Previous Medicaid Expansion May Have Had Lasting Positive Effects On Oral Health Of Non-Hispanic Black Children
Previous Medicaid Expansion May Have Had Lasting Positive Effects On Oral Health Of Non-Hispanic Black Children
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DOI：
10.1377/hlthaff.2016.0865
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发表时间：
2016-12-01
期刊：
影响因子：
9.7
通讯作者：
Decker, Sandra
中科院分区：
文献类型：
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作者：
Lipton, Brandy J.;Wherry, Laura R.;Decker, Sandra
健康的牙齿发育在生命早期就开始了，甚至在出生前就开始了。我们提出的新证据表明，在20世纪80年代和90年代，美国孕妇和儿童的历史性公共健康保险扩张可能对获得资格的儿童的口腔健康产生了长期影响。我们估计成人口腔健康和国家公共健康保险资格的范围之间的关系，孕妇，婴儿和儿童在整个儿童期分别为非西班牙裔白人，非西班牙裔黑人和西班牙裔。我们发现，在非西班牙裔黑人中，扩大针对孕妇和儿童的医疗补助覆盖范围与成年后更好的口腔健康有关。我们的研究结果还表明，在非西班牙裔黑人和西班牙裔美国人中，扩大1-6岁儿童的公共医疗保险资格可能是有益的。医疗补助的扩大似乎对某些低收入儿童产生了长期影响，并有助于缩小成人口腔健康的种族/民族差异。
Healthy tooth development starts early in life, beginning even before birth. We present new evidence suggesting that a historic public health insurance expansion for pregnant women and children in the United States in the 1980s and 1990s may have had long-lasting effects on the oral health of the children gaining eligibility. We estimated the relationship between adult oral health and the extent of state public health insurance eligibility for pregnant women, infants, and children throughout childhood separately for non-Hispanic whites, non-Hispanic blacks, and Hispanics. We found that expanded Medicaid coverage geared toward pregnant women and children during their first year of life was linked to better oral health in adulthood among non-Hispanic blacks. Our results also suggested that there might be a benefit to expanded public health insurance eligibility for children at ages 1-6 among non-Hispanic blacks and Hispanics. Medicaid expansions appear to have had long-lasting effects for certain low-income children and helped narrow racial/ethnic disparities in adult oral health.