Linking Mother and Child Access to Dental Care
Identifieur interne : 002604 ( Pmc/Corpus ); précédent : 002603; suivant : 002605Linking Mother and Child Access to Dental Care
Auteurs : David Grembowski ; Charles Spiekerman ; Peter MilgromSource :
- Pediatrics [ 0031-4005 ] ; 2008.
Abstract
Among young children in low-income families covered by Medicaid, we estimate by racial/ethnic group whether children who have mothers with a regular source of dental care (RSDC) at baseline have greater dental utilization in the following year than children with mothers without a regular source.
From a population of 108,151 children enrolled in Medicaid aged 3 to 6 and their low-income mothers in Washington state, a disproportionate stratified random sample of 11,305 children aged 3 to 6 was selected from enrollment records in four racial/ethnic groups: 3,791 Black; 2,806 Hispanic 1,902 White; and 2,806 other racial/ethnic groups. In a prospective cohort design, we conducted a baseline survey of mothers and for respondents, collected their children’s Medicaid dental claims in the 1-year follow-up period. Mutivariable regression models estimated the associations between the mothers having a RSDC at baseline and their children’s prospective dental utilization.
About 38% of mothers had a RSDC. Among children of Black and Hispanic mothers, having a mother with a RSDC at baseline was associated with greater odds of receiving any dental care in the following year (OR 1.69, 95% CI 1.10-2.62 for children of Black mothers; OR 1.84, CI 1.23-2.73 for children of Hispanic mothers). For children with dental utilization, children of Black or Hispanic mothers with a RSDC received 1.22 (CI 1.08-1.38) and 1.10 (CI 1.01-1.19) more preventive services, respectively. For children of White mothers, associations were in the same direction but not significant.
For young children of Black and Hispanic mothers, dental care utilization is higher when their mothers have a RSDC. For low-income young children with Medicaid, increasing the mothers’ access to dental care may increase the children’s utilization of dental and preventive services, which, in turn, may reduce racial/ethnic inequalities in oral health.
Url:
DOI: 10.1542/peds.2008-0118
PubMed: 18829778
PubMed Central: 4821415
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PMC:4821415Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Linking Mother and Child Access to Dental Care</title>
<author><name sortKey="Grembowski, David" sort="Grembowski, David" uniqKey="Grembowski D" first="David" last="Grembowski">David Grembowski</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Health Services, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Spiekerman, Charles" sort="Spiekerman, Charles" uniqKey="Spiekerman C" first="Charles" last="Spiekerman">Charles Spiekerman</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Milgrom, Peter" sort="Milgrom, Peter" uniqKey="Milgrom P" first="Peter" last="Milgrom">Peter Milgrom</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Health Services, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
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<author><name sortKey="Grembowski, David" sort="Grembowski, David" uniqKey="Grembowski D" first="David" last="Grembowski">David Grembowski</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Health Services, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
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<author><name sortKey="Spiekerman, Charles" sort="Spiekerman, Charles" uniqKey="Spiekerman C" first="Charles" last="Spiekerman">Charles Spiekerman</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Milgrom, Peter" sort="Milgrom, Peter" uniqKey="Milgrom P" first="Peter" last="Milgrom">Peter Milgrom</name>
<affiliation><nlm:aff id="A1">Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Health Services, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</nlm:aff>
</affiliation>
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<series><title level="j">Pediatrics</title>
<idno type="ISSN">0031-4005</idno>
<idno type="eISSN">1098-4275</idno>
<imprint><date when="2008">2008</date>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P3">Among young children in low-income families covered by Medicaid, we estimate by racial/ethnic group whether children who have mothers with a regular source of dental care (RSDC) at baseline have greater dental utilization in the following year than children with mothers without a regular source.</p>
</sec>
<sec id="S2"><title>Patients and Methods</title>
<p id="P4">From a population of 108,151 children enrolled in Medicaid aged 3 to 6 and their low-income mothers in Washington state, a disproportionate stratified random sample of 11,305 children aged 3 to 6 was selected from enrollment records in four racial/ethnic groups: 3,791 Black; 2,806 Hispanic 1,902 White; and 2,806 other racial/ethnic groups. In a prospective cohort design, we conducted a baseline survey of mothers and for respondents, collected their children’s Medicaid dental claims in the 1-year follow-up period. Mutivariable regression models estimated the associations between the mothers having a RSDC at baseline and their children’s prospective dental utilization.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P5">About 38% of mothers had a RSDC. Among children of Black and Hispanic mothers, having a mother with a RSDC at baseline was associated with greater odds of receiving any dental care in the following year (OR 1.69, 95% CI 1.10-2.62 for children of Black mothers; OR 1.84, CI 1.23-2.73 for children of Hispanic mothers). For children with dental utilization, children of Black or Hispanic mothers with a RSDC received 1.22 (CI 1.08-1.38) and 1.10 (CI 1.01-1.19) more preventive services, respectively. For children of White mothers, associations were in the same direction but not significant.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P6">For young children of Black and Hispanic mothers, dental care utilization is higher when their mothers have a RSDC. For low-income young children with Medicaid, increasing the mothers’ access to dental care may increase the children’s utilization of dental and preventive services, which, in turn, may reduce racial/ethnic inequalities in oral health.</p>
</sec>
</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>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0376422</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6405</journal-id>
<journal-id journal-id-type="nlm-ta">Pediatrics</journal-id>
<journal-id journal-id-type="iso-abbrev">Pediatrics</journal-id>
<journal-title-group><journal-title>Pediatrics</journal-title>
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<issn pub-type="ppub">0031-4005</issn>
<issn pub-type="epub">1098-4275</issn>
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<article-id pub-id-type="doi">10.1542/peds.2008-0118</article-id>
<article-id pub-id-type="manuscript">NIHMS771090</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Linking Mother and Child Access to Dental Care</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Grembowski</surname>
<given-names>David</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Spiekerman</surname>
<given-names>Charles</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Milgrom</surname>
<given-names>Peter</given-names>
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<degrees>DDS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<aff id="A1"><label>1</label>
Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</aff>
<aff id="A2"><label>2</label>
Department of Health Services, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660</aff>
<author-notes><corresp id="CR1"><email>grem@u.washington.edu</email>
Phone: 206-616-2921 FAX: 206-543-3964</corresp>
<fn id="FN1"><p id="P1"><email>cspieker@u.washington.edu</email>
</p>
<p id="P2"><email>dfrc@u.washington.edu</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>23</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><month>10</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>05</day>
<month>4</month>
<year>2016</year>
</pub-date>
<volume>122</volume>
<issue>4</issue>
<fpage>e805</fpage>
<lpage>e814</lpage>
<pmc-comment>elocation-id from pubmed: 10.1542/peds.2008-0118</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P3">Among young children in low-income families covered by Medicaid, we estimate by racial/ethnic group whether children who have mothers with a regular source of dental care (RSDC) at baseline have greater dental utilization in the following year than children with mothers without a regular source.</p>
</sec>
<sec id="S2"><title>Patients and Methods</title>
<p id="P4">From a population of 108,151 children enrolled in Medicaid aged 3 to 6 and their low-income mothers in Washington state, a disproportionate stratified random sample of 11,305 children aged 3 to 6 was selected from enrollment records in four racial/ethnic groups: 3,791 Black; 2,806 Hispanic 1,902 White; and 2,806 other racial/ethnic groups. In a prospective cohort design, we conducted a baseline survey of mothers and for respondents, collected their children’s Medicaid dental claims in the 1-year follow-up period. Mutivariable regression models estimated the associations between the mothers having a RSDC at baseline and their children’s prospective dental utilization.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P5">About 38% of mothers had a RSDC. Among children of Black and Hispanic mothers, having a mother with a RSDC at baseline was associated with greater odds of receiving any dental care in the following year (OR 1.69, 95% CI 1.10-2.62 for children of Black mothers; OR 1.84, CI 1.23-2.73 for children of Hispanic mothers). For children with dental utilization, children of Black or Hispanic mothers with a RSDC received 1.22 (CI 1.08-1.38) and 1.10 (CI 1.01-1.19) more preventive services, respectively. For children of White mothers, associations were in the same direction but not significant.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P6">For young children of Black and Hispanic mothers, dental care utilization is higher when their mothers have a RSDC. For low-income young children with Medicaid, increasing the mothers’ access to dental care may increase the children’s utilization of dental and preventive services, which, in turn, may reduce racial/ethnic inequalities in oral health.</p>
</sec>
</abstract>
<kwd-group><kwd>Children</kwd>
<kwd>mothers</kwd>
<kwd>access to dental care</kwd>
<kwd>regular source of dental care</kwd>
<kwd>dental insurance</kwd>
<kwd>Medicaid</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
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