Abstract：
OBJECTIVES:The purpose of our study was to examine the association between rurality and select oral health care metrics: teeth condition, decay, and access measures such as preventive dental care among children in the United States. METHODS:We conducted a cross-sectional study with a sample of 20,842 respondents from the 2017 to 2018 National Survey of Children's Health (NSCH), a nationally representative sample of U.S. children. Socio-demographic information, residence, and oral health and healthcare utilization information were used to create study variables. Descriptive statistics, bivariate analyses, and a multivariable regression model were performed. RESULTS:Rural children were less likely to have a preventive dental visit than urban children (84.9 percent versus 87.5 percent, P = 0.03). Children residing in rural areas were more likely to have their teeth condition reported as fair or poor than children residing in urban areas (7.3 percent versus 6.6 percent, P = 0.02). Compared to their urban counterparts, rural children were also less likely to have received fluoride treatment (46.6 percent versus 52.5 percent, P = 0.0022) and less likely to have received a dental sealant (19.5 percent versus 22.5 percent, P = 0.0147). In adjusted analysis, there was no significant difference in receiving a preventive dental visit for rural children, compared to their urban counterparts. CONCLUSIONS:As preparations are made for the 2020 Surgeon General's report on oral health, the current study provides important evidence to inform future advocacy and legislative priorities. To reduce urban-rural disparities among children, there must be enhanced dental care access, dental workforce expansion, and increased awareness about preventive oral health services.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Crouch E,Nelson J,Merrell MA,Martin Adoi
10.1111/jphd.12444subject
Has Abstractpub_date
2021-01-27 00:00:00eissn
0022-4006issn
1752-7325pub_type
杂志文章abstract：OBJECTIVES:To compare the Dean's and DDE indices in examining dental fluorosis and diffuse opacities. METHODS:Survey of a random sample of 9-year-old children in Southland, New Zealand. Dental fluorosis was measured using Dean's index. Enamel defects were recorded using the DDE index. RESULTS:A total of 436 children ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00186.x
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVE:This study compares the quality of class I restorations made with the atraumatic restorative treatment (ART) technique and conventional class I amalgam restorations. METHODS:The study was carried out among secondary school students in Mzuzu, Malawi. First-year students in 1987 who needed at least two class I...
journal_title：Journal of public health dentistry
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1752-7325.2003.tb03482.x
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:To assess the impact of comorbidity and other health measures on the use of dental and medical care services among the community-based Medicare population with data from the 2002 Medicare Current Beneficiary Survey. METHODS:A comorbidity index is the main independent variable of our study. It includes oral c...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：
更新日期：2011-07-01 00:00:00
abstract：:The ADA Acceptance Programs entail a rigorous evaluation of products and offer clear benefits to manufacturers, dental professionals, and consumers alike. This paper outlines the implications of the ADA product-evaluation programs for each of these three constituencies and concludes that while there may be an occasion...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02300.x
更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To explore whether there are socioeconomic, ethnic, and geographical inequalities in dental caries among 12-year-old Chinese children. METHODS:Data from 2,307 12-year-old children living in Guangxi, Hubei, Jilin, and Shanxi and who participated in the Third National Oral Health Survey in China were used for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12091
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:To examine the effects of knowledge and confidence on dental referral practices among WIC nutritionists in North Carolina. METHODS:A questionnaire consisting of 118 Likert scale-type questions was administered to 92% of all WIC nutritionists in North Carolina (n = 324). The relationship of knowledge and con...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2005.tb03018.x
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVES:In Canada and the United States, professionally applied topical fluorides (PATF) are usually applied as a gel or foam. However, fluoride varnish has also been found to be effective for caries prevention and may be a preferred method because less time is required and fluoride exposure can be better controlled...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2004.tb02736.x
更新日期：2004-04-01 00:00:00
abstract：:Analysis of surface and tooth-specific data from NHANES I and HHANES shows that the pattern of dental caries differs greatly from tooth to tooth and surface to surface. Occlusal caries precedes all other types, and increases most rapidly and to the highest levels in the molars. Caries on the proximal surfaces comes la...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1986.tb03119.x
更新日期：1986-04-01 00:00:00
abstract：OBJECTIVES:This study examines the predictors for elderly Chinese immigrants' use of dental care services. METHODS:In 2003, a study entitled "Health and Well Being of Older Chinese in Canada" collected data from seven cities in which 2,272 Chinese Canadians aged 55 years and older were surveyed. Data from 1,537 of the...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00009.x
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC). METHODS:This cross-sectional study used 2008 Medicaid enrollment and claims files for children ages <18 years enrolled in the WA FC program for ≥11 months (N = 10,177). Re...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12027
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVES:The purposes of this study were to describe the incidence of root caries and to identify its risk factors in a representative sample of older adults. METHODS:Root caries incidence was estimated and multivariate risk assessment models were developed to identify predictors for root caries in a three-year foll...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1995.tb02335.x
更新日期：1995-04-01 00:00:00
abstract：OBJECTIVE:This study investigated the associations between dental caries prevalence and severity and social factors in 3- to 5-year-old African children. METHODS:Dental caries was diagnosed in natural light using WHO criteria, minors, and explorers. Socioeconomic information was obtained by questionnaire. RESULTS:The...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1998.tb02984.x
更新日期：1998-01-01 00:00:00
abstract：:An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1975.tb04029.x
更新日期：1975-04-01 00:00:00
abstract：:Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02286.x
更新日期：1992-10-01 00:00:00
abstract：OBJECTIVES:The purpose of this cross-sectional study was to identify risk markers and risk indicators for periodontal attachment loss in a remote Canadian community. Of special interest was the association between smoking and periodontal disease experience. METHODS:Data were collected from a convenience sample of 187 ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2002.tb03421.x
更新日期：2002-01-01 00:00:00
abstract：:In order to investigate the similarity and differences between male and female dental students, the Bentler inventories, which utilize both self and peer report formats, were administered to first year students at U.C.L.A. Results indicated that male and female dental students are basically similar in terms of a wide ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1978.tb03742.x
更新日期：1978-07-01 00:00:00
abstract：OBJECTIVES:This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems. METHODS:A cross-sectional comprehensive oral health survey conducted with a random, multiethnic (...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2009.00121.x
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:Using a cluster randomized trial, this study tested the effectiveness of a dental health education program designed to improve the oral hygiene and dental knowledge of 10-year-old children. METHODS:Thirty-two primary schools in the northwest of England participated. After a baseline assessment of plaque and ...
journal_title：Journal of public health dentistry
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1752-7325.2001.tb03351.x
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVES:Very little independent research has been done on the new self-etching primer/adhesives in dentistry. A recent clinical study compared two sealant application techniques involving self-etching primer adhesives and the traditional phosphoric acid etch. The purpose of this study was to compare these two techni...
journal_title：Journal of public health dentistry
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1111/j.1752-7325.2004.tb02752.x
更新日期：2004-10-01 00:00:00
abstract：:The dental restorative treatment needs of Mexican-American children, aged 1-17 years, were assessed from the 1982-83 Southwestern US Hispanic Health and Nutrition Examination Survey (HHANES). This report analyzed those needs and applied a dollar cost to them, using 1982 median fees of US general practitioners. The tot...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02215.x
更新日期：1991-10-01 00:00:00
abstract：OBJECTIVE:This study examines the relationships between stated restorative treatment thresholds of 16 dentists and both their restorative decisions and caries depth determinations for approximal tooth surfaces based on bitewing radiographs. METHODS:Sixteen dentists independently examined 15 pairs of experimental bitew...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02433.x
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVES:This review updates the evidence regarding caries risk assessment for infants, toddlers, and preschool children and formulates recommendations for preventive strategies for WIC, Head Start, and Early Head Start. METHODS:Literature on caries risk assessment and preventive strategies for infants, toddlers, an...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析
doi：10.1111/j.1752-7325.2000.tb03330.x
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to consider the association between developmental enamel defects and dental caries in children from areas with different levels of fluoride in their drinking water. METHODS:children (mean age = 14.1 +/- 0.3 years) were examined from areas with less than 0.1 ppm (n = 267) and 0....
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02400.x
更新日期：1996-04-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to examine: a) the sociodemographic and health factors associated with poor school performance among North Carolina children; and b) the impact of poor oral health status on school performance while controlling for other health and sociodemographic factors. METHODS:We used data...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00062.x
更新日期：2008-04-01 00:00:00
abstract：:Grand Rapids, the first city in the world to implement controlled water fluoridation, has served as a model for thousands of other communities. Fluoridation is one of the greatest public health and disease-preventive measures of all time. Its advantages include effectiveness for all, ease of delivery, safety, equity, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1996.tb02448.x
更新日期：1996-01-01 00:00:00
abstract：:Infant caries is an infectious disease with microbiological, dietary, and host risk factors. The disease is of epidemic proportions in immigrant and Native American populations studied. This paper reviews progress in current research and suggests a number of new approaches focusing on behavioral and chemotherapeutic m...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1996.tb02396.x
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVES:This paper reviews the precision public health literature pertaining to oral health, identifies possible threats that could inadvertently increase health inequities, and proposes potential opportunities that precision public health could utilize to reduce oral health inequities. METHODS:The health sciences ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/jphd.12316
更新日期：2020-03-01 00:00:00
abstract：:A considerable number of Hispanic agricultural workers come to Northwest Michigan during the summer every year to harvest fruit and vegetable crops. The Department of Community Dentistry of The University of Michigan School of Dentistry helps provide dental services for these migrant workers and their families. Some 2...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1984.tb03059.x
更新日期：1984-07-01 00:00:00
abstract：OBJECTIVES:The study explored the options for accreditation of educational programs to prepare a new oral health provider, the dental therapist. METHODS:A literature review and interviews of 10 content experts were conducted. The content experts represented a wide array of interests, including individuals associated w...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00269.x
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVES:The specific aims of this study were to describe the baseline oral health status of persons residing in North Carolina assisted living facilities and determine how identified oral health problems vary according to resident and facility demographic variables. METHODS:This cross-sectional descriptive epidemio...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12310
更新日期：2019-09-01 00:00:00
