Abstract：
OBJECTIVE:To investigate geographical variations and their relationship to race/ethnicity in dental sealant utilization for first molars among Wisconsin Medicaid enrollees from 2010 to 2013. METHODS:Wisconsin Medicaid dental claims for sealants in children aged 6-16 years were analyzed. County-level population density, urban influence code, presence of dental health professional shortage areas, and population-per-dentist ratio were considered as geographic predictors. Descriptive statistics and mixed effects Poisson regression models were used to examine the effect of county level covariates on the number of dental sealants received per person-year (PY) of eligibility adjusting for patient-level characteristics. Over-dispersion was modeled by a random residual effect, and all models adjusted for single-year age and gender interaction and race/ethnicity main effect. RESULTS:Medicaid claims for sealants on first permanent molars for 2010-2013 totaled 288,019 over 1,130,000 PY. The age- and gender-standardized rate of first molar sealant applications per 100 PY were 27.9, 25.7, and 16.6 for White, Hispanic, and Black children, respectively. County-specific rates ranged from a low of 8.9 per 100 PY to a high of 62.6 per 100 PY. In the multivariate analysis after adjusting for geography, compared to Whites, Hispanics had highest rates (rate ratio (RR) = 1.33, 95% CI = 1.30-1.37) of dental sealant utilization followed by Blacks (RR = 1.25, 95% CI = 1.21-1.29). Population density was the only significant geographic predictor (RR = 0.56 per 10-fold increase, 95% CI = 0.45-0.69). CONCLUSIONS:Substantial geographic variability in the utilization of sealants for first molars was identified. Lower population density was the main geographical predictor of high sealant utilization.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Okunseri CE,Okunseri E,Garcia RI,Visotcky A,Szabo Adoi
10.1111/jphd.12420subject
Has Abstractpub_date
2020-11-11 00:00:00eissn
0022-4006issn
1752-7325pub_type
杂志文章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：OBJECTIVES:This study aimed to evaluate parents' Willingness to Invest (WTI) in their children's oral health in terms of money, visits to a dental practice, and brushing minutes. Objectives were to assess the association between parents' WTI and a) children's dental caries experience, b) children's oral hygiene behavio...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12242
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVES:Community water fluoridation (CWF) is one of the greatest public health achievements of the 20th century. Despite this achievement, there are still misunderstandings about the safety of water fluoridation. Previous communication campaigns advocating CWF have been unsuccessful in combating these misunderstand...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12404
更新日期：2020-10-15 00:00:00
abstract：:Americans have steadily increased their reported use of dental services over the past 30 years. Persons aged 65 years and older have made the greatest gains, from 16 percent in 1957-58 to 43 percent in 1989. This article reviews national data on reported use of dental care over the past three decades, focusing on diff...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1994.tb01177.x
更新日期：1994-01-01 00:00:00
abstract：:Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12303
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:To ascertain caregiver satisfaction with silver diamine fluoride (SDF) application(s) as an intermediate care path for their children with caries. METHODS:Caregivers were recruited at two community health centers when they arrived for a previously scheduled operating room/sedation appointment for their child...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12338
更新日期：2019-12-01 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：:Water fluoridation has been repeatedly associated with lower caries experience in children but uncertainty still exists on strength and extent of the association into adulthood. OBJECTIVE:To analyze the preventive effect of access to fluoridated water on dental caries among young adults. METHODS:In 1991/92 a cross-s...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12207
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:This study compared the preventive oral health behaviors of African-Americans and whites. METHODS:Face-to-face interviews were conducted with a probability sample of 384 African-American and 358 white adults living in the greater Detroit area. Questions focused on brushing, flossing, and dental visits. RESU...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1998.tb02999.x
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVES:Bottled water consumption in the United States has greatly increased in the past decade. Because the majority of commercial bottled water is low in fluoride, there is the potential for an increase in dental caries. In these secondary data analyses, associations between bottled water use and dental caries wer...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00013.x
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVES:This study aims to examine the charges and frequency of return visits for treating dental health problems in hospital emergency rooms (ERs) in order to provide a basis for policy discussion concerning cost-effective and appropriate treatment for those without access to private dental services. METHODS:Recor...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1752-7325.2010.00166.x
更新日期：2010-07-01 00:00:00
abstract：:In conclusion, as community agencies under P.L. 93-641 embark upon the definition of health status goals, health system goals, and program implementation, dentists have the opportunity to clarify and assist in developing a vigorous approach to meeting dental health needs through primary prevention. Insofar as public h...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1979.tb01835.x
更新日期：1979-01-01 00:00:00
abstract：OBJECTIVES:The three purposes of this study are to: (1) describe the relationship between the prevalence of coronal caries and root caries; (2) describe the relationship between the three-year incidence of coronal caries and root caries; and (3) if the two conditions are associated, develop a multiple regression model ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1997.tb02478.x
更新日期：1997-04-01 00:00:00
abstract：:The Virtual Dental Home is a concept of the Pacific Center for Special Care of the Arthur A. Dugoni School of Dentistry in San Francisco. It is designed to improve access to dental care for underserved populations, specifically children and institutionalized adults. This article describes the development and implement...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12208
更新日期：2017-09-01 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：OBJECTIVE:This paper reviews case definitions and clinical diagnostic criteria of early childhood caries (ECC) and severe ECC (S-ECC) in children aged 1 to 5 years old. The acronym S-ECC as used in this paper refers to nursing caries, baby bottle tooth decay, rampant caries, labial caries, maxillary anterior caries, an...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析
doi：10.1111/j.1752-7325.1999.tb03267.x
更新日期：1999-07-01 00:00:00
abstract：:A tooth-oriented caries measure has limitations in depicting the caries experience in the primary dentition for a population. Caries patterns based on the child have been presented previously and quantified. The purpose of this study was to explore proportional changes in caries patterns of the primary dentition in tw...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1987.tb01951.x
更新日期：1987-01-01 00:00:00
abstract：OBJECTIVES:Primary care providers (e.g., family physicians, pediatricians, registered nurses, physician assistants, and nurse practitioners) could play a pivotal role in the provision of preventive services, especially for very young children (younger than 3 years old) and population groups with limited access to denta...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析,评审
doi：10.1111/j.1752-7325.2004.tb02747.x
更新日期：2004-07-01 00:00:00
abstract：OBJECTIVES:To describe perceived benefits and safety of community water fluoridation (CWF) and investigate factors associated with those perceptions of CWF among respondents to a proprietary survey in the United States. METHODS:We obtained data from the 2009 HealthStyles survey, a convenience sample of 4,556 responden...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12104
更新日期：2015-10-01 00:00:00
abstract：:In 1986, the Columbus (Ohio) Health Department conducted an oral health survey of children in grades 1, 2, 6, and 7. The World Health Organization's Pathfinder methodology served as the basis for survey design. The survey was made possible through collaboration and sharing resources among the local and state health de...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1988.tb03178.x
更新日期：1988-04-01 00:00:00
abstract：OBJECTIVE:To investigate the role of public dental care spending and insurance coverage on dental services utilization disparities among different Canadian jurisdictions. METHODS:We utilized Canadian Institute for Health Information provincial/territorial per capita estimates for public dental care expenditure, public...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12283
更新日期：2018-09-01 00:00:00
abstract：:The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12412
更新日期：2020-09-01 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：:This assessment compared routine data on selected clinical services provided within the Oklahoma City Area of the Indian Health Service during the first six months of fiscal year 1984, prior to implementation of a program emphasizing oral health promotion and disease prevention, to comparable data from 1987. The asses...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1989.tb02023.x
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to investigate the factors that may influence orthodontic treatment uptake such as socioeconomic class (SEC), type of funding, and gender. METHODS:The sample comprised 550 adolescents (232 men, 318 women) aged 13-17 years. Demographic data and questions concerning treatment experie...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12034
更新日期：2013-10-01 00:00:00
abstract：:In order to ascertain the fate of hypertensive patients who were discovered through the Medical College of Virginia School of Dentistry Hypertension Screening Program, a telephone survey was conducted whereby the first 128 patients discovered to be hypertensive through the program were interviewed concerning their cur...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1976.tb02612.x
更新日期：1976-10-01 00:00:00
abstract：:Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.2000.tb03338.x
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVES:Information about the oral health status of the homeless is limited. The purpose of this study is to characterize the dental caries status among users of a dental treatment and referral program at homeless shelters in Boston, MA. METHODS:Persons attending the program during a one-year period were assessed f...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1995.tb02328.x
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to analyze the relationship between oral health behaviors and general health behaviors in adults. METHODS:A total of 2,467 adults (1,208 men and 1,259 women aged 20-59 years) who consulted dentists in Chiba City were administered a questionnaire. RESULTS:Women, older participants, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2003.tb03508.x
更新日期：2003-10-01 00:00:00
abstract：BACKGROUND:Dental coverage is provided for all children with Medicaid in Washington State. The goal of this study was to illuminate the characteristics of a sample of Medicaid-enrolled children with high dental expenses. METHODS:Dental care utilization data for a 33-month period were obtained from Washington State's M...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2007.00046.x
更新日期：2007-10-01 00:00:00
