Dental Disparities among Low-Income American Adults: A Social Work Perspective

MacDougall, Hannah

doi:10.1093/hsw/hlw026

Cited by 11 publications

(10 citation statements)

References 4 publications

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“…Gift et al noted that this study indicates the burden of lost work/wages, school and activity is higher in populations with low economic status and lack of insurance. Gift et al [1], MacDougall [2] noted that a lack of dental care for people living in poverty may lead to a lower rate of employability related to missing teeth or dental deformities resulting in a further need for public assistance.…”

Section: Literature Reviewmentioning

confidence: 99%

“…A PEW Trust study found that the average cost of a Medicaid enrollee's inpatient hospital care for the treatment of dental issue far exceeds what it would cost for preventative treatment received in a dental office by nearly ten times. MacDougall [2], Davis et al [10] found that the cumulative charges by 5 Minnesota hospitals in a one-year period equaled 4,743,519 dollars. The authors noted that many of these charges were associated with visits that were avoidable or a result of incomplete treatment and a lack of follow up care resulting in repeat ER visits [10].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Research has shown that oral health not only has an impact on one's systemic health but also on quality of life and economic productivity [1][2][3]. Most dental conditions such as dental caries, pulpal lesions or periodontal conditions can be treated routinely in a private practice or a clinic-based setting.…”

Section: Introductionmentioning

confidence: 99%

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Emergency Room Utilization for Dental Treatment: the Socioeconomic Impact of Utilizing Emergency Rooms to Treat Non-Traumatic Dental Issues

O’Brien

2020

OJDOH

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Emergency Room Utilization for Dental Treatment: the Socioeconomic Impact of Utilizing Emergency Rooms to Treat Non-Traumatic Dental Issues

O’Brien

2020

OJDOH

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“…Most oral health-related ED visits are not necessarily trauma related and may include conditions such as tooth decay and periodontitis. More importantly, ED visits for NTDCs may reflect the inability of the individual to access regular dental care in the community [13] [14]. On a related note, recent findings have also elucidated the impact of socioeconomic and demographic factors on NTDCs [15].…”

Section: Introductionmentioning

confidence: 99%

Variations in temporal trends in non‐traumatic dental condition related emergencies

Nagarajan

Panny

Berg

et al. 2022

J Public Health Dent

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Objective The objective of the study was to investigate temporal trends in non‐traumatic dental condition (NTDC) related emergency visits at Emergency Department (ED), urgent care (UC), and at a Federally Qualified Health Center (FQHC) that providing dental services to a mid‐sized rural community. Methods Temporal trends over a 9‐year period (2008–2016) in NTDC rates at ED, UC, FQHC and in a region around the FQHC were determined. Statistically significant changes (α = 0.05) in the proportion of NTDC visits between FQHC and UC across each of the time points were investigated. Results Proportion of NTDC ED visits was relatively stable over the study period; whereas those at FQHC exceeded those at UC site beginning 2012 and were significantly (α = 0.05) higher than that of UC subsequently (2015–2016). Conclusions NTDCs are preventable dental conditions and the care provided in treating NTDCs in emergency settings is palliative and does not address the underlying conditions resulting in poor outcomes. The results presented elucidate the critical role of FQHCs in significantly reducing NTDC visits. These might be precursors to a potential shift in NTDC care seeking behavior and expected to favorably impact oral health outcomes.

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“…Adequate and equitable access to dental care continues to be a public health challenge in the United States, particularly for underrepresented racial minorities and those with low income 1‐5 . Oral diseases, if left untreated, may lead to pain, discomfort, social anxiety, depression, and problems chewing, talking, and smiling 6‐12 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and factors associated with unmet dental need among the US adult population in 2016

Taylor

Holmes

Blackburn

2020

Comm Dent Oral Epid

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Objectives Understanding and addressing contributing factors to unmet dental need is an important public health challenge. This study investigated the prevalence of, and factors associated with, self‐reported unmet dental need using a nationally representative sample of US adults. Methods This was a cross‐sectional study using the Medical Expenditures Panel Survey (MEPS) from 2016. The weighted prevalence of unmet dental need was estimated among individuals aged 18 years or older. Chi‐squared and multivariate logit regression with marginal effects (ie absolute risk differences) were used to measure the association of unmet dental need with respondent characteristics. Results The prevalence of adults reporting unmet dental need was 6% (95% CI: 5.5 to 6.5). Adults with dental insurance were 1.7 percentage points (95% CI: −2.8 to −0.6) less likely to report unmet dental needs than adults without dental insurance. Those with middle income were 2.3 percentage points (95% CI: 1.2 to 3.4), those with low income were 3.3 percentage points (95% CI: 1.7 to 5.0), and those with poor/negative/near‐poor income were 4.2 percentage points (95% CI: 2.7 to 5.7) more likely to report an unmet dental need than adults with high income. Both Hispanics (−1.7 percentage points [95% CI: −2.8 to −0.6]) and non‐Hispanic Blacks (−1.1 percentage points [95% CI: −2.1 to −0.1]) were less likely to report an unmet dental need than whites. Smoking, education, general health status, chronic disease and marital status were also significantly associated with reporting an unmet dental need. Conclusions Future policies should continue to address cost and coverage barriers to adult dental care, as these remain significant barriers to access, particularly for low‐income adults. Future research should evaluate the reasons adults report unmet dental need and explore how adults' judgment of dental need compares to providers' clinical judgment. Additionally, research that explores how race and ethnicity affect perceptions of unmet dental need is warranted.

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Dental Disparities among Low-Income American Adults: A Social Work Perspective

Cited by 11 publications

References 4 publications

Emergency Room Utilization for Dental Treatment: the Socioeconomic Impact of Utilizing Emergency Rooms to Treat Non-Traumatic Dental Issues

Emergency Room Utilization for Dental Treatment: the Socioeconomic Impact of Utilizing Emergency Rooms to Treat Non-Traumatic Dental Issues

Variations in temporal trends in non‐traumatic dental condition related emergencies

Prevalence of and factors associated with unmet dental need among the US adult population in 2016

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