| 0929 Indigenous Children and Receipt of Hospital Dental Care in Australia | ||
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L. JAMIESON, J. ARMFIELD, and K. ROBERTS-THOMSON, University of Adelaide, Australia Objectives: To investigate hospital dental procedures under general anaesthetic received by a national sample of Indigenous and non-Indigenous Australian children. Methods: Separation data from 1,297 public and private hospitals were obtained from the Australian National Hospital Morbidity Database for 2002-03. The sample included 45,220 children aged 2 to 19 years. The dependant variable was proportion of children receiving 4 categories of dental care (extraction, pulpal, restoration or other). Explanatory variables included sex, age-group, Indigenous status and location (metropolitan, regional or remote). Bivariate and multivariate analyses were undertaken for treatment procedures by socio-demographic characteristics. Results: Some 2.6% of children were Indigenous. One-third of Indigenous children lived in a remote location (33.3%) compared with 3.5% of non-Indigenous children (P<0.001). 45.7% of Indigenous children were aged <5 yrs compared with 18.2% of non-Indigenous children (P<0.001). A higher proportion of Indigenous children aged <10 years received an extraction (94.9%) than non-Indigenous children of the same age (70.3%) (P<0.001). Indigenous children aged less than 10 years were less likely to receive pulpal treatment (10.3%) than non-Indigenous children (19.1%) (P<0.001), and less treatment in the “other” category (13.6% for Indigenous; 27.7% for non-Indigenous, P<0.001). No associations between Indigenous status and restorative care were found. After adjusting for age, sex and location in multivariate analysis, the odds of children under the age of 10 years receiving an extraction were almost 9 times greater for Indigenous than for non-Indigenous children (OR: 8.8, CI: 6.5-11.6). Indigenous children were less likely to have received pulpal treatment (OR: 0.4, CI: 0.4-0.5) or “other” treatment (OR: 0.4, CI: 0.3-0.5) than non-Indigenous children. Conclusions: Young Indigenous children had over-whelming odds of having received an extraction as opposed to other dental procedures during a hospital separation. | ||
| Seq #117 - Malodor, Children, Cancer, Oral Hygiene, Dental Sealants 2:00 PM-4:00 PM, Thursday, 10 March 2005 Baltimore Convention Center Exhibit Hall E-F | ||
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