Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities

Hall, Jean P.; Chapman, Shawna L. Carroll; Kurth, Noelle K.

doi:10.1111/j.1752-7325.2012.00359.x

Cited by 27 publications

(27 citation statements)

References 5 publications

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“…The entire US employed population lost 1.5 hours per year on average, or 164 million hours in aggregate, for dental visits or problems . Other studies found that poor oral health was associated with low self‐esteem, preventing attendance at job interviews or regular work, reducing applicants’ employability due to social stigma , and creating difficulties with job performance and unemployment, especially for disabled adults . Nearly 18 percent of US residents 18 years of age and older reported that the appearance of their mouth and teeth affected their ability to interview for a job; this percentage increased to 29 percent for those in low‐income households .…”

Section: Introductionmentioning

confidence: 99%

Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment

Halasa‐Rappel

Tschampl

Foley³

et al. 2019

J Public Health Dent

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Objectives We aimed to quantify the impact of dental caries and missing anterior teeth on employment, estimate the impact of a routine dental visit on the health of anterior teeth, and the benefits of expanding dental coverage for nonelderly adults. Methods We used the 2013–2014 Continuous National Health and Nutritional Examination Survey to develop a dental problem index (DPI) using tooth counts and tooth surface conditions. We estimated the impact of DPI on employment with logistic regression, controlling for seven demographic and socioeconomic covariates. We used a routine dental visit within 6 months as a proxy for access to dental services, and a linear regression to predict the DPI score for an average individual with and without a recent routine dental visit. We then computed the incremental probability of employment associated with a recent routine dental visit. Finally, we estimated the additional number of working age adults who might become employed due to improved access to dental services. Results The probability of being employed was negatively associated with poor oral health: a one‐point increase in DPI decreased the odds of being employed by 7.70 percent (CI: 5.15–10.19%). Having a routine dental visit had a negative and statistically significant impact on DPI [−0.41 (CI: −0.68 to −0.14)]. The incremental probability of employment associated with a routine dental visit was 0.62 percent (CI: 0.21–1.03%). Conclusions Oral health in the United States is worse among minorities and poor than among other residents. The benefits associated with access to dental care should justify expanding dental services.

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Section: Introductionmentioning

confidence: 99%

Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment

Halasa‐Rappel

Tschampl

Foley³

et al. 2019

J Public Health Dent

View full text Add to dashboard Cite

show abstract

“…Those with special needs who are more independent, such as those who are employed, can self-consent to research and self-report on their health. Hall, Chapman, and Kurth (2013) surveyed 433 adults with Social Security-determined disabilities enrolled in the Kansas Working Healthy project. Compared with the US population, the sample had significantly greater prevalence of painful aching, uncomfortable eating, and difficulty working due to dental problems.…”

Section: Introductionmentioning

confidence: 99%

Oral health-related quality of life improves in employees with disabilities following a workplace dental intervention

Pradhan

Keuskamp

Brennan

2016

Evaluation and Program Planning

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Please cite this article as: Pradhan, Archana., Keuskamp, Dominic., & Brennan, David., Oral health-related quality of life improves in employees with disabilities following a workplace dental intervention.Evaluation and Program Planning http://dx.doi.org/10. 1016/j.evalprogplan.2016.07.003 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. ABSTRACTThis pilot study evaluated a dental intervention for employees with disabilities by measuring changes in self-rated oral health, dental behaviours and oral health-related quality of life (OHRQol). Consenting employees with disabilities (≥ 18 years) at two worksites in South Australia underwent dental examinations at baseline, three and six months. Referrals were arranged as needed to public dental clinics. At one and two months a dental hygienist provided group oral health education to the employees.Employees" demographics, self-rated oral health, dental behaviours and OHRQol were collected via face-to-face interviews. Of the 39 referred employees, 28 (72%) of them completed the recommended treatment. Self-rated oral health improved and there were significant reductions in the prevalence of oral health impact on quality of life (percentage of employees reporting 1+ items fairly/very often) from 27% to 11% (McNemar"s test, p<0.05); the extent of impact (mean number of items reported fairly/very often) from 1.3 to 0.6 and the severity of impact (mean of summed OHIP item scores) from 3.6 to 1.8 (paired t tests, p<0.01). As this pilot study indicates that enabling urgent referral for treatment and regular oral health education can improve OHRQol and self-rated oral health among employees with disabilities, a larger study with a control group should be undertaken.

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“…Poor oral health care is associated with increased use of medical services, increased risk for several chronic conditions including heart disease and diabetes(1, 2), as well as reduced quality of life and employment opportunities (3, 4). There is growing momentum both nationally and internationally for increased understanding and use of a more holistic socio-ecological perspective to understanding and addressing oral health disparities (5).…”

Section: Introductionmentioning

confidence: 99%

Oral Health Equity and Unmet Dental Care Needs in a Population-Based Sample: Findings From the Survey of the Health of Wisconsin

et al. 2015

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Objectives Oral health is an essential component of overall health. This study includes objective oral health screening and survey data to explore individual, psychosocial and community-level predictors of oral health status in a state-wide population of adults. Methods Data includes a representative sample of 1,453 adult Wisconsin residents who participated in the Survey of the Health of Wisconsin (SHOW) Oral Health Screening project, conducted with the Wisconsin Department of Health Services during 2010. Results Over 15% of participants had untreated cavities and 20% did not receive needed oral health care. Individuals self-reporting unmet need for dental care were four times more likely to have untreated cavities, controlling for sociodemographics and oral health behaviors. Significant disparities in oral health status were found across all individual, psychosocial and community level predictors. Conclusions Results suggest that costs are a primary predictor of access to care and poor oral health status. The results underscore the role that primary care in conjunction with dental health care providers can play in promoting oral health care particularly in reducing barriers such as costs associated with unmet dental care and promoting preventive health behaviors such as teeth brushing.

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Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities

Abstract: Objectives: To inform policy with better information about the oral health-care needs of a Medicaid population that engages in employment, that is, people ages 16 to 64 with Social Security-determined disabilities enrolled in a Medicaid Buy-In program.

Cited by 27 publications

References 5 publications

Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment

Broken smiles: The impact of untreated dental caries and missing anterior teeth on employment

Oral health-related quality of life improves in employees with disabilities following a workplace dental intervention

Oral Health Equity and Unmet Dental Care Needs in a Population-Based Sample: Findings From the Survey of the Health of Wisconsin

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