{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T08:06:04Z","timestamp":1779782764821,"version":"3.53.1"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009153","name":"University of Portsmouth","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009153","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"abstract":"<jats:p>\n                    This study aimed to estimate the proportion of families with five-to-fifteen-year-olds experiencing inadequate dental health support as a consequence of their parents\u2019 socioeconomic conditions and deprivation in their neighbourhood across small geographies in England using synthetic estimation technique and explore its association with area-level proportion of children experiencing dental caries. Secondary analyses were performed using Children\u2019s Dental Health Survey (CDHS) 2013, National Dental Epidemiological Programme (NDEP) 2018\u20132019, and Census 2011. Multilevel logistic regression using CDHS (five-to-fifteen-year-olds;\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 2177) derived odds of a child experiencing inadequate dental health support (child\u2019s poor dental attendance, parents not accompanying a child to dental visits, not using sugar-free\/dental chewing gum) based on parents\u2019 family status, employment, and neighbourhood deprivation. These odds and census-informed population counts were used to derive the indicator of \u2018estimated percentage of families with children experiencing inadequate dental health support in a census-based geography of \u223c7500 people (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 6791)\u2019. Unadjusted linear regression was undertaken to examine the relationship between the indicator and NDEP-based percentage of five-year-olds experiencing dental caries in larger geographies (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 397). Results indicated that inadequate child dental health support [CDHS mean = 8% (SD:0.27%)] was significantly associated with higher neighbourhood deprivation and an interaction effect from being both a lone and an unemployed parent. Increased area-level percentage of families with children experiencing inadequate dental health support (range:3.7%\u201315.2%) was associated with 1.59 (95%CI:1.14-2.04) rise in area-level percentage of five-year-olds experiencing dental caries. This study underscores the need for targeted support for lone and unemployed parents and families living in the most deprived areas to promote children\u2019s dental health.\n                  <\/jats:p>","DOI":"10.1177\/0265539x261453174","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:30:26Z","timestamp":1779514226000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Capturing geographical inequalities in children\u2019s experience of dental health support using synthetic estimation technique and understanding their relationship with geographical inequalities in child dental health in England"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1580-5795","authenticated-orcid":false,"given":"Suruchi G","family":"Ganbavale","sequence":"first","affiliation":[{"name":"Institute of Population Health"},{"name":"University of Liverpool"},{"name":"School of Environmental Sciences"},{"name":"University of Liverpool"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Twigg","sequence":"additional","affiliation":[{"name":"University of Portsmouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Louca","sequence":"additional","affiliation":[{"name":"University of Portsmouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Wanyonyi-Kay","sequence":"additional","affiliation":[{"name":"THIS Institute (The Healthcare Improvement Studies Institute)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/jpbs.jpbs_264_24"},{"key":"e_1_3_5_3_1","unstructured":"Broomhead T (2017) Neighbourhood effects: spatial inequalities in tooth decay. Available at: https:\/\/etheses.whiterose.ac.uk\/20729\/ (accessed 23 July 2024)."},{"key":"e_1_3_5_4_1","volume-title":"MCMC Estimation in MLwiN v3.03","author":"Browne WJ","year":"2019","unstructured":"Browne WJ (2019) MCMC Estimation in MLwiN v3.03."},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-021-01482-7"},{"key":"e_1_3_5_6_1","volume-title":"Capturing Sugar-Promoting Environments and Understanding the Link with Child Dental Health Outcomes Through the Creation of a Multidimensional Index","author":"Ganbavale SG","year":"2023","unstructured":"Ganbavale SG (2023) Capturing Sugar-Promoting Environments and Understanding the Link with Child Dental Health Outcomes Through the Creation of a Multidimensional Index: University of Portsmouth. Doctoral Thesis Available at: https:\/\/researchportal.port.ac.uk\/en\/studentTheses\/capturing-sugar-promoting-environments-and-understanding-the-link (accessed 27 March 2023)."},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12957"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2012.07.013"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781849209366"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.12.007"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.12356"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1678-77572007000200002"},{"key":"e_1_3_5_13_1","unstructured":"Ministry of Housing Communities and Local Government (2019) The English indices of deprivation 2019- research report. Available at: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/833947\/IoD2019_Research_Report.pdf"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41405-024-00195-7"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.02.046"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.009365"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034513508954"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084419887178"},{"key":"e_1_3_5_19_1","volume-title":"Oral health survey of 5 year old children 2022","author":"Office for Health Improvement and Disparities","year":"2023","unstructured":"Office for Health Improvement and Disparities (2023) Oral health survey of 5 year old children 2022. Available at: https:\/\/www.gov.uk\/government\/statistics\/oral-health-survey-of-5-year-old-children-2022 (accessed 2 October 2023)."},{"key":"e_1_3_5_20_1","unstructured":"Office for National Statistics (2010) The national statistics Socio-economic classification (NS-SEC). Available at: https:\/\/www.ons.gov.uk\/methodology\/classificationsandstandards\/otherclassifications\/thenationalstatisticssocioeconomicclassificationnssecrebasedonsoc2010 (accessed 8 February 2022)."},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","unstructured":"Office for National Statistics (2015) Children\u2019s dental health survey 2013. [data collection]. Available at: DOI: 10.5255\/UKDA-SN-7774-1 (accessed 8 February 2022).","DOI":"10.5255\/UKDA-SN-7774-1"},{"key":"e_1_3_5_22_1","unstructured":"Office for National Statistics (2016) 2011 census data. 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A BASCD coordinated dental epidemiology programme quality standard","volume":"1","author":"Pine CM","year":"1997","unstructured":"Pine CM, Pitts NB, Nugent ZJ (1997) British association for the study of community dentistry (BASCD) guidance on sampling for surveys of child dental health. A BASCD coordinated dental epidemiology programme quality standard. Community Dental Health 1: 7\u201310.","journal-title":"Community Dental Health"},{"key":"e_1_3_5_27_1","unstructured":"Public Health England (2017) Health matters: child dental health. Available at: https:\/\/publichealthmatters.blog.gov.uk\/2017\/06\/14\/health-matters-child-dental-health\/"},{"key":"e_1_3_5_28_1","unstructured":"Public Health England (2020) National dental epidemiology programme for England: oral health survey of 5-year-olds 2019 A report on the variations in prevalence and severity of dental decay. Available at: https:\/\/www.gov.uk\/government\/statistics\/oral-health-survey-of-5-year-old-children-2019 (accessed 2 June 2022)."},{"key":"e_1_3_5_29_1","unstructured":"Public Health England (2021) Local oral health profiles. UK health and security agency. Available at: https:\/\/khub.net\/web\/phe-national\/public-library\/-\/document_library\/v2WsRK3ZlEig\/view\/387014363 (accessed 21 March 2023)."},{"key":"e_1_3_5_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034517750572"},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00359-7"},{"key":"e_1_3_5_32_1","doi-asserted-by":"publisher","DOI":"10.1068\/a36213"},{"key":"e_1_3_5_33_1","first-page":"1","article-title":"Global burden and inequality of dental caries, 1990 to 2019","volume":"101","author":"Wen PYF","year":"2021","unstructured":"Wen PYF, Chen MX, Zhong YJ, et al. (2021) Global burden and inequality of dental caries, 1990 to 2019. Journal of Dental Research 101: 1\u20138. https:\/\/doi.org\/10.1177\/00220345211056247","journal-title":"Journal of Dental Research"}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X261453174","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X261453174","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X261453174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T07:46:37Z","timestamp":1779781597000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X261453174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":32,"alternative-id":["10.1177\/0265539X261453174"],"URL":"https:\/\/doi.org\/10.1177\/0265539x261453174","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,22]]},"article-number":"0265539X261453174"}}