Early Head Start, Pediatric Dental Use, and Oral Health-Related Quality of Life.

摘要: The objective of the study was to examine mediating effect child dental use on effectiveness North Carolina Early Head Start (EHS) in improving oral health-related quality life (OHRQoL). In total, 479 parents children enrolled EHS and 699 Medicaid-matched were interviewed at baseline when approximately 10 mo old 24 later. this quasi-experimental study, mediation analysis performed using counterfactual framework analysis, which employed 2 logit models with random effects: 1) for mediator as a function treatment covariates 2) outcome treatment, mediator, covariates. OHRQoL, need, survey language, propensity score. We used in-person computer-assisted, structured interviews collect information demographic characteristics administer Childhood Oral Health Impact Scale, measure OHRQoL. Dental had undesired direction 2-percentage point increase probability any negative impact OHRQoL (95% confidence interval [CI], 0.3%-3.9%). Even higher by participants, 8 percentage points lower if an individual moved from non-EHS group CI, -13.9% -1.2%). increases use, worsens family However, is associated improved overall. Knowledge Transfer Statement: Study results can inform policy makers that comprehensive early childhood education programs improve (OHRQoL) disadvantaged families young pathways outside clinical care. This awareness its promotion lead greater resource investments programs. Information about impacts should development testing strategies dentistry care experiences.