{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:46:33Z","timestamp":1787013993217,"version":"build-2736575974"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,12]],"date-time":"2024-11-12T00:00:00Z","timestamp":1731369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Within Aotearoa | New Zealand, rates of largely preventable severe caries and dental hospitalisations among children are increasing and inequalities exist. However, little population\u2010based empirical evidence exists describing this oral health burden among children with neurodevelopmental disabilities (NDDs). This study aimed to estimate and compare the rates of dental hospital admissions in a near\u2010national population of children aged \u2264\u200914\u2009years with attention\u2010deficit hyperactivity disorder, autism, intellectual disability or any NDD after accounting for key confounding variables. Caries status for these children was derived from an oral health screening at 4\u2009years and also examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The cohort were children who had their B4 School Check (B4SC) national health screening assessment undertaken between 1 January 2011 and 31 December 2018 and followed until 1 January 2020 (the study end date). Linked administrative databases, which include NDD indication and dental hospital records, were utilised. Dental hospital admissions were assessed using unadjusted and adjusted Cox proportional hazard regression models treating NDD as a discrete time\u2010varying covariate. Caries status at 4\u2009years of age was investigated cross\u2010sectionally and the area under the receiver operating characteristic curve used to assess predictive accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The eligible sample included 433\u2009569 children (48.6% female) with a mean age of 9.3\u2009years at the study end date. Overall, 16\u2009359 (3.8%) children had at least one NDD indication and 38\u2009574 (8.9%) had at least one dental hospitalisation. In adjusted analyses, the hazard ratio of dental hospitalisation admissions was 3.40 (95% CI: 3.22\u20133.60) for children indicated with any NDD compared to their non\u2010NDD counterparts. At 4\u2009years of age B4SC screening, 465 (17.6%) children out of 2640 indicated with any NDD had visible caries compared to 61\u2009026 (14.3%) from 427\u2009254 children without NDD indication (prevalence ratio\u2009=\u20091.24 [95% CI: 1.14\u20131.35]). However, the area under the receiver operating characteristic curve for this association was 0.52 (95% CI: 0.51\u20130.52), suggesting negligible predictive capacity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Children with NDDs in Aotearoa, New Zealand suffer from substantial oral health inequities. Targeted preventive strategies and adaptation to primary oral health services are needed to meet the needs of neurodiverse children and redress this substantial inequity. However, targeting children with NDDs at the B4SC is unlikely to mitigate these oral health inequities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cdoe.13018","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T06:57:41Z","timestamp":1731481061000},"page":"160-169","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Hospital Dental Admissions and Caries Experience Among Children With Neurodevelopmental Disabilities: A Population\u2010Based Record Linkage Cohort Study"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6799-6779","authenticated-orcid":false,"given":"Philip J.","family":"Schluter","sequence":"first","affiliation":[{"name":"Te Kaupeka Oranga, Faculty of Health Te Whare W\u0101nanga o Waitaha, University of Canterbury  Christchurch New Zealand"},{"name":"School of Clinical Medicine, Primary Care Clinical Unit The University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4589-9956","authenticated-orcid":false,"given":"Nicholas","family":"Bowden","sequence":"additional","affiliation":[{"name":"A Better Start National Science Challenge, Liggins Institute University of Auckland  Auckland New Zealand"},{"name":"Department of Women's and Children's Health University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Dacombe","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7002-3695","authenticated-orcid":false,"given":"Laurie","family":"McLay","sequence":"additional","affiliation":[{"name":"Te Kaupeka Oranga, Faculty of Health Te Whare W\u0101nanga o Waitaha, University of Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7573-1500","authenticated-orcid":false,"given":"Martin","family":"Lee","sequence":"additional","affiliation":[{"name":"Community Dental Service, Te Whatu Ora, Health New Zealand Waitaha Canterbury  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31146-8"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12073"},{"key":"e_1_2_11_4_1","volume-title":"Dental Treatment for Children Under General Anaesthetic in Auckland 2007\u20132019","author":"Narsinh M.","year":"2022"},{"issue":"4","key":"e_1_2_11_5_1","first-page":"156","article-title":"Dental Treatment of Children Under General Anaesthesia in District Health Boards in New Zealand","volume":"114","author":"Hunt G. R.","year":"2018","journal-title":"New Zealand Dental Journal"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-022-00462-1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674231151606"},{"key":"e_1_2_11_8_1","first-page":"1","article-title":"Prevalence of Children Aged 3\u201317\u2009Years With Developmental Disabilities, by Urbanicity: United States, 2015\u20132018","volume":"139","author":"Zablotsky B.","year":"2020","journal-title":"National Health Statistics Reports"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1674"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.21106\/ijma.342"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12274"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13010059"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/13668250.2017.1409596"},{"key":"e_1_2_11_14_1","unstructured":"M.HallandP.Dorn\u00e8rus \u201cOral Care Programme: Neurodevelopmental Disorders \u201d (2019) https:\/\/www.mun\u2010h\u2010center.se\/en\/information\u2010material\/oral\u2010care\u2010programme\/neurodevelopmental\u2010disorders\/."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12805"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyz014"},{"key":"e_1_2_11_17_1","volume-title":"Well Child\/Tamariki Ora Programme Practitioner Handbook: Supporting Families and Wh\u0101nau to Promote Their Child's Health and Development","author":"Ministry of Health","year":"2014"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-020-1057-8"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320939329"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-022-01095-2"},{"key":"e_1_2_11_21_1","unstructured":"Te Whatu Ora\u2014Health New Zealand \u201cNational Minimum Dataset (Hospital Events) \u201d (2023) https:\/\/www.tewhatuora.govt.nz\/our\u2010health\u2010system\/data\u2010and\u2010statistics\/nz\u2010health\u2010statistics\/national\u2010collections\u2010and\u2010surveys\/collections\/national\u2010minimum\u2010dataset\u2010hospital\u2010events\/."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.2201"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12837"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12364"},{"key":"e_1_2_11_25_1","volume-title":"NZDep2013 Index of Deprivation","author":"Atkinson J.","year":"2014"},{"key":"e_1_2_11_26_1","volume-title":"DHB Population Profiles, 2019\u20132029: Statistics New Zealand Projections 2018 Update","author":"Te Pou o te Whakaaro Nui","year":"2019"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-022-01679-6"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(96)00025-X"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2020.101547"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29924"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30044-3"},{"issue":"1493","key":"e_1_2_11_33_1","first-page":"44","article-title":"Dental Caries and Previous Hospitalisations Among Preschool Children: Findings From a Population\u2010Based Study in New Zealand","volume":"132","author":"Aung Y. M.","year":"2019","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-016-0180-5"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwm165"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31133-X"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12167"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.13018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T18:40:11Z","timestamp":1741718411000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.13018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,12]]},"references-count":36,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/cdoe.13018"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.13018","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,12]]},"assertion":[{"value":"2024-04-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}