Dental Service Utilization Among Children in the Child Welfare System.
Dental Service Utilization Among Children in the Child Welfare System.
复制标题
DOI：
10.1007/s10995-018-2444-y
复制
发表时间：
2018-05
影响因子：
2.3
通讯作者：
Seidman R
中科院分区：
文献类型：
--
作者：
Finlayson TL;Chuang E;Baek JD;Seidman R
检查与儿童福利系统（CWS）儿童牙科利用相关的易感因素，使能因素和需求相关因素。数据分析来自全国儿童和青少年福祉调查（NSCAW；第二波），这是2008-2009年福利评估后的全国儿童（2-17岁）概率样本（n=2806）。在过去的一年中，护理人员报告的儿童接受牙科服务是加权逻辑回归模型的结果。三分之二的儿童最近去看了牙医。年龄较大的儿童（6-11岁的OR为2.95,95% CI为2.06,4.21；12-17岁的OR为2.47，CI为1.82,3.37，与2-5岁的儿童相比）更有可能去看牙医，受教育程度较高的照顾者的孩子也更有可能去看牙医（高中以上的OR为1.68，CI为1.20,2.36，OR为2.45，CI为1.71,3.52）。没有常规护理来源的儿童（OR 0.50; CI 0.27,0.94）和与非亲生父母一起生活的儿童最近就诊的几率较低（OR 0.64; CI 0.43,0.97）。有牙齿问题的儿童最近就诊的可能性是其他儿童的两倍（OR 2.02; CI 1.21,3.38），而没有满足需求且负担不起护理费用的儿童利用服务的可能性较低（OR 0.28; CI 0.16,0.46）。CWS的许多儿童，特别是年龄较小的儿童（2-5岁），在过去一年中没有进行牙科检查。费用是一个障碍，照顾者的身份与获得牙科护理的可能性有关。保健和社会服务提供者应将这些儿童转介接受牙科护理。
To examine predisposing, enabling, and need-related factors associated with dental utilization by children involved with the child welfare system (CWS). Data were analyzed from the National Survey of Child and Adolescent Well-Being (NSCAW; Wave II), a national probability sample of children (2-17 years) following a welfare assessment during 2008-2009 (n=2806). Caregiver-reported child receipt of dental services in the past year was the outcome in weighted logistic regression models. Two-thirds of children had a recent dental visit. Older children (OR 2.95, 95% CI 2.06,4.21 for ages 6-11; OR 2.47, CI 1.82,3.37 for ages 12-17, compared to ages 2-5) were more likely to have visited the dentist, as were children of more educated caregivers (OR 1.68; CI 1.20,2.36 for high school, OR 2.45; CI 1.71,3.52 for more than high school). Children without a usual source of care (OR 0.50; CI 0.27,0.94) and those living with non-biological parents had lower odds of a recent visit (OR 0.64; CI 0.43,0.97). Children with dental problems were twice as likely to have a recent visit (OR 2.02; CI 1.21,3.38), while children with unmet needs who could not afford care had lower odds of utilizing services (OR 0.28; CI 0.16,0.46). Many children in the CWS, especially younger children (ages 2-5), did not have a reported dental visit in the past year. Cost was a barrier, and caregiver status was associated with the likelihood of obtaining dental care. Health and social service providers should refer these children for dental care.
登录
查看更多内容
影响因子：
8
作者：
Isong, Inyang A.;Soobader, Mah-J;Newacheck, Paul W.
通讯作者：
Newacheck, Paul W.
DOI：
10.2147/ccide.s41499
发表时间：
2014
期刊：
Clinical, cosmetic and investigational dentistry
影响因子：
--
作者：
Bhaskar V;McGraw KA;Divaris K
通讯作者：
Divaris K
影响因子：
8
作者：
Divaris, Kimon;Lee, Jessica Y.;Vann, William F., Jr.
通讯作者：
Vann, William F., Jr.
DOI：
10.14219/jada.archive.2009.0250
发表时间：
2009-06-01
影响因子：
3.9
作者：
Casamassimo, Paul S.;Thikkurissy, Sarat;Maiorini, Elyse
通讯作者：
Maiorini, Elyse
影响因子：
5
作者：
ANDERSEN, RM
通讯作者：
ANDERSEN, RM