Racial And Ethnic Disparities In Dental Care For Publicly Insured Children

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children
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DOI:
10.1377/hlthaff.2009.0089
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发表时间:
2010-07-01
期刊:
影响因子:
9.7
通讯作者:
Finocchio, Len
Finocchio, Len
中科院分区:
医学1区
文献类型:
--
作者:
Pourat, Nadereh;Finocchio, Len

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不良的口腔健康对儿童的健康成长具有重要影响。享受医疗补助的儿童,尤其是拉丁裔和非裔美国人,蛀牙发生率很高,但他们看牙医的频率却低于私人保险儿童。即使是拥有私人保险的拉丁裔和非裔美国儿童,也比白人儿童看牙医的可能性更小,而且看牙医的间隔时间也更长。此外,医疗补助中的拉丁裔和非裔美国儿童比医疗补助中的白人儿童更有可能有更长的就诊间隔。这些发现引起了人们对医疗补助是否有能力解决牙科保健以及更广泛的医疗保健方面的差异的担忧。
Poor oral health has important implications for the healthy development of children. Children in Medicaid, especially Latinos and African Americans, experience high rates of tooth decay, yet they visit dentists less often than privately insured children. Even Latino and African American children with private insurance are less likely than white children to visit dentists and have longer intervals between dental visits. Furthermore, Latino and African American children in Medicaid are more likely than white children in Medicaid to have longer intervals between visits. These findings raise concerns about Medicaid's ability to address disparities in dental care access and, more broadly, in health care.