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/py\/article\/25\/4\/317\/101452\/Addressing-disparities-in-oral-disease-in"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,3]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,10,11]]}},"URL":"https:\/\/doi.org\/10.1071\/py18100","relation":{},"ISSN":["1448-7527","1836-7399"],"issn-type":[{"type":"print","value":"1448-7527"},{"type":"electronic","value":"1836-7399"}],"subject":[],"published":{"date-parts":[[2019,10,3]]}}}