Insurance-Related Barriers to Accessing Dental Care Among African American Adults With Oral Health Symptoms in Harlem, New York City
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Auteurs : Eric W. Schrimshaw ; Karolynn Siegel ; Natalie H. Wolfson ; Dennis A. Mitchell ; Carol KunzelSource :
- American Journal of Public Health [ 0090-0036 ] ; 2011.
Abstract
Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insurance (21% private, 50% Medicaid), reported barriers included (1) lack of coverage, (2) insufficient coverage, (3) inability to find a dentist who accepts their insurance, (4) having to wait for coverage to take effect, and (5) perceived poor quality of care for the uninsured or underinsured. These findings provide insights into why disparities persist and suggest strategies to removing these barriers to dental care.
Url:
DOI: 10.2105/AJPH.2010.300076
PubMed: 21680926
PubMed Central: 3134506
Affiliations:
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Schrimshaw</name></author><author><name sortKey="Siegel, Karolynn" sort="Siegel, Karolynn" uniqKey="Siegel K" first="Karolynn" last="Siegel">Karolynn Siegel</name></author><author><name sortKey="Wolfson, Natalie H" sort="Wolfson, Natalie H" uniqKey="Wolfson N" first="Natalie H." last="Wolfson">Natalie H. Wolfson</name></author><author><name sortKey="Mitchell, Dennis A" sort="Mitchell, Dennis A" uniqKey="Mitchell D" first="Dennis A." last="Mitchell">Dennis A. Mitchell</name></author><author><name sortKey="Kunzel, Carol" sort="Kunzel, Carol" uniqKey="Kunzel C" first="Carol" last="Kunzel">Carol Kunzel</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="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Although ability to pay is associated with dental care utilization, provision of public or private dental insurance has not eliminated dental care disparities between African American and White adults. We examined insurance-related barriers to dental care in interviews with a street-intercept sample of 118 African American adults in Harlem, New York City, with recent oral health symptoms. Although most participants reported having dental insurance (21% private, 50% Medicaid), reported barriers included (1) lack of coverage, (2) insufficient coverage, (3) inability to find a dentist who accepts their insurance, (4) having to wait for coverage to take effect, and (5) perceived poor quality of care for the uninsured or underinsured. These findings provide insights into why disparities persist and suggest strategies to removing these barriers to dental care.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Kunzel, Carol" sort="Kunzel, Carol" uniqKey="Kunzel C" first="Carol" last="Kunzel">Carol Kunzel</name><name sortKey="Mitchell, Dennis A" sort="Mitchell, Dennis A" uniqKey="Mitchell D" first="Dennis A." last="Mitchell">Dennis A. Mitchell</name><name sortKey="Schrimshaw, Eric W" sort="Schrimshaw, Eric W" uniqKey="Schrimshaw E" first="Eric W." last="Schrimshaw">Eric W. Schrimshaw</name><name sortKey="Siegel, Karolynn" sort="Siegel, Karolynn" uniqKey="Siegel K" first="Karolynn" last="Siegel">Karolynn Siegel</name><name sortKey="Wolfson, Natalie H" sort="Wolfson, Natalie H" uniqKey="Wolfson N" first="Natalie H." last="Wolfson">Natalie H. Wolfson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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