Association between type of health insurance and children's oral health, NHANES 2011–2014

Duffy, Erin; Kranz, Ashley M.; Dick, Andrew W.; Sorbero, Mark J.; Stein, Bradley D.

doi:10.1111/jphd.12278

Cited by 13 publications

(9 citation statements)

References 17 publications

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“…The current study is also consistent with the results of other similar studies though context is different. For instance, Duffy et al (2018) found no significant difference in health status (e.g. dental caries) among for children aged 2-19 years by their insurance affiliations: public insurance, uninsured, private insurance, in the US.…”

Section: Discussionmentioning

confidence: 94%

Healthcare Policies for Stateless Populations in ASEAN Countries: A Scoping Review

Barua

Bangpan²,

Narattharaksa

et al. 2019

J Immigrant Minority Health

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Statelessness is the worst possible form of violation of fundamental human rights which can lead to serious adverse health outcome in children. The purpose of this study is to assess the association between insurance affiliations and health status of stateless children in terms of incidence of pneumonia compared to Thai children with the universal coverage scheme (UCS), and the uninsured children.

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Section: Discussionmentioning

confidence: 94%

Healthcare Policies for Stateless Populations in ASEAN Countries: A Scoping Review

Barua

Bangpan²,

Narattharaksa

et al. 2019

J Immigrant Minority Health

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“…The findings of this study were also consistent with the studies in an international context. For instance, Duffy et al (2018) found no significant difference in the oral health status (e.g. dental caries) among children aged 2-19 years according to their respective insurance affiliations: public insurance, uninsured and private insurance, in the USA.…”

Section: Discussionmentioning

confidence: 94%

The health status and insurance affiliation of stateless children in Tak Province, Thailand

Barua

Narattharaksa

2020

IJHRH

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Purpose Statelessness is the worst possible form of violation of fundamental human rights which can lead to improper health systems management and serious adverse health outcomes in children. To address this, the Thai Cabinet introduced the Health Insurance for People with Citizenship Problem (HIPCP) in 2010. The purpose of this study is to examine the association between insurance affiliations and the health status of stateless children insured with the HIPCP. The presence of pneumonia was selected as a proxy for health status. The comparison groups were Thai children insured with the Universal Coverage Scheme (UCS) which was launched in 2002 and the uninsured children of low-skilled migrants in Thailand. Design/methodology/approach A retrospective study was conducted at four selected district hospitals: Mae Ramat Hospital, Phop Phra Hospital, Tha Song Yang Hospital and Umphang Hospital in Tak Province, located in northwestern Thailand. The study used the medical records of children aged 0-15 years who were admitted to the aforementioned hospitals between January 1, 2013 and December 31, 2017. Multivariate logistic regression model was applied with a binary response variable (ever diagnosed with pneumonia: yes/no). Exposure was three types of insurance status (uninsured, HIPCP and UCS) while covariates were age, sex, domicile and year of hospitalization of children. Findings Of 7,098 hospitalized children between 2013 and 2017, 1,313 were identified with pneumonia. After controlling for key covariates, multivariate results depicted that the odds of pneumonia was 4 per cent higher in stateless children insured with the HIPCP as compared with uninsured children but non-significant (adjusted odds ratio [AOR] = 1.040, 95 per cent confidence interval [CI] = [0.526, 2.160], p = 0.916). Similarly, the odds of pneumonia was 10 per cent higher in Thai children insured with the UCS as compared with uninsured children but non-significant (AOR = 1.100, 95 per cent CI = [0.594, 2.180], p = 0.767). The children who were hospitalized in 2017 were 26 per cent more likely to have pneumonia as compared with those who were hospitalized in 2013 with statistical significance (AOR = 1.260, 95 per cent CI = [1.000, 1.580], p = 0.050). Results remained robust after performing sensitivity analyses. Social implications This study suggests that health insurance is not associated with the health status of vulnerable children especially in the presence of multiple health interventions for uninsured and/or undocumented children living along the Thai–Myanmar border area. Further experimental studies are warranted to understand the causal relationship between insurance and health outcomes and to overcome the limitations of this observational study. Originality/value This study has discovered that age and domicile of children are independently associated with pneumonia. In comparison with the youngest age group (0-1 year), the older age groups presented a significantly lower odds for pneumonia. The children living in Phop Phra, Tha Song Yang and Umphang districts revealed a reduced risk for pneumonia as compared with children living in Mae Ramat district.

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“…First, the migrant population has lower health insurance coverage and is not familiar with local oral health service policies [14] . Second, the utilization of dental care services is mainly related to family economic status [21], but most migrant families are poor. The treatment expense for oral diseases may be a large burden for lowincome families, and children from high-income families are more likely to receive treatment for caries [22].…”

Section: Discussionmentioning

confidence: 99%

Impact of migration on oral health outcomes of children in multiple-beneficial kindergartens in Nanning, southern China

Deng

Liang

et al. 2022

Preprint

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Objective To explore the effect of children’s migration on their oral health outcomes in multibeneficial kindergartens in Jiangnan District, Nanning, China, and to provide a basis for improving the oral health of migrant children. Methods A cross-sectional study was conducted among 470 children aged 5 years in Jiangnan District, Nanning, Guangxi. A questionnaire was used to collect information on their demographic and socioeconomic backgrounds, migration experience, eating habits, oral hygiene behaviours and utilization of dental care services. Dental caries of primary teeth was examined using the decayed, missing, and filled teeth (dmft) index recommended by the World Health Organization. Dental caries experience and oral health-related behaviours were compared between migrant and resident children. The impact of children’s migration attributes on their oral health outcomes was examined by univariate and multivariate analyses. Results Among the examined children, 52.3% were migrant children. The prevalence of caries among the children in multibeneficial kindergartens was 78.3%, and the mean number of dmft was 5.73 ± 5.00. The prevalence of caries was 81.7% for migrant children and 74.6% for resident children (p > 0.05). No significant difference was found in the mean numbers of DMFT between migrant children and resident children (5.96 ± 4.81 vs. 5.47 ± 5.20, p > 0.05). There were significant differences in the frequency of tooth brushing and parental help with tooth brushing, typical use of fluoride, regular dental check-ups and experience of dental fillings for caries between migrant and resident children (p < 0.05). The multivariate logistic regression analysis showed that among the children with caries, the proportion of resident children who had regular dental check-ups was 1.720 times higher than that of migrant children (95% CI = 1.155 ~ 2.560), and migrant children were more likely to have caries than resident children (OR = 3.313, 95% CI = 1.585 ~ 6.927). Conclusion Migration might be a significant predictive indicator for the poor utilization of dental care services by children in multibeneficial kindergartens in Nanning, China.

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Association between type of health insurance and children's oral health, NHANES 2011–2014

Cited by 13 publications

References 17 publications

Healthcare Policies for Stateless Populations in ASEAN Countries: A Scoping Review

Healthcare Policies for Stateless Populations in ASEAN Countries: A Scoping Review

The health status and insurance affiliation of stateless children in Tak Province, Thailand

Impact of migration on oral health outcomes of children in multiple-beneficial kindergartens in Nanning, southern China

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