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Table 4 Association of dental behaviours, diet and dental anxiety with DAVMFS and D2VMFS in 12-year-oldsa

From: Dental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care

Variables

Clinical decay threshold

Obvious decay threshold

Unadjusted modelb

Adjusted modelb

Unadjusted modelb

Adjusted modelb

RR [95% CI]

RR [95% CI]

RR [95% CI]

RR [95% CI]

Sex

Male

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Female

1.17

[1.02, 1.34]

1.13

[0.90, 1.42]

1.30

[1.08, 1.56]

1.16

[0.83, 1.62]

Free school meal eligibility

Not eligible for free school meals

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Eligible for free school meals

1.73

[1.49, 2.00]***

1.55

[1.38, 2.10]**

2.09

[1.72, 2.55]***

2.13

[1.52, 2.99]***

Region

London

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

South East

1.01

[0.70, 1.46]

1.12

[0.51, 2.49]

0.61

[0.36, 1.02]*

1.17

[0.54, 2.56]

East of England

1.46

[1.02, 2.09]

2.04

[1.16, 3.55]**

1.22

[0.74, 1.99]

2.55

[1.16, 5.61]*

West Midlands

0.87

[0.60, 1.27]

1.26

[0.77, 2.07]

0.74

[0.44, 1.23]

1.32

[0.67, 2.62]

East Midlands

2.10

[1.41, 3.15]

1.65

[0.97, 2.79]

1.95

[1.13, 3.38]

1.05

[0.45, 2.49]

Yorkshire and the Humber

1.30

[0.91, 1.87]

2.37

[1.44, 3.90]***

1.02

[0.63, 1.68]

1.98

[0.75, 5.25]

North East

1.56

[1.10, 2.22]**

2.25

[1.32, 3.82]**

1.49

[0.93, 2.40]

2.73

[1.22, 6.08]*

South West

0.83

[0.56, 1.24]***

1.44

[0.63, 3.26]

0.74

[0.43, 1.28]

1.95

[0.84, 4.50]

Wales

1.98

[1.49, 2.63]***

2.85

[1.77, 4.57]***

1.81

[1.23, 2.65]

3.14

[1.59, 6.20]***

North West

3.11

[2.24, 4.32]**

3.09

[1.99, 4.80]***

2.51

[1.60, 3.92]*

3.02

[1.65, 5.51]***

Northern Ireland

2.59

[1.94, 3.46]

3.11

[1.78, 5.43]***

2.94

[1.99, 4.35]*

4.72

[2.25, 9.89]***

School type

Independent school

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Academy or free school

1.51

[1.07, 2.11]*

1.42

[0.73, 2.76]

2.87

[1.75, 4.72]***

1.87

[1.23, 2.85]**

Secondary school

2.11

[1.54, 2.90]*

1.39

[0.63, 3.07]

4.86

[3.04, 7.77]***

1.93

[1.21, 3.09]**

Index of multiple deprivation quintile

80–100% Least deprived

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

60–80%

1.30

[0.99, 1.70]

1.21

[0.78, 1.87]

1.27

[0.88, 1.85]

1.22

[0.79, 1.90]

40–60%

1.46

[1.12, 1.90]**

2.00

[1.35, 2.98]**

1.93

[1.34, 2.77]***

3.05

[1.87, 4.98]***

20–40%

1.82

[1.41, 2.34]**

1.47

[0.97, 2.24]

2.28

[1.61, 3.22]***

2.28

[1.28, 4.06]**

0–20% Most deprived

2.26

[1.79, 2.86]***

2.29

[1.57, 3.33]***

2.96

[2.15, 4.09]***

3.83

[2.39, 6.12]***

Ethnicity

White

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Non-white

0.75

[0.62, 0.90]*

0.66

[0.50, 0.88]**

0.56

[0.43, 0.72]*

0.50

[0.33, 0.77]**

Frequency of brushing teeth

Twice a day or more

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Once a day or less

1.51

[1.03, 2.22]*

1.26

[0.95, 1.66]

1.35

[0.86, 2.11]

1.19

[0.87, 1.64]

Frequency of sugar intake

Less than four times a day

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Four or more times a day

1.62

[1.23, 2.13]***

1.38

[1.06, 1.78]*

1.67

[1.07, 2.62]*

1.32

[0.83, 2.09]

Usual dental attendance c

Regular

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Irregular/none

1.73

[1.44, 2.08]**

1.51

[1.11, 2.05]**

1.95

[1.52, 2.51]**

1.95

[1.32, 2.88]***

Self-rated dental anxiety score MDAS grouping

Low/no anxiety (score 5–9)

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

1.00

[Reference]

Moderate anxiety (score 10–18)

0.78

[0.67, 0.91]*

0.81

[0.62, 1.05]

0.78

[0.64, 0.96]*

0.81

[0.56, 1.18]

Extreme anxiety (score 19–25)

1.16

[0.93, 1.45]

0.80

[0.61, 1.06]

1.43

[1.06, 1.93]

0.77

[0.47, 1.26]

  1. aDAVMFS (CDHS AV and above) represents decay experience according to clinical decay threshold. D2VMFS (CDHS 2 V and above) represents decay experience obvious decay threshold
  2. bUnadjusted and full-adjusted Negative binomial regression models were fitted, rate ratios (RR) were reported
  3. cRegular represents “for a check-up”, irregular/none combines “only when have trouble with teeth” and “never been to the dentist”
  4. *p < 0.05, **p < 0.01, ***p < 0.001