Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

Abstract

Introduction. Tooth extraction due to dental caries is associated with socioeconomic deprivation and is a major reason for elective childhood hospital admissions in England. Consumption of sugar-sweetened beverages is a risk factor for dental caries. We examined whether the soft drinks industry levy (SDIL), announced in March 2016 and implemented in April 2018, was associated with changes in incidence rates of hospital admissions for carious tooth extraction in children, 22 months post-SDIL implementation.
Methods. Changes in incidence rates of monthly National Health Service hospital admissions for extraction of teeth due to a primary diagnosis of dental caries (International Classification of Diseases; ICD-10 code: K02) in England, between January 2012 and February 2020, were estimated using interrupted time series and compared with a counterfactual scenario where SDIL was not announced or implemented. Periodical changes in admissions, autocorrelation and population structure were accounted for. Estimates were calculated overall, by Index of Multiple Deprivation (IMD) fifths and by age group (0-4 years, 5-9 years, 10-14 years, 15-18 years).
Results. Compared with the counterfactual scenario, there was a relative reduction of 12.1% (95% CI 17.0% to 7.2%) in hospital admissions for carious tooth extractions in all children (0-18 years). Children aged 0-4 years and 5-9 years had relative reductions of 28.6% (95% CI 35.6% to 21.5%) and 5.5% (95% CI 10.5% to 0.5%), respectively; no change was observed for older children. Reductions were observed in children living in most IMD areas regardless of deprivation.
Conclusion. The UK SDIL was associated with reductions in incidence rates of childhood hospital admissions for carious tooth extractions, across most areas regardless of deprivation status and especially in younger children.

People
Rogers, Nina Trivedy
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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Conway, D.
Author

Serban, Stefan and Conway, David (2025) Sugar tax impact on oral health and the need to go further upstream. British Dental Journal, 238 (8). pp. 642-643. ISSN 0007-0610

Warner, Frances and Sherriff, Andrea and Culshaw, Shauna and Holliday, Richard and Ryan, Vicky and Conway, David I. (2024) Trends and socioeconomic inequalities in the dental attendance of adult smokers in Scotland from 2009 to 2019, a repeated cross-sectional study. BMC Public Health, 24 (1): 2156. ISSN 1471-2458

Smith, Craig D.L. and McMahon, Alex D. and Purkayastha, Mitana and Creaney, Grant and Clements, Kelten and Inman, Gareth J. and Bhatti, Lesley A. and Douglas, Catriona M. and Paterson, Claire and Conway, David I. (2024) Head and neck cancer incidence is rising but the sociodemographic profile is unchanging: a population epidemiological study (2001-2020). BJC Reports, 2: 71. ISSN 2731-9377

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Mytton, OliveR
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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Roberts, Chrissy H.
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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Rutter, Harry
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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Sherriff, Andrea
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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White, Martin
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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Adams, Jean
Author

Rogers, Nina Trivedy and Conway, David I. and Mytton, OliveR and Roberts, Chrissy H. and Rutter, Harry and Sherriff, Andrea and White, Martin and Adams, Jean (2024) Estimated impact of the UK soft drinks industry levy on childhood hospital admissions for carious tooth extractions: interrupted time series analysis. BMJ Nutrition, Prevention and Health, 6 (2). pp. 243-252. ISSN 2516-5542

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