Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study
Objective: To investigate the relationship between maternal alcohol-use disorder and dental hospital admissions in children up to 5 years of age. Study design: Mothers with an International Classification of Diseases, 9th revision/10th revision alcohol-related diagnosis, a proxy for alcohol-use dis...
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| Format: | Journal Article |
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Mosby, Inc.
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/36039 |
| _version_ | 1848754658524266496 |
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| author | O'Leary, Colleen Slack-Smith, L. |
| author_facet | O'Leary, Colleen Slack-Smith, L. |
| author_sort | O'Leary, Colleen |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To investigate the relationship between maternal alcohol-use disorder and dental hospital admissions in children up to 5 years of age. Study design: Mothers with an International Classification of Diseases, 9th revision/10th revision alcohol-related diagnosis, a proxy for alcohol-use disorder, were identified through the Western Australian data-linkage system. Exposed mothers were frequency-matched by maternal age, Aboriginal status, and child's birth year to randomly selected comparison mothers without an alcohol diagnosis. Linkage with the Midwives Notification System (1983-2002) identified all births of these mothers; “exposed” (non-Aboriginal, n = 11 171; Aboriginal, n = 8145) and comparison cohorts (non-Aboriginal, n = 32 508; Aboriginal, n = 16 719). Dental hospital admissions were identified through linkage with Hospital Morbidity Data (1983-2007) (3.2% exposed; 3.0% comparison) and cases of fetal alcohol syndrome (n = 84) through linkage with the Western Australian Register of Developmental Anomalies. ORs and 95% CIs for having a dental admission (International Classification of Diseases, 9th revision: 520-529; International Classification of Diseases, 10th revision: K0-K14.9) were generated by the use of generalized estimating equations, which we adjusted for potential confounding factors (aOR).Results: Children of mothers with an alcohol-related diagnosis had increased adjusted odds of gingivitis and periodontal diseases (aOR 1.67; 95% CI 1.12-2.51) and “other” diseases of the lip and oral mucosa (aOR 1.56; 95% CI 1.21-2.01). Diseases of the salivary glands were increased only in Aboriginal children of mothers with an alcohol-related diagnosis (aOR 2.65; 95% CI 1.09-6.44). Children diagnosed with fetal alcohol syndrome had increased ORs of any dental admission (aOR 2.58; 95% CI 1.30-5.11). Conclusions: Maternal alcohol-use disorder was associated with dental admissions related to disorders of the soft tissues, but questions remain regarding perinatal influences on dental admissions and disease. |
| first_indexed | 2025-11-14T08:43:55Z |
| format | Journal Article |
| id | curtin-20.500.11937-36039 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:43:55Z |
| publishDate | 2013 |
| publisher | Mosby, Inc. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-360392017-09-13T15:51:05Z Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study O'Leary, Colleen Slack-Smith, L. maternal alcohol-use disorder Western Australian Register of Developmental Anomalies hospital morbidity data periodontal diseases perinatal influences data-linkage dental hospital admissions fetal alcohol syndrome Aboriginal Objective: To investigate the relationship between maternal alcohol-use disorder and dental hospital admissions in children up to 5 years of age. Study design: Mothers with an International Classification of Diseases, 9th revision/10th revision alcohol-related diagnosis, a proxy for alcohol-use disorder, were identified through the Western Australian data-linkage system. Exposed mothers were frequency-matched by maternal age, Aboriginal status, and child's birth year to randomly selected comparison mothers without an alcohol diagnosis. Linkage with the Midwives Notification System (1983-2002) identified all births of these mothers; “exposed” (non-Aboriginal, n = 11 171; Aboriginal, n = 8145) and comparison cohorts (non-Aboriginal, n = 32 508; Aboriginal, n = 16 719). Dental hospital admissions were identified through linkage with Hospital Morbidity Data (1983-2007) (3.2% exposed; 3.0% comparison) and cases of fetal alcohol syndrome (n = 84) through linkage with the Western Australian Register of Developmental Anomalies. ORs and 95% CIs for having a dental admission (International Classification of Diseases, 9th revision: 520-529; International Classification of Diseases, 10th revision: K0-K14.9) were generated by the use of generalized estimating equations, which we adjusted for potential confounding factors (aOR).Results: Children of mothers with an alcohol-related diagnosis had increased adjusted odds of gingivitis and periodontal diseases (aOR 1.67; 95% CI 1.12-2.51) and “other” diseases of the lip and oral mucosa (aOR 1.56; 95% CI 1.21-2.01). Diseases of the salivary glands were increased only in Aboriginal children of mothers with an alcohol-related diagnosis (aOR 2.65; 95% CI 1.09-6.44). Children diagnosed with fetal alcohol syndrome had increased ORs of any dental admission (aOR 2.58; 95% CI 1.30-5.11). Conclusions: Maternal alcohol-use disorder was associated with dental admissions related to disorders of the soft tissues, but questions remain regarding perinatal influences on dental admissions and disease. 2013 Journal Article http://hdl.handle.net/20.500.11937/36039 10.1016/j.jpeds.2013.02.020 Mosby, Inc. restricted |
| spellingShingle | maternal alcohol-use disorder Western Australian Register of Developmental Anomalies hospital morbidity data periodontal diseases perinatal influences data-linkage dental hospital admissions fetal alcohol syndrome Aboriginal O'Leary, Colleen Slack-Smith, L. Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title | Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title_full | Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title_fullStr | Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title_full_unstemmed | Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title_short | Dental hospital admissions in children of mothers with an alcohol-related diagnosis: A population-based, data-linkage study |
| title_sort | dental hospital admissions in children of mothers with an alcohol-related diagnosis: a population-based, data-linkage study |
| topic | maternal alcohol-use disorder Western Australian Register of Developmental Anomalies hospital morbidity data periodontal diseases perinatal influences data-linkage dental hospital admissions fetal alcohol syndrome Aboriginal |
| url | http://hdl.handle.net/20.500.11937/36039 |