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Monday, April 21
Grant Miller: Managerial Incentives in Public Service Delivery

Determinants of dental care visits among low-income African-American children

Publication Abstract

Sohn, W., A. Ismail, A. Amaya, and James M. Lepkowski. 2007. "Determinants of dental care visits among low-income African-American children." Journal of the American Dental Association, 138:309-318.

Background. The objective of the authors' analysis was to investigate the determinants of dental care visits among young, low-income African-American children. Methods. Trained researchers interviewed a representative sample of low-income black families (caregivers and children aged 0 through 5 years) in Detroit to asses their dental visit history, dental insurance status and oral health behaviours. Dental examinations were conducted using the International Caries Diasnosis Assessment System (ICDAS). Of the 1,021 families who completed an interview and examination, a subset of the 552 children aged 3 to 5 years (and their primary caregivers) was the focus of this analysis. Results. Children with private dental insurance had four times the higher odds of having visited a dentist compared with those who no dental insurance, and the odds for children receiving Medicard were about 1.5 times higher. A child's age and a caregiver's educational attainment were positive and significant determinants of child dental visits. Caregivers who visited a dentist for preventitive reasons were five times more likely to have taken their children to visit the dentist. Visiting a dentist was associated with an increased mean number of filled or missing tooth surfaces, but it was not significantly associated with the mean number of untreated decayed teeth. Conclusion. Children's dental insurance status was a significant determinant of their having visited a dentist. Even after the authors accounted for insurance status and other risk indicators, they found that children of caregivers who reported visiting a dentist for preventitive care had a higher number of dental visits must be identified and encouraged to improve the percentage of low-income children who visit dentists.

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