Rural–Urban Differences in Dental Service Utilization Among an Early Childhood Population Enrolled in South Carolina Medicaid

Martin, Amy B.; Vyavaharkar, Medha; Veschusio, Christine; Kirby, Heather

doi:10.1007/s10995-010-0725-1

Cited by 28 publications

(31 citation statements)

References 18 publications

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“…One study found that health literacy significantly mediated educational disparities in the receipt of the influenza vaccine in older adults [32]. People living in rural areas in a variety of countries are reported to use less healthcare services including antenatal care [33,34], dental services [35,36], physician visits [37], and immunizations [38] compared to people living in urban or suburban areas.…”

Section: Discussionmentioning

confidence: 99%

Eye care utilization by older adults in low, middle, and high income countries

et al. 2012

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BackgroundThe risk of visual impairment increases dramatically with age and therefore older adults should have their eyes examined at least every 1 to 2 years. Using a world-wide, population-based dataset, we sought to determine the frequency that older people had their eyes examined. We also examined factors associated with having a recent eye exam.MethodsThe World Health Surveys were conducted in 70 countries throughout the world in 2002-2003 using a random, multi-stage, stratified, cluster sampling design. Participants 60 years and older from 52 countries (n = 35,839) were asked "When was the last time you had your eyes examined by a medical professional?". The income status of countries was estimated using gross national income per capita data from 2003 from the World Bank website. Prevalence estimates were adjusted to account for the complex sample design.ResultsOverall, only 18% (95% CI 17, 19) of older adults had an eye exam in the last year. The rate of an eye exam in the last year in low, lower middle, upper middle, and high income countries was 10%, 24%, 22%, and 37% respectively. Factors associated with having an eye exam in the last year included older age, female gender, more education, urban residence, greater wealth, worse self-reported health, having diabetes, and wearing glasses or contact lenses (p < 0.05).ConclusionsGiven that older adults often suffer from age-related but treatable conditions, they should be seen on a regular basis to prevent visual impairment and its disabling consequences.

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Section: Discussionmentioning

confidence: 99%

Eye care utilization by older adults in low, middle, and high income countries

et al. 2012

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“…Several factors affect the prevalence of ECC including: socioeconomic status, lifestyle, race, and oral hygiene practices . It has been previously shown that significant disparities in dental care utilization are evident among rural, Medicaid‐enrolled, preschool‐aged children in South Carolina . Rural children have significantly higher odds of lacking preventive dental visits, fluoride varnishes, and dental homes, as well as using medical settings for dental reasons compared to urban children …”

Section: Introductionmentioning

confidence: 99%

“…5 It has been previously shown that significant disparities in dental care utilization are evident among rural, Medicaidenrolled, preschool-aged children in South Carolina. 7 Rural children have significantly higher odds of lacking preventive dental visits, fluoride varnishes, and dental homes, as well as using medical settings for dental reasons compared to urban children. 7 Given the cost and impact of ECC at the child and population levels, we aimed to create an efficient and accurate measure of county level risk.…”

Section: Introductionmentioning

confidence: 99%

“…7 Rural children have significantly higher odds of lacking preventive dental visits, fluoride varnishes, and dental homes, as well as using medical settings for dental reasons compared to urban children. 7 Given the cost and impact of ECC at the child and population levels, we aimed to create an efficient and accurate measure of county level risk. As a result we used a cadre of public use data sets that contained variables that accounted for ECC-related social determinants of health.…”

Section: Introductionmentioning

confidence: 99%

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An alternative early childhood caries risk surveillance methodology for public policy and practice advancements

Kelly

Horsman

Ziegler

et al. 2019

J Public Health Dent

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Objectives Early childhood caries (ECC) negatively impacts many child health outcomes and can lead to greater costs for medical and dental care as well as negatively impact future oral health wellness. ECC risk factors are rooted in many social determinants of health. Addressing ECC at the population‐level is a national public health priority. The purpose of this study was to identify the South Carolina counties with the greatest risk for ECC. As policy‐makers seek to address inequities stemming from early childhood caries, documenting its prevalence is essential. Methods Since no county level ECC rates were published for South Carolina, we identified an opportunity to strengthen ECC surveillance through public use data, so as to properly equip policy‐makers and pediatric providers with an evidence based understanding of the scope of the problem. As a result we sought to develop an overall county level prevalence measure for ECC risk through an ecological analysis of public use data. Results Ten counties with the greatest overall risk for ECC were all rural as hypothesized. Additionally, seven of the 10 highest risk counties fell into what is often referred to as the “Corridor of Shame.” Conclusions We have found an affordable way of measuring county level risk for ECC that allows pediatric advocates and policy‐makers to develop population level interventions to reduce and measure risk with public‐use data.

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“…A child’s sex, age, parents’ educational attainment, and household income also have been associated with the frequency of child’s dental care (6, 7, 9). Children living in rural communities also are less likely to receive dental visits, fluoride applications, have a dental home (10), and commonly experience dental caries (11). …”

Section: Introductionmentioning

confidence: 99%

Factors associated with receiving treatment for dental decay among Medicaid‐enrolled children younger than 12 years of age in Iowa, 2010

Zilversmit

Kane

Rochat

et al. 2014

J Public Health Dent

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Objectives The Iowa Department of Public Health I-Smile program provides dental screening and care coordination to over 23,000 low-income and Medicaid-enrolled children per year. The purposes of this study were to evaluate I-Smile program effectiveness to ensure that Medicaid-enrolled children obtained dental treatment after having been screened and to determine the factors associated with failure to receive dental care after screening through the I-Smile program. Methods Based on I-Smile program priorities, we limited our sample to children younger than 12 years of age who screened positive for decay and who linked to a paid Medicaid claim for dental treatment (n = 1,816). We conducted bivariate analyses to examine associations between children’s characteristics who screened positive for decay and received treatment within 6 months of their initial screening. We also performed multivariate logistic regression to assess the association of sociodemographic characteristics with receipt of treatment among children who screened positive for decay. Results Eleven percent of children screened positive for decay. Nearly 24 percent of children with decay received treatment based on a Medicaid-paid claim. Being 5 years or older [adjusted odds ratio (aOR): 1.48, confidence interval (CI): 1.17, 1.88] and not having a dental home (aOR: 1.90, CI: 1.41, 2.58) were associated with higher odds of not receiving dental treatment. Conclusions Children 5 years and older and without a dental home were less likely to obtain dental treatment. Opportunities exist for the I-Smile program to increase the numbers of at-risk children with dental homes and who obtain dental care after screening.

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Rural–Urban Differences in Dental Service Utilization Among an Early Childhood Population Enrolled in South Carolina Medicaid

Cited by 28 publications

References 18 publications

Eye care utilization by older adults in low, middle, and high income countries

Eye care utilization by older adults in low, middle, and high income countries

An alternative early childhood caries risk surveillance methodology for public policy and practice advancements

Factors associated with receiving treatment for dental decay among Medicaid‐enrolled children younger than 12 years of age in Iowa, 2010

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