Oral Health Care for Underserved Children in the United States

Culyer, Linda M.; Brown, Elaine Flagler; Kelly, Kathleen A.

doi:10.1080/07370016.2014.868729

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…The literature regarding access to veterinary care parallels the research in human healthcare, which perhaps indicates a One Welfare connection for families with companion animals. For example, increased risk of oral disease in children is associated with race (e.g., Black and Mexican Americans) and income (living below the poverty level) in the United States (74). The similarities between lack of access to veterinary care and health care demonstrate the impact of deprivation on human and non-human animal family members.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Relationship Between Human Social Deprivation and Animal Surrender to Shelters in British Columbia, Canada

Gordon

Protopopova

2021

Front. Vet. Sci.

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Previous studies identify owner-related issues, such as cost and housing, as common reasons for relinquishment of companion animals to animal shelters. It is likely that the burden of surrendering for owner-related reasons falls on those who are socially vulnerable (e.g., low income, unemployed); however, very few studies have assessed social determinants as a predictor of animal relinquishment. The present study used the Canadian Index of Multiple Deprivation (CIMD), which uses four factors of social vulnerability (Ethnocultural Composition, Economic Dependency, Residential Instability, and Situational Vulnerability) to predict risk of surrender for various reasons, of various species and breeds, and of various health statuses across British Columbia, Canada (n = 29,236). We found that CIMD factors predicted increased risk of surrender across many shelter variables. For further understanding of differences between areas in the province, the present study also analyzed the relationship between CIMD factors and animal surrender variables in two areas of interest: Metro Vancouver (n = 3,445) and Kamloops (n = 2,665), and plotted these relationships on a geospatial scale. We found that there were some similarities across areas, such as Situational Vulnerability predicting increased odds of surrendering pit bull-labeled dogs vs. all other dog breeds. There were also differences in predictors of animal surrender variables, suggesting that provision of animal services, such as veterinary care, for vulnerable groups may be specific to location. For example, whereas Ethnocultural Composition predicted increased risk of owner surrender for multiple owner-related reasons in Metro Vancouver, these same reasons for surrender were predicted by Residential Instability in Kamloops, indicating demographic differences that affect animal shelter service use. The results of this research validate the use of geospatial analysis to understand relationships between human vulnerability and animal welfare, but also highlight the need for further interventions in marginalized populations to increase retention of animals.

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Section: Discussionmentioning

confidence: 99%

Exploring the Relationship Between Human Social Deprivation and Animal Surrender to Shelters in British Columbia, Canada

Gordon

Protopopova

2021

Front. Vet. Sci.

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Evaluation of a Comprehensive Oral Health Services Program in School-Based Health Centers

Fowler

Matthews

Black

et al. 2018

Matern Child Health J

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Objectives In 2011, the Maternal and Child Health Bureau, within the Health Resources and Services Administration, awarded a 4-year grant to increase access to and assure the delivery of quality oral health preventive and restorative services to children. The grant was awarded to organizations serving high-need communities through school-based health centers (SBHCs). This article describes an independent evaluation investigating program efficacy, integration, and sustainability. Methods Program process and outcomes data were gathered from interim and final reports. Interviews with key informants were conducted by phone, and analyzed in NVivo qualitative software. Results Students had great need for comprehensive services: on average, 45% had dental caries at enrollment. Enrollment increased from 5000 to more than 9700, and the percent receiving preventive services increased from 58 to 88%. Results of the analytically weighted linear regression show statistically significant increases in the proportion of enrollees who had their teeth cleaned in the past year (t(4) = 5.19, β = 8.85, p < 0.05) and those receiving overall preventive services (t(4) = 13.52, β = 10.93, p < 0.01). Grantees integrated into existing programs using clear, consistent, and open communication. Grantees sustained the full suite of services beyond the grant period by increasing billing and insurance claims while still offering free and reduced-cost services to those uninsured or otherwise unable to pay. Conclusions for Practice This project demonstrates that access to comprehensive oral health care for children can be expanded through SBHCs. State Title V Block Grant and other similar federal initiatives can learn from the strategic approaches used to overcome challenges in the school-based environment.

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Impacting Vulnerable Populations Through Integrating Oral Health Care Into Nurse-managed Health Centers

Vece¹,

Sutter²,

Sutter³

et al. 2016

The Journal for Nurse Practitioners

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Oral Health Care for Underserved Children in the United States

Cited by 3 publications

References 14 publications

Exploring the Relationship Between Human Social Deprivation and Animal Surrender to Shelters in British Columbia, Canada

Exploring the Relationship Between Human Social Deprivation and Animal Surrender to Shelters in British Columbia, Canada

Evaluation of a Comprehensive Oral Health Services Program in School-Based Health Centers

Impacting Vulnerable Populations Through Integrating Oral Health Care Into Nurse-managed Health Centers

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