The Association Between Medicaid Adult Dental Coverage And Children's Oral Health.
The Association Between Medicaid Adult Dental Coverage And Children's Oral Health.
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DOI：
10.1377/hlthaff.2021.01135
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Yang M
中科院分区：
文献类型：
--
作者：
Lipton BJ;Finlayson TL;Decker SL;Manski RJ;Yang M
虽然所有州的医疗补助计划都涵盖儿童的牙科保健，但符合医疗补助条件的儿童比高收入家庭的儿童更容易患蛀牙。我们研究了医疗补助成人牙科保险（一种可选福利）与儿童口腔健康之间的关系。在医疗补助登记的成年人获得覆盖至少一年后，成人牙科覆盖率与儿童未经治疗的龋齿患病率显著降低5个百分点相关。落后的政策也与家长报告的公平/贫困儿童口腔健康的减少。影响集中在12岁以下的儿童中。我们估计所有种族和民族亚组的口腔健康不良率都有所下降，尽管有证据表明非西班牙裔黑人儿童比非西班牙裔白色儿童受到更大和更持久的影响。未来对提供成人牙科保险的成本和效益的评估可能会考虑对成年医疗补助计划参保者子女的潜在影响。
While all state Medicaid programs cover children’s dental care, Medicaid-eligible children are more likely to experience tooth decay than children in higher income families. We examined the association between Medicaid adult dental coverage, an optional benefit, and children’s oral health. Adult dental coverage was associated with a significant 5 percentage point reduction in the prevalence of untreated caries among children after Medicaid-enrolled adults had access to coverage for at least one year. Lagged policies were also associated with a reduction in parent-reported fair/poor child oral health. Effects were concentrated among children under age 12. We estimated declines in poor oral health among all racial and ethnic subgroups, though there was some evidence that non-Hispanic black children experienced larger and more persistent effects than non-Hispanic white children. Future assessments of the costs and benefits of offering adult dental coverage may consider potential effects on the children of adult Medicaid enrollees.
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