Pediatric dental care use and parent- or caregiver-rated oral health among Alabama children enrolled in Medicaid.
Pediatric dental care use and parent- or caregiver-rated oral health among Alabama children enrolled in Medicaid.
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DOI：
10.1016/j.adaj.2020.02.016
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发表时间：
2020-06
影响因子：
3.9
通讯作者：
Sen, Bisakha
中科院分区：
文献类型：
--
作者：
Blackburn, Justin;Bennett, Aleena;Fifolt, Matthew;Rucks, Andrew C.;Taylor, Heather;Wolff, Paul;Sen, Bisakha
关键词：
Reducing tooth decay and improving access to dental care remains a public health challenge. Understanding low utilization of care remains a critical gap. This study estimated parent/caregiver-reported prevalence and identified factors associated with children’s dental care utilization, including the association with children’s oral health. A cross-sectional analysis of Medicaid-enrolled children in Alabama using data from the 2017 statewide Consumer Assessment of Healthcare and Providers and Systems (CAHPS®) Health Plan Survey. Associations were measured using adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI) from logit regression and generalized linear model postestimation of least squares means. The 6-month prevalence of children receiving dental care was 70.4%. Children aged 0-3 years (aPR, 0.72; 95% CI, 0.53 to 0.91) had lower prevalence of care compared to other age groups. The prevalence of low-rated oral health was 9.2%. Low-rated oral health was associated with not receiving dental care (aPR, 1.50; 95% CI, 1.12 to 1.87) and parental education of 8th grade or less (aPR 2.59; 95% CI 1.20 to 3.98). Falsification tests determined dental care utilization was not associated with ratings for overall health (aPR, 1.18; 95% CI, 0.83 to 1.52) or emotional health (aPR, 1.06; 95% CI, 0.79 to 1.33). We observed children not receiving dental care had low-rated oral health; however, as a cross-sectional study, we were unable to assess the temporality of this relationship. Dental care providers should continue to recognize their role in educating parents and providing anticipatory guidance on children’s oral health.
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影响因子：
--
作者：
Lin M;Thornton-Evans G;Griffin SO;Wei L;Junger M;Espinoza L
通讯作者：
Espinoza L
DOI：
10.14219/jada.archive.2013.0117
发表时间：
2013-03
期刊：
Journal of the American Dental Association (1939)
影响因子：
--
作者：
Hom JM;Lee JY;Silverman J;Casamassimo PS
通讯作者：
Casamassimo PS
影响因子：
2.3
作者：
Bhagavatula, Pradeep;Xiang, Qun;Okunseri, Christopher
通讯作者：
Okunseri, Christopher
影响因子：
8
作者：
Isong, Inyang A.;Soobader, Mah-J;Newacheck, Paul W.
通讯作者：
Newacheck, Paul W.
影响因子：
7.6
作者：
Fontana, M.;Jackson, R.;Zero, D. T.
通讯作者：
Zero, D. T.