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 status, receiving preventive dental care, and delayed dental care/unmet need. Model-based survey-data-analysis examined racial/ethnic disparities, controlling for child, family, and community/state (contextual) factors. RESULTS:Unadjusted results show large racial/ethnic oral health disparities. Compared with non-Hispanic White people, Hispanic and non-Hispanic-Black people were markedly more likely to be reported in only fair/poor oral health [odds ratios (ORs) (95% confidence intervals) 4.3 (4.0-4.6), 2.2 (2.0-2.4), respectively], lack preventive care [ORs 1.9 (1.8-2.0), 1.4 (1.3-1.5)], and experience delayed care/unmet need [ORs 1.5 (1.3-1.7), 1.4 (1.3-1.5)]. Adjusting for child, family, and community/state factors reduced racial/ethnic disparities. Adjusted ORs (AORs) for Hispanics and non-Hispanic Blacks attenuated for fair/poor oral health, to 1.6 (1.5-1.8) and 1.2 (1.1-1.4), respectively. Adjustment eliminated disparities for lacking preventive care [AORs 1.0 (0.9-1.1), 1.1 (1.1-1.2)] and in Hispanics for delayed care/unmet need (AOR 1.0). Among non-Hispanic Blacks, adjustment reversed the disparity for delayed care/unmet need [AOR 0.6 (0.6-0.7)]. CONCLUSIONS:Racial/ethnic disparities in children's oral health status and access were attributable largely to socioeconomic and health insurance factors. Efforts to decrease disparities may be more efficacious if targeted at social, economic, and other factors associated with minority racial/ethnic status and may have positive effects on all who share similar social, economic, and cultural characteristics.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Fisher-Owens SA,Isong IA,Soobader MJ,Gansky SA,Weintraub JA,Platt LJ,Newacheck PWdoi
10.1111/j.1752-7325.2012.00367.xsubject
Has Abstractpub_date
2013-04-01 00:00:00pages
166-74issue
2eissn
0022-4006issn
1752-7325journal_volume
73pub_type
杂志文章abstract:OBJECTIVE:This paper reports on factors that predict the market penetration and growth into the market of both medical and dental managed care, and the relationship between the two. METHODS:Using data from the National Association of Dental Plans, the Interstudy Competitive Edge HMO Census, and the Area Resource File ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1999.tb03231.x
更新日期:1999-01-01 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::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: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: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::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::A survey was mailed to all active diplomates of the American Board of Dental Public Health in January of 1980 requesting information regarding activities for the period including January 1978 to December 1979. Eighty-two of the then 86 full-time active diplomates responded to the survey. Comparisons with the results o...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1982.tb02642.x
更新日期:1982-07-01 00:00:00
abstract::The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1985.tb01125.x
更新日期:1985-07-01 00:00:00
abstract::Central to all value-based purchasing (VBP) approaches are value metrics, the measurements used to drive improvement, facilitate payment, and evaluate results of VBP programs. This article outlines approaches for adopting meaningful measurement systems that can be used to support VBP in the near term and identifies sy...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12395
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence, extent, and risk indicators of tooth loss in a representative young urban population from south Brazil. METHODS:A representative sample was drawn using a multi-stage probability cluster sampling strategy, and consisted of 612 subjects 14-29 years of age in the metropolitan area of ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2006.tb02565.x
更新日期:2006-04-01 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:Hospital emergency departments (EDs) function as the safety net for patients with non-traumatic dental conditions (NTDCs). With the implementation of Medicaid expansion under the Affordable Care Act (ACA) many adults became eligible for dental benefits. We examined the impact of "early" Medicaid expansion in...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12214
更新日期:2017-09-01 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:Currently, there is a deficit of information on policies regarding oral hygiene practices in Toronto daycares. It is unknown if any tooth-brushing programs are in existence and if children are permitted to follow professional advice on oral hygiene. The main objectives of this investigation were to a) determ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00123.x
更新日期:2009-07-01 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: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::Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1984.tb03077.x
更新日期:1984-10-01 00:00:00
abstract::The racial and ethnic diversity of the US oral health care workforce remains insufficient to meet the needs of an increasingly diverse population and to address persistent health disparities. The findings from a recent national survey of underrepresented minority dentists are reviewed and recommendations are made for ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/jphd.12219
更新日期:2017-03-01 00:00:00
abstract::Cost-effectiveness analysis (CEA) is becoming increasingly popular as society moves toward rationalizing health costs. This review describes the applications and limitations of the technique. Conceptually simple though frequently complicated in application, CEA compares the cost of a procedure with its effectiveness, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1989.tb02085.x
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:It has been speculated that amoxicillin use could be associated with enamel defects, but there have been few studies of this possible relationship. This study assessed the association between amoxicillin use during the first year of life and primary tooth fluorosis. METHODS:Subjects (n = 490) were recruited ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2004.tb02724.x
更新日期:2004-01-01 00:00:00
abstract::This paper presents a background discussion of the estimation of normative need for dental care. Definitions are given which differentiate normative need for dental care from perceived need, demand, or utilization. Four different approaches to obtaining estimates of normative need for dental care are outlined. They ar...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1980.tb01049.x
更新日期:1980-10-01 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: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:OBJECTIVE:This study aimed to provide a description of the psychosocial process involved in regular dental attendance. METHODS:The study design was a qualitative cross-sectional study using unstructured and semistructured interviews and observations of regular dental visits. The study participants included 12 men and ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2000.tb03285.x
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:This paper reports the results of a three-year evaluation of access to dental care and its associated costs for Aid to Families with Dependent Children (AFDC) beneficiaries enrolled in a hospital-based health maintenance organization (HMO) or a fee-for-service (FFS) option. METHODS:Medicaid enrollees (n = 3...
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.1752-7325.1996.tb02462.x
更新日期:1996-10-01 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:OBJECTIVES:Italy, together with Spain, is second only to France in the total number of AIDS cases in Europe, with over 16,800 as of March 1993. The purpose of this study was to evaluate knowledge, attitudes, and behavior concerning AIDS and infection control among Italian dentists. METHODS:A questionnaire was mailed t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1994.tb01206.x
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12262
更新日期:2018-06-01 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: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