Pediatric dental care use and parent- or caregiver-rated oral health among Alabama children enrolled in Medicaid.
Children’s dental care
Consumer Assessment of Healthcare Providers and Systems
Medicaid
dental health services
oral health
Journal
Journal of the American Dental Association (1939)
ISSN: 1943-4723
Titre abrégé: J Am Dent Assoc
Pays: England
ID NLM: 7503060
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
08
11
2019
revised:
10
02
2020
accepted:
12
02
2020
entrez:
27
5
2020
pubmed:
27
5
2020
medline:
18
7
2020
Statut:
ppublish
Résumé
Reducing caries and improving access to dental care is a public health challenge. Understanding low use of dental care is of critical importance. This study estimated parent- or caregiver-reported prevalence and identified factors associated with children's dental care use, including the association with children's oral health. A cross-sectional analysis of children enrolled in Medicaid in Alabama, using data from the 2017 statewide Consumer Assessment of Healthcare Providers and Systems Health Plan Survey, was conducted. Associations were measured using adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) 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 through 3 years (aPR, 0.72; 95% CI, 0.53 to 0.91) had lower prevalence of care than 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 that dental care use 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). It was observed that children not receiving dental care had low-rated oral health; however, as a cross-sectional study, it was not possible to assess the temporality of this relationship. Oral health care providers should continue to recognize their role in educating parents and providing anticipatory guidance on children's oral health.
Sections du résumé
BACKGROUND
BACKGROUND
Reducing caries and improving access to dental care is a public health challenge. Understanding low use of dental care is of critical importance. This study estimated parent- or caregiver-reported prevalence and identified factors associated with children's dental care use, including the association with children's oral health.
METHODS
METHODS
A cross-sectional analysis of children enrolled in Medicaid in Alabama, using data from the 2017 statewide Consumer Assessment of Healthcare Providers and Systems Health Plan Survey, was conducted. Associations were measured using adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) from logit regression and generalized linear model postestimation of least-squares means.
RESULTS
RESULTS
The 6-month prevalence of children receiving dental care was 70.4%. Children aged 0 through 3 years (aPR, 0.72; 95% CI, 0.53 to 0.91) had lower prevalence of care than 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 that dental care use 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).
CONCLUSIONS
CONCLUSIONS
It was observed that children not receiving dental care had low-rated oral health; however, as a cross-sectional study, it was not possible to assess the temporality of this relationship.
PRACTICAL IMPLICATIONS
CONCLUSIONS
Oral health care providers should continue to recognize their role in educating parents and providing anticipatory guidance on children's oral health.
Identifiants
pubmed: 32450980
pii: S0002-8177(20)30118-5
doi: 10.1016/j.adaj.2020.02.016
pmc: PMC9743449
mid: NIHMS1850651
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
416-426Subventions
Organisme : NLM NIH HHS
ID : T15 LM012502
Pays : United States
Informations de copyright
Copyright © 2020 American Dental Association. Published by Elsevier Inc. All rights reserved.
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