Aim: To explore ethnic variations in social background of successful applicants to undergraduate United Kingdom medical and dental schools.
Method: Retrospective analyses of University and College Admissions Services data on all students to commence study in pre-clinical medicine and dentistry, during the academic years 1994/5, 1995/6 and 1996/7. Analyses were undertaken for two categories of social class, namely higher (professional and intermediate) and lower (skilled non-manual, skilled manual, partly skilled, and unskilled) social class.
Results: Over 15 thousand students were accepted to study medicine and dentistry during the three-year study period, of which 80% were from high social class backgrounds. More medical (80.9%) students were from high social class backgrounds than dental (73.3%) students (OR = 1.54, 95% CI = 1.39, 1.70). Social class differences were observed, with a greater proportion of higher social class students amongst the white students than amongst the minority ethnic students (OR = 1.42, 95% CI = 1.30, 1.55). This was more marked in dentistry (OR = 1.48, 95% CI = 1.22, 1.79) than in medicine (OR = 1.35, 95% CI = 1.22, 1.49). More students from higher social class backgrounds were observed in medicine than in dentistry amongst the black (OR = 1.55, 95% CI = 0.59, 4.00), Indian (OR = 2.04, 95% CI = 1.58, 2.62) and white (OR = 1.44, 95% CI = 1.26, 1.64) groups.
Conclusions: Significant inter-ethnic differences are observed in the social background of students entering medicine and dentistry. Dentistry accepted a greater proportion of students from lower social class backgrounds and from black and minority ethnic groups.