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<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Racial and Ethnic Disparities in Utilization of Dental Services Among Children in Iowa: The Latino Experience</title>
<author>
<name sortKey="Valencia, Alejandra" sort="Valencia, Alejandra" uniqKey="Valencia A" first="Alejandra" last="Valencia">Alejandra Valencia</name>
</author>
<author>
<name sortKey="Damiano, Peter" sort="Damiano, Peter" uniqKey="Damiano P" first="Peter" last="Damiano">Peter Damiano</name>
</author>
<author>
<name sortKey="Qian, Fang" sort="Qian, Fang" uniqKey="Qian F" first="Fang" last="Qian">Fang Qian</name>
</author>
<author>
<name sortKey="Warren, John J" sort="Warren, John J" uniqKey="Warren J" first="John J." last="Warren">John J. Warren</name>
</author>
<author>
<name sortKey="Weber Gasparoni, Karin" sort="Weber Gasparoni, Karin" uniqKey="Weber Gasparoni K" first="Karin" last="Weber-Gasparoni">Karin Weber-Gasparoni</name>
</author>
<author>
<name sortKey="Jones, Michael" sort="Jones, Michael" uniqKey="Jones M" first="Michael" last="Jones">Michael Jones</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">22698039</idno>
<idno type="pmc">3519335</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519335</idno>
<idno type="RBID">PMC:3519335</idno>
<idno type="doi">10.2105/AJPH.2011.300471</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">000296</idno>
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<title xml:lang="en" level="a" type="main">Racial and Ethnic Disparities in Utilization of Dental Services Among Children in Iowa: The Latino Experience</title>
<author>
<name sortKey="Valencia, Alejandra" sort="Valencia, Alejandra" uniqKey="Valencia A" first="Alejandra" last="Valencia">Alejandra Valencia</name>
</author>
<author>
<name sortKey="Damiano, Peter" sort="Damiano, Peter" uniqKey="Damiano P" first="Peter" last="Damiano">Peter Damiano</name>
</author>
<author>
<name sortKey="Qian, Fang" sort="Qian, Fang" uniqKey="Qian F" first="Fang" last="Qian">Fang Qian</name>
</author>
<author>
<name sortKey="Warren, John J" sort="Warren, John J" uniqKey="Warren J" first="John J." last="Warren">John J. Warren</name>
</author>
<author>
<name sortKey="Weber Gasparoni, Karin" sort="Weber Gasparoni, Karin" uniqKey="Weber Gasparoni K" first="Karin" last="Weber-Gasparoni">Karin Weber-Gasparoni</name>
</author>
<author>
<name sortKey="Jones, Michael" sort="Jones, Michael" uniqKey="Jones M" first="Michael" last="Jones">Michael Jones</name>
</author>
</analytic>
<series>
<title level="j">American Journal of Public Health</title>
<idno type="ISSN">0090-0036</idno>
<idno type="eISSN">1541-0048</idno>
<imprint>
<date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<italic>Objectives.</italic>
We sought to understand the role of Latino acculturation in dental care utilization in Iowa children.</p>
<p>
<italic>Methods.</italic>
We used logistic regression to evaluate factors associated with having a previous-year dental check-up with 2005 Iowa Child and Family Household Health Survey data. We constructed models to examine the association with race/ethnicity and used chosen interview language to measure Latino acculturation.</p>
<p>
<italic>Results.</italic>
After we controlled for several factors, having a regular dental care source, having a dental need, dental insurance status, family income, children's dental health rating, children's age, and brushing habits were associated with having a previous-year dental check-up. Race/ethnicity was indirectly associated with use of dental services through other related factors with significant differences for less-acculturated Latinos.</p>
<p>
<italic>Conclusions.</italic>
Policymakers and health planners should implement strategies to address individual, community, and system factors affecting racial/ethnic minorities. A regular source of dental care for Latino children that will enhance their access to services should be ensured. Ignoring the needs of the fastest growing segment of children with the poorest oral health and the least access to care will lead to future increase of oral diseases in this population.</p>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id>
<journal-id journal-id-type="publisher-id">ajph</journal-id>
<journal-title-group>
<journal-title>American Journal of Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0090-0036</issn>
<issn pub-type="epub">1541-0048</issn>
<publisher>
<publisher-name>American Public Health Association</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22698039</article-id>
<article-id pub-id-type="pmc">3519335</article-id>
<article-id pub-id-type="publisher-id">300471</article-id>
<article-id pub-id-type="doi">10.2105/AJPH.2011.300471</article-id>
<article-categories>
<subj-group subj-group-type="hwp-journal-coll">
<subject>14</subject>
<subject>60</subject>
</subj-group>
<subj-group subj-group-type="heading">
<subject>Research and Practice</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Racial and Ethnic Disparities in Utilization of Dental Services Among Children in Iowa: The Latino Experience</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Valencia</surname>
<given-names>Alejandra</given-names>
</name>
<degrees>DDS, MPH, MS</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Damiano</surname>
<given-names>Peter</given-names>
</name>
<degrees>DDS, MPH</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qian</surname>
<given-names>Fang</given-names>
</name>
<degrees>PhD, MA, MPhil</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Warren</surname>
<given-names>John J.</given-names>
</name>
<degrees>DDS, MS</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weber-Gasparoni</surname>
<given-names>Karin</given-names>
</name>
<degrees>DDS, PhD, MS</degrees>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Michael</given-names>
</name>
<degrees>PhD, MA</degrees>
</contrib>
<aff>Alejandra Valencia, Peter Damiano, Fang Qian, and John J. Warren are with the Department of Preventive and Community Dentistry, University of Iowa, Iowa City. Peter Damiano is also with the Public Policy Center, University of Iowa. Karin Weber-Gasparoni is with the Department of Pediatric Dentistry, University of Iowa. Michael Jones is with the Department of Biostatistics, University of Iowa.</aff>
</contrib-group>
<author-notes>
<corresp>Correspondence should be sent to Alejandra Valencia, Research Associate, Chicago Community Oral Health Forum, 1708 N 78th Ave, Elmwood Park, IL 60707 (e-mail:
<email>avalencia@heartlandalliance.org</email>
). Reprints can be ordered at
<ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link>
by clicking the “Reprints” link.</corresp>
<fn>
<p>Peer Reviewed</p>
</fn>
<fn>
<p>
<bold>Contributors</bold>
</p>
<p>A. Valencia was the lead researcher, who conducted the data analyses and led the writing process. P. Damiano was the primary mentor of the research, originated and supervised the original study and its data collection, and assisted with writing the article. F. Qian and M. Jones assisted with the statistical methods used in the study, the conceptualization for the analyses, and writing the article. J. Warren and K. Weber-Gasparoni assisted with the conceptualization of the study and writing the article.</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<month>12</month>
<year>2012</year>
</pub-date>
<volume>102</volume>
<issue>12</issue>
<fpage>2352</fpage>
<lpage>2359</lpage>
<history>
<date date-type="accepted">
<day>15</day>
<month>9</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>© American Public Health Association 2012</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2012.300471.pdf"></self-uri>
<abstract>
<p>
<italic>Objectives.</italic>
We sought to understand the role of Latino acculturation in dental care utilization in Iowa children.</p>
<p>
<italic>Methods.</italic>
We used logistic regression to evaluate factors associated with having a previous-year dental check-up with 2005 Iowa Child and Family Household Health Survey data. We constructed models to examine the association with race/ethnicity and used chosen interview language to measure Latino acculturation.</p>
<p>
<italic>Results.</italic>
After we controlled for several factors, having a regular dental care source, having a dental need, dental insurance status, family income, children's dental health rating, children's age, and brushing habits were associated with having a previous-year dental check-up. Race/ethnicity was indirectly associated with use of dental services through other related factors with significant differences for less-acculturated Latinos.</p>
<p>
<italic>Conclusions.</italic>
Policymakers and health planners should implement strategies to address individual, community, and system factors affecting racial/ethnic minorities. A regular source of dental care for Latino children that will enhance their access to services should be ensured. Ignoring the needs of the fastest growing segment of children with the poorest oral health and the least access to care will lead to future increase of oral diseases in this population.</p>
</abstract>
<counts>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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