IADR Abstract Archives

Dental registration, age, sex and deprivation in SE London

Background: With the shift to local commissioning of dental services, Primary Care Trusts (PCTs) will need to consider how and when their local residents use services. Detailed analysis of routinely collected, postcoded, service data may inform the future provision of dental care. Registration with a dentist provides one indication of NHS dental service uptake within a defined period, currently 15 months for General Dental Services (GDS).

Objectives: to examine the relationship between dental registration, age, sex and deprivation status at ward and borough level within a socially diverse London Strategic Health Authority (SHA).

Methods: Ward level registration data for 30th September 2003 were obtained from the Dental Practice Board, population data from the Office of National Statistics and the Index of Multiple Deprivation (2004) from the Office of the Deputy Prime Minister. Registrations rates were calculated at ward level and the correlation with deprivation examined.

Results: Registration levels varied by age, sex and deprivation score within and across PCTs. Overall, 40% females were registered cf 35% males within the SHA. The highest registration levels were in the 6-12 age-band (62%) and lowest in the 0-2 age band (11%), followed by older people aged 75 years and over (23%). High levels of social deprivation at ward level were associated with low registration rates for primary dental care. Pearson's correlation coefficient was calculated and showed a strong correlation between deprivation and registration in the 0-5 year and 6-17 year age-bands within each borough, a relationship which was not apparent for adults aged 18-64 years.

Conclusion: There is a strong correlation between deprivation status and registration in children. Inequalities in service uptake exist between and within PCTs.

Acknowledgements: This work was funded by Lambeth, Southwark and Lewisham, Bexley, Bromley and Greenwich Primary Care Trusts. Registration Data were supplied by the Dental Practice Board.


Division: British Division Meeting
Meeting: 2005 British Division Meeting (Dundee, England)
Location: Dundee, England
Year: 2005
Final Presentation ID: 2
Abstract Category|Abstract Category(s): Behavioral Sciences/Health Services Research
Authors
  • Gallagher, Jennifer E.  ( King's College London, London, N/A, United Kingdom )
  • Cooper, Derek J  ( King's College London, London, N/A, United Kingdom )
  • Wright, Desmond  ( King's College London, London, N/A, United Kingdom )
  • SESSION INFORMATION
    Oral Session
    Behavioural Sciences / Health Services Research
    04/05/2005