Abstract:
OBJECTIVES:The objectives of this study are to identify and describe the characteristics of dental underserved geographic areas. Understanding these characteristics is an important step in addressing access to dental care barriers. METHODS:Dental underserved areas were identified from the Health Resources and Services Administration (HRSA) database and converted to census tracts for analysis. Characteristics of dental underserved geographic areas were compared with areas not designated as underserved. Dental practices included in the Dun & Bradstreet Business information database were geocoded and analyzed according to the underserved designation of their location and census demographic data. Thus, the relationships between dental underserved status, practice, and population characteristics were evaluated. RESULTS:Dental underserved areas are more likely to comprise individuals with lower socio-economic status (income and education levels), higher levels of underrepresented population groups, and have lower population densities than non-underserved areas. The populations living in dental underserved areas are more likely to experience geographic, financial, and educational barriers to dental care. CONCLUSIONS:The study identifies the geographic and financial barriers to dental care access. These findings suggest that the likelihood of a market-driven solution to dental underserved geographic areas is low and support public sector interventions to improve the status quo.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Voinea-Griffin A,Solomon ESdoi
10.1111/jphd.12157subject
Has Abstractpub_date
2016-09-01 00:00:00pages
314-319issue
4eissn
0022-4006issn
1752-7325journal_volume
76pub_type
杂志文章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:OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12435
更新日期:2020-12-06 00:00:00
abstract:OBJECTIVES:The purpose of this paper is to describe the Hispanic/Latino (H/L) dentist workforce, their general practice patterns, and their contributions to oral health care for H/L and underserved patients. METHODS:A national sample survey of underrepresented minority dentists was conducted in 2012 and received a 35....
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12194
更新日期:2017-03-01 00:00:00
abstract::The question considered in this review is the extent to which changes in the prevalence or severity of enamel fluorosis have occurred over the last half-century. Emphasis is given to a review of those studies in which subjects are drinking water that is fluoride deficient and those in which subjects are drinking optim...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1999.tb03276.x
更新日期:1999-10-01 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:OBJECTIVES:This study aims to (a) investigate the relationship between dentists' perceived professional role (PPR), defined as the belief that they are health care professionals versus business people, and treatment intensity, determined by the aggressiveness of clinical approaches, such as in number or scope, and (b) ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12346
更新日期:2020-01-01 00:00:00
abstract::This study surveyed a proportionate random sample of licensed dental hygienists in five states and the District of Columbia, to assess their antitobacco use behaviors and attitudes. The response rate was 79.4 percent. Descriptive data as well as chi-square, analysis of variance (ANOVA), and Duncan's multiple range tes...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1990.tb02111.x
更新日期:1990-04-01 00:00:00
abstract::The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was passed by Congress "to improve the quality and availability of care for individuals and families with HIV disease." The act targets those individuals infected with HIV who lack financial resources to pay for care. While provision of oral heal...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1993.tb02714.x
更新日期:1993-10-01 00:00:00
abstract::Previous research with other ethnic minorities has shown that culture and age cohort, as well as language and economic limitations, act as barriers to obtaining dental care and maintaining good oral health. This study compared self-reported oral health attitudes, self-efficacy, and dental practices of 20 younger and 2...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02258.x
更新日期:1992-04-01 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::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::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: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
abstract:OBJECTIVES:In the United States, silver diamine fluoride (SDF) is a relatively new, quick, and low-cost method for arresting dental caries. This study's purpose was to identify determinants of the implementation of an SDF protocol for pediatric patients in three safety net clinics to inform future efforts to implement ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12324
更新日期:2019-12-01 00:00:00
abstract::This study investigated the prevalence of decayed, missing, and filled teeth (DMFT) in a state prison system, using the opening of a new institution as an opportunity to examine a cross-section of the state male inmate population routinely. A representative sample of 178 male inmates was examined by a single dentist, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1989.tb02031.x
更新日期:1989-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to explore the extent to which neighborhood poverty was associated with the utilization of dental care by American adolescents. METHODS:To accomplish the study goals we conducted multilevel modeling analyses of two nationally representative data sets: National Longitudinal Study...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00340.x
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:The purposes of this study were to develop a work stress inventory for dental assistants (WSI-DA) in Jordan and examine its psychometric properties and to describe potentially stressful work-related conditions related to the profession of dental assistance in Jordan. METHODS:A total of 542 dental assistants...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00094.x
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00367.x
更新日期:2013-04-01 00:00:00
abstract::A review of the literature on bacteriologic and nonbacteriologic criteria for identifying individuals at high risk to dental caries is presented. The studies have been evaluated on the basis of 1) their ability to predict future caries activity of individuals and 2) their practical use. Single measurements of past car...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1986.tb03117.x
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00324.x
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVES:In Australia, the majority of dental patients attend the private sector, while those with means tested eligibility for government assistance may attend the public sector. The aims of this study were to compare dental caries among persons who last visited private and public clinics, controlling for age, sex, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2010.00199.x
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:This study sought to determine (1) knowledge of risk factors for oral cancer, (2) knowledge of signs and symptoms of oral cancers, and (3) factors associated with having had an oral cancer examination among 916 Maryland adults 18 years of age and older. METHODS:A statewide, random-digit dial, computer-assis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb03010.x
更新日期:1998-10-01 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: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:OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1997.tb02469.x
更新日期:1997-01-01 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
abstract::In response to the death of a young child, efforts by many partners have enabled Maryland to institute oral health reforms that ensure that low-income children remain visible and have continued access to dental services. This paper shows how proponents of oral health in Maryland used issues that were already on the or...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00328.x
更新日期:2012-01-01 00:00:00
abstract::Information concerning dental hygienists' job and career satisfaction is dated and incomplete. Because satisfaction may be important in retention of dental hygienists, a survey of all active dental hygienists in private practices in North Carolina was performed to ascertain dimensions and levels of job and career sati...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1992.tb02242.x
更新日期:1992-01-01 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::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