Dental insurance and its impact on preventive dental care visits for U.S. children

Lewis, Carol; Mouradian, Wendy E.; Slayton, Rebecca L.; Williams, Alexis

doi:10.14219/jada.archive.2007.0170

Cited by 61 publications

(71 citation statements)

References 12 publications

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“…The 2007 National Survey of Children's Health accounted socioeconomic status for 71% of the gap in preventive dental care between African-American and Caucasian children [9]. The type of dental insurance has not been found to affect preventive dental care in African-American children [12]. While some studies have found that medical insurance has been associated with greater dental use [13], our study did not.…”

Section: Discussioncontrasting

confidence: 65%

“…However, like our study, many other studies have found less dental care in African-American children and adults when compared with Caucasians [7][8][9][10][11][12]. In 2004, the Medical Expenditure Panel surveyed 34,403 individuals.…”

Section: Discussionsupporting

confidence: 54%

“…One large study with over 33,000 children found that children with private dental insurance (68%) had more dental care in the prior 6 months than children with public dental insurance (55%) who in turn saw the dentist more than children without dental insurance (27%) [14]. Like children, adults without dental insurance have been found to receive less preventive dental care [11,12,15]. From 1996 to 2000, the incorporation of dental insurance in the State Children's Health Insurance Program and Medicaid Programs led to increased preventive dental care [16].…”

Section: Discussionmentioning

confidence: 99%

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Predictors of preventive dental care

Damore¹,

Feustel²,

Robak³

et al. 2014

Emerg Med Health Care

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Background: It was postulated that parents would receive less preventive dental care than their children and that adults would receive more preventive dental care than parents. Other predictors were also explored. Methods: A convenience sample of adults and parents, presenting to the emergency department, answered questions about age, ethnicity, education, medical insurance, dental insurance, and preventive and emergency dental care in the past year. Parents answered similar questions for a child >3 years to <18 years. Parents were defined as living with their children <18 years. Significant univariate odds ratios based on group (adult, parent or child), age, ethnicity, education, medical insurance, dental insurance and emergency dental care were then analyzed using stepwise logistic regression. Results: Four independent predictors of preventive dental care were found. Adults and African-Americans received less preventive dental care while dental insurance and emergency dental care were associated with more preventive dental care. Conclusions: Emergency physicians can encourage preventive dental care for all patients especially adults, African-Americans and those receiving emergency dental care. Also, those without dental insurance can be assisted.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

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Predictors of preventive dental care

Damore¹,

Feustel²,

Robak³

et al. 2014

Emerg Med Health Care

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“…9,10,13,15,20 Studies conducted in middle-or low-income countries, such as Brazil, 11,17 Mexico, 14 and the Phillippines, 4 investigated different outcomes, including the following: Has the child visited the dentist at least once? Has the child seen a dentist in the last 12 months for any reason or for prevention purposes?…”

Section: Introductionmentioning

confidence: 99%

Preditores da realização de consultas odontológicas de rotina e por problema em pré-escolares

et al. 2012

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OBJECTIVE:To estimate the prevalence of dental visits among preschool children and determine the factors associated with using dental services. METHODS:A cross-sectional study was conducted with 1,129 fi ve-year-old children from the Pelotas Birth Cohort Study in Pelotas (Southern Brazil) 2004, from September 2009 to January 2010. Use of dental services at least once in the child's life and the reason for the child's fi rst dental visit were recorded. The categories assigned for the fi rst dental visit were: routine checkup, resolution of a problem, or never saw a dentist. The oral examinations and interviews were performed in the children's homes. Socioeconomic aspects and independent variables related to the mother and child were analyzed using multivariable logistic regression. RESULTS:The prevalence of dental visits (both categories combined) was 37.0%. The main predictors for a routine visit were higher economic status, mothers with more schooling, and mothers who had received guidance about prevention. Major predictors for a visit because of a problem were having felt pain in the previous six months, mothers with higher education level, and mothers who had received guidance about prevention. Approximately 45.0% of mothers received information about how to prevent cavities, usually from the dentist. Children of mothers who adhered to health programs were more likely to have had a routine dental visit. CONCLUSIONS:The rate of preschool visits to dental services was lower than the rate for medical appointments (childcare). In addition to income and education, maternal behavior plays an important role in routine visits. Pain reported in the last six months and a high number of teeth affected by tooth decay, independent of other factors, were associated with visits for a specifi c problem. It is important to integrate oral health instruction into maternal and child health programs.

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“…15 Nationally representative surveys have found links between caregivers' age, health status, race, ethnicity, education, income, insurance status, and their children' s receipt of preventive dental care. 9,16,17 Without proper guidance and counseling, caregivers' dental care seeking for their children may be probleminitiated, episodic, and therefore poorly and inappropriately timed and ineffective. To make matters worse, caregivers are generally not adept at recognizing the initial signs of early childhood caries in very young children.…”

mentioning

confidence: 99%

Influence of Caregivers and Children’s Entry Into the Dental Care System

Divaris¹,

Lee²,

Baker³

et al. 2014

Pediatrics

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OBJECTIVES: Early preventive dental visits are essential in improving children’s oral health, especially young children at high risk for dental caries. However, there is scant information on how these children enter the dental care system. Our objectives were as follows: (1) to describe how a population-based cohort of young Medicaid-enrolled children entered dental care; and (2) to investigate the influence of caregiver characteristics on their children’s dental care–seeking patterns. METHODS: We relied on Medicaid claims and interview data of caregiver–child dyads who were enrolled in the Carolina Oral Health Literacy study during 2007–2008. The analytical cohort comprised 1000 children who had no dental visits before enrollment. Additional information was collected on sociodemographic characteristics, oral health status, health literacy, dental neglect, and access to care barriers. Our analyses relied on descriptive, bivariate, and multivariate methods. RESULTS: During the 25-month median follow-up period, 39% of the children (mean baseline age: 16 months) entered the dental care system, and 13% of their first encounters were for emergency care. Caregivers’ dental neglect emerged as a significant predictor of nonentrance. Children with reported oral health problems at baseline were more likely to enter the dental care system compared with children with better oral health, but they were also more likely to require emergency care. CONCLUSIONS: Caregivers have a pivotal role in children’s oral health and care. Interventions aimed at improving children’s oral health should involve community outreach to engage caregivers in a culturally appropriate manner when their children are infants or toddlers.

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Dental insurance and its impact on preventive dental care visits for U.S. children

Cited by 61 publications

References 12 publications

Predictors of preventive dental care

Predictors of preventive dental care

Preditores da realização de consultas odontológicas de rotina e por problema em pré-escolares

Influence of Caregivers and Children’s Entry Into the Dental Care System

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