Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

Abstract:

:Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y.). Sociodemographic, health, and health care information were obtained via intake interviews, number of teeth present via clinical dental examinations, and glycemic status via measurement of glycosylated hemoglobin (HbA1c). Complete data on dental insurance coverage status for 785 participants were available for analysis (1,015 after multiple imputation). For participants with no dental insurance and any private/other dental insurance, number of teeth present is less for participants with diabetes than for participants without diabetes; however, for participants with Medicaid coverage only, the relationship is reversed. Potential explanations include the limited range of dental services covered under the Medicaid program, inadequate diabetes screening and monitoring of Medicaid recipients, and the poor oral and general health of Medicaid recipients.

authors

Northridge ME,Chakraborty B,Salehabadi SM,Metcalf SS,Kunzel C,Greenblatt AP,Borrell LN,Cheng B,Marshall SE,Lamster IB

doi

10.1353/hpu.2018.0109

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

1509-1528

issue

4

eissn

1049-2089

issn

1548-6869

pii

S1548686918400228

journal_volume

29

pub_type

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