{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:03:36Z","timestamp":1771074216552,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T00:00:00Z","timestamp":1703635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2024,2,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the relationship between access to fluoridated drinking water and area\u2010level socio\u2010economic status in Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Ecological, geospatial data linkage study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Queensland, by statistical area level 2 (SA2), 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Proportion of SA2s and of residents with access to fluoridated drinking water (natural or supplemented); relationship at SA2 level between access to fluoridated water and socio\u2010economic status (Index of Relative Socio\u2010economic Advantage and Disadvantage, IRSAD; Index of Economic Resources, IER).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2021, an estimated 4\u2009050\u2009168 people (79.4% of the population) and 397 SA2 regions (72.7%) in Queensland had access to fluoridated water. Access was concentrated in the southeastern corner of the state. After adjusting for SA2 population, log area, and population density, the likelihood of access to fluoridated drinking water almost doubled for each 100\u2010rank increase in IRSAD (adjusted odds ratio [aOR], 1.93; 95% confidence interval [CI], 1.59\u20132.36) or IER (aOR, 1.77; 95% CI, 1.50\u20132.11).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The 2012 decision to devolve responsibility for water fluoridation decisions and funding from the Queensland government to local councils means that residents in lower socio\u2010economic areas are less likely to have access to fluoridated water than those in more advantaged areas, exacerbating their already greater risk of dental disease. Queensland water fluoridation policy should be revised so that all residents can benefit from this evidence\u2010based public health intervention for reducing the prevalence of dental caries.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52196","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T09:49:35Z","timestamp":1703670575000},"page":"74-79","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Socio\u2010economic status and access to fluoridated water in Queensland: an ecological data linkage study"],"prefix":"10.5694","volume":"220","author":[{"given":"Christopher T","family":"Sexton","sequence":"first","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diep H","family":"Ha","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thu","family":"Le","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ratilal","family":"Lalloo","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Ford","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3684-9949","authenticated-orcid":false,"given":"Loc G","family":"Do","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-1605","authenticated-orcid":false,"given":"Nicole","family":"Stormon","sequence":"additional","affiliation":[{"name":"The University of Queensland  Brisbane QLD"},{"name":"Metro North Hospital and Health Service, Queensland Health  Brisbane QLD"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,27]]},"reference":[{"key":"e_1_2_8_1_1","unstructured":"National Health and Medical Research Council.\u00a0Water fluoridation: dental and other human health outcomes (NHMRC ref. 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