Preventive Dental Care and Unmet Dental Needs Among Low-Income Children

Kenney, Genevieve M.; McFeeters, Joshua; Yee, Justin

doi:10.2105/ajph.2004.056523

Cited by 75 publications

(60 citation statements)

References 8 publications

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“…Third, dental insurance coverage was parentally reported; parents may be unclear or inaccurate in their understanding of dental coverage. However, our estimate of uninsured children (22%) is somewhat close to the levels found in the 2002 the National Survey of America's Families (26%) 9 and in the 2001 California Health Interview Survey (23.6%). 18 Finally, the unmet need measure is subject to recognition and recall error, because it assumes that parents all recognize dental need and can recall this need at the interview time.…”

Section: Discussionsupporting

confidence: 82%

“…4,6 Failure to obtain preventive dental care was more common among the children who came from low-income families, who were uninsured and non-Hispanic white, and who had a parent with less than a college education. 9,10 Yet, Oral Health in America: A Report of the Surgeon General 1 specifically calls for more data on dental care among diverse segments of the US population to eliminate health disparities, including racial and ethnic minorities, rural population, individuals with disabilities, immigrants, migrant workers, and the very young.…”

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confidence: 99%

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Disparities in Dental Insurance Coverage and Dental Care Among US Children: The National Survey of Children's Health

et al. 2007

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OBJECTIVES We sought to understand disparities in dental insurance coverage and dental care among US children by race/ethnicity, urban/rural residence, and socioeconomic status. METHODS Linked data from the National Survey of Children's Health and Area Resource File were analyzed (N = 89 071). Multiple logistic regression analysis was used to adjust for confounders. RESULTS A total of 22.1% of US children lacked parentally reported dental insurance coverage in the preceding year, 26.9% did not have a routine preventive dental visit, and 5.1% had parentally perceived unmet need for preventive dental care. US born minority children were less likely to lack dental insurance than US-born white children; however, foreign-born Hispanic children were more likely to be uninsured. Rural children were more likely to be uninsured than urban children. Children with health insurance were more likely to have dental coverage. Children who lacked dental insurance were less likely to have received preventive care and more likely to have unmet need for care. Compared with US-born white children, all minority children were less likely to receive preventive care. These disparities were exacerbated among foreign-born children. Fewer race-based disparities were found for unmet need for dental care. Only black children, both US and foreign-born, had higher odds of unmet need for preventive services than US-born white children. Poor dental health was strongly associated with unmet need. Disparities in dental insurance coverage and dental care are also evident by family socioeconomic status. CONCLUSIONS Poor and minority children were less likely to receive preventive dental care, even when insurance status was considered. Rural children were less likely to have dental insurance than urban children. Foreign birth affected insurance status for Hispanic children and use of preventive services for all minority children.

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Section: Discussionsupporting

confidence: 82%

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confidence: 99%

Disparities in Dental Insurance Coverage and Dental Care Among US Children: The National Survey of Children's Health

et al. 2007

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“…The results of the PNAD 1998 showed that 18.7% of the Brazilian people had never consulted a dentist, and that this proportion was eight times higher for the lower-income group (39% versus 5%). Larger socioeconomic differentials were found among very young and old subjects 2,9 . Subsequent information (PNAD 2003: 15.9%; PNAD 2008: 11.7%) recorded a declining trend for this group.…”

Section: Introductionmentioning

confidence: 90%

“…Oral diseases mostly affect disadvantaged people 1 , who are less likely to receive dental care and more likely to have unmet needs than those in better social conditions 2,3,4 . Inequalities in access to dental services have been identified in several countries, regardless of the nature, scope and efficiency of their health systems 3,5,6,7,8 .…”

Section: Introductionmentioning

confidence: 99%

Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

Baldani

Antunes

2011

Cad. Saúde Pública

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This cross-sectional study aimed to investigate the presence of inequalities in the access and use of dental services for people living in the coverage area of the Family Health Strategy (FHS) in Ponta Grossa, Paraná State, Brazil, and to assess individual determinants related to them. The sample consisted of 747 individuals who answered a pre-tested questionnaire. Data analysis was performed by chi-square test and Poisson regression analysis, obtaining explanatory models for recent use and, by limiting the analysis to those who sought dental care, for effective access. Results showed that 41% of the sample had recent dental visits. The lowest visit rates were observed among preschoolers and elderly people. The subjects who most identified the FHS as a regular source of dental care were children. Besides age, better socioeconomic conditions and the presence of a regular source of dental care were positively associated to recent dental visits. We identified inequalities in use and access to dental care, reinforcing the need to promote incentives to improve access for underserved populations.

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“…This often causes them to forgo routine or preventive dental services and to seek access to dental services only after an acute dental problem arises. [3][4][5][6][7][8][9] Because few such people have an established relationship with a dentist, they frequently seek treatment for acute dental problems in an ED, where the non-lifethreatening nature of their dental problem places them at a low priority. They encounter long wait times, often experiencing acute pain, and once they are seen by a physician, they receive only limited treatment, such as nonnarcotic pain control, antibiotics, and a referral to a dentist.…”

Section: Lack Of Access To Dental Carementioning

confidence: 99%

Dentists’ Partnership Of Michigan’s Calhoun County: A Care Model For Uninsured Populations

et al. 2013

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Preventive Dental Care and Unmet Dental Needs Among Low-Income Children

Cited by 75 publications

References 8 publications

Disparities in Dental Insurance Coverage and Dental Care Among US Children: The National Survey of Children's Health

Disparities in Dental Insurance Coverage and Dental Care Among US Children: The National Survey of Children's Health

Inequalities in access and utilization of dental services: a cross-sectional study in an area covered by the Family Health Strategy

Dentists’ Partnership Of Michigan’s Calhoun County: A Care Model For Uninsured Populations

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