The impact of income on children's and adolescents' preventive dental visits

作者: MARIA ROSA WATSON , RICHARD J. MANSKI , MARK D. MACEK

DOI: 10.14219/JADA.ARCHIVE.2001.0093

关键词: Medical Expenditure Panel SurveyDistribution (economics)Ethnic groupOutreachOdds ratioEnvironmental healthMEDLINEMedicineGerontologyPovertyMedicaid

摘要: ABSTRACT Introduction Limited information is available on the effect of income level whether people visit a dentist for preventive care, whereas more has been written regarding “any” dental visits—which may include emergencies. Also, little known effects “near-poor” (101 to 200 percent U.S. federal poverty level) visits and visits. The authors examined impact at “poor” levels made by children adolescents. Methods used data from 1996 Medical Expenditure Panel Survey adolescents younger than 19 years age estimate percentage this group who had They performed multiple logistic regression analysis adjust race ethnicity, sex. Results distribution those were poor was similar that near-poor, but with higher significantly different in lower groups. This true across all variables considered. Conclusions It important evaluate monitor care utilization trends near-poor categories separately, particularly states do not provide access under State Children's Health Insurance Program, or SCHIP. Enrollment eligible Medicaid SCHIP via oral health promotion outreach efforts, primary secondary services must be increased.

参考文章(15)
B Shah, B Barnwell, Gayle Bieler, SUDAAN User's Manual, Release 7.5, RTI International. P.O. Box 12194, Research Triangle Park, NC 27709-2194. Tel: 919-541-6000; e-mail: publications@rit.org; Web site: http://www.rti.org. ,(1997)
Ann S. O'Malley, Christopher B. Forrest, Continuity of care and delivery of ambulatory services to children in Community Health Clinics Journal of Community Health. ,vol. 21, pp. 159- 173 ,(1996) , 10.1007/BF01557996
Burton L Edeistein, Access to dental care for Head Start enrollees. Journal of Public Health Dentistry. ,vol. 60, pp. 221- 229 ,(2000) , 10.1111/J.1752-7325.2000.TB03332.X
HAROLD C. SLAVKIN, STREPTOCOCCUS MUTANS, EARLY CHILDHOOD CARIES AND NEW OPPORTUNITIES Journal of the American Dental Association. ,vol. 130, pp. 1787- 1792 ,(1999) , 10.14219/JADA.ARCHIVE.1999.0138
Lu Ann Aday, Ronald N. Forthofer, A profile of black and Hispanic subgroups' access to dental care: findings from the National Health Interview Survey. Journal of Public Health Dentistry. ,vol. 52, pp. 210- 215 ,(1992) , 10.1111/J.1752-7325.1992.TB02275.X
Peter Milgrom, Lloyd Mancl, Barbara King, Philip Weinstein, Norma Wells, Ellen Jeffcott, An Explanatory Model of the Dental Care Utilization of Low-Income Children Medical Care. ,vol. 36, pp. 554- 566 ,(1998) , 10.1097/00005650-199804000-00011
Wendy E Mouradian, Elizabeth Wehr, James J Crall, Disparities in Children's Oral Health and Access to Dental Care JAMA. ,vol. 284, pp. 2625- 2631 ,(2000) , 10.1001/JAMA.284.20.2625
CLEMENCIA M. VARGAS, JAMES J. CRALL, DONALD A. SCHNEIDER, Sociodemographic distribution of pediatric dental caries: NHANES III, 1988-1994. Journal of the American Dental Association. ,vol. 129, pp. 1229- 1238 ,(1998) , 10.14219/JADA.ARCHIVE.1998.0420
T A Lieu, S B Black, P Ray, M Chellino, H R Shinefield, N E Adler, Risk factors for delayed immunization among children in an HMO. American Journal of Public Health. ,vol. 84, pp. 1621- 1625 ,(1994) , 10.2105/AJPH.84.10.1621