{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:26:51Z","timestamp":1789622811097,"version":"build-2803163510"},"reference-count":52,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014338","name":"National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014338","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the association between dental caries and school readiness in 5\u2010year\u2010old children taking part in the Born in Bradford (BiB) birth cohort, UK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Early Years Foundation Stage Profile (EYFSP) assesses the school readiness of young children and is strongly predictive of future academic attainment. Children are recorded as \u2018emerging\u2019 (below expected), \u2018expected\u2019, or \u2018exceeding\u2019 in five key learning areas. The Oral Health Survey of 5\u2010year\u2010olds (OHS5) is undertaken biennially in England, assessing caries experience at a dentine threshold (d<jats:sub>3<\/jats:sub>mft). EYFSP and OHS5 were available for a proportion of children participating in BiB. Odds ratios and confidence intervals for caries experience were established, and odds ratios adjusted for significant sociodemographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>EYFSP and OHS5 data were available for 2.5% (<jats:italic>n<\/jats:italic>\u2009=\u2009346) BiB participants. Nearly half (45.2%) had caries. A measure of socio\u2010economic status, receiving free school meals, was the only demographic variable strongly related to caries experience (OR: 2.8, 95% CI: 1.6\u20134.9). After adjustment, children \u2018emerging\u2019 in EYFSP learning areas had 1.6\u2010 to 2.2\u2010fold (95% CI: 1.0\u20133.8) higher odds of experiencing caries. Children \u2018exceeding\u2019 EYFSP learning areas had 2.3\u2010 to 4\u2010fold (95% CI: 0.1\u20130.9) lower odds of caries experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This is the first study to explore the association between caries experience and school readiness using a holistic assessment tool. The association was found across different learning areas and was comparable to and independent of socio\u2010economic status. The findings indicate oral health\u2010related absenteeism is not a causative factor. 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