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Modelling the impact of process variables in community fluoridated milk schemes on a population of UK schoolchildren.

Foster, G R K; Downer, M C; Tickle, M

British dental journal. 2011;210(10):E17.

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Abstract

BACKGROUND: Dental caries is a public health problem. Fluoridated milk (FM) schemes are used as a preventive measure. The impact of process variables in these schemes is not understood. METHODS: Process variable data on the number of days of consumption, attendance, volume consumed, parental consent together with the proportion of children drinking FM at 7- and 11-years old were aggregated from eight schemes in the UK. The impact of process variables was modelled in an 'averaged' scheme (reduced in effectiveness by process variables) and compared with a notional 'ideal' one in which no process variables operate. Parental consent was analysed according to socio-economic groupings. RESULTS: Proportion of days per year FM was consumed: 0.52. Values for process variables were: attendance rate 0.94; proportion of milk consumed 0.91; proportion of children with parental consent at 5 years 0.65; proportion drinking FM at 7 and 11 years respectively 0.54 and 0.27. No clear trends were observed for parental consent across socio-economic groupings. CONCLUSION: Modelling suggests that due to the cumulative impact of process variables, there is cause for concern about the effectiveness of FM schemes as currently managed in the UK as a standalone public health measure for the prevention of caries.

Bibliographic metadata

Type of resource:
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Publication type:
Published date:
Journal title:
Abbreviated journal title:
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Place of publication:
England
Volume:
210
Issue:
10
Pagination:
E17
Digital Object Identifier:
10.1038/sj.bdj.2011.388
Pubmed Identifier:
21617649
Pii Identifier:
sj.bdj.2011.388
Access state:
Active

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Record metadata

Manchester eScholar ID:
uk-ac-man-scw:132590
Created by:
Tickle, Martin
Created:
6th October, 2011, 08:57:55
Last modified by:
Tickle, Martin
Last modified:
6th October, 2011, 08:57:55

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