scholarly journals Demographic and rural–urban variations in dental service utilization in Taiwan

2017 ◽  
Vol 17 (3) ◽  
Author(s):  
Pei-Chun Wen ◽  
Chiachi Lee ◽  
Ya-Hui Chang ◽  
Li-Jung Ku ◽  
Chung-Yi Li
Keyword(s):  
Service Utilization ◽  
Dental Service

Dental Visits during Pregnancy: Pregnancy Risk Assessment Monitoring System Analysis 2012–2015

2021 ◽  
pp. 238008442110285
Author(s):  
H. Lee ◽  
E. Tranby ◽  
L. Shi
Keyword(s):  
Risk Assessment ◽  
Oral Health ◽  
Prenatal Care ◽  
Service Utilization ◽  
Dental Care ◽  
White Women ◽  
Dental Service ◽  
Pregnancy Risk ◽  
Lower Odds ◽  
Dental Visits

Objectives: This study aimed to update dental service utilization during pregnancy and to evaluate whether there are persistent disparities in dental care during pregnancy by race/ethnicity and Medicaid status. Methods: This retrospective secondary data analysis examined dental service utilization during and prior to pregnancy and met dental or oral health needs using the Pregnancy Risk Assessment Monitoring System (PRAMS) data sets on 75,876 women between 2012 and 2015. Results: Only about half of the women (51.7%) reported that they had at least 1 dental visit for cleaning during their most recent pregnancy. One of 5 women (19.7%) experienced dental problems during pregnancy, and 34.4% of these women did not visit dentists to address the problems. Non-Hispanic Black women had 14% lower odds of visiting dentists for cleaning during pregnancy compared to non-Hispanic White women (odds ratio [OR], 0.86; 95% CI confidence interval [CI], 0.80–0.92). There was no difference in dental visits prior to pregnancy between non-Hispanic Black and White women. Women enrolled in Medicaid showed significantly lower odds of visiting dentists for cleaning during pregnancy compared to women covered by private health insurance (OR, 0.55; 95% CI, 0.52–0.58). Conclusion for Practice: Oral health, as an integral part of primary care, needs to be included in the standard prenatal care through oral health education and timely dental care during pregnancy. With mounting evidence of persisting disparities in dental service utilization during pregnancy, both public and private prenatal programs and policies should address specific barriers in accessing and using dental care during pregnancy, especially for women from socially disadvantaged backgrounds. Knowledge Transfer Statement: The current study updated the previous findings with more recent multiyear PRAMS data (2012–2015) and found the Black-White disparity and disparity among Medicaid-enrolled women in visiting dentists during pregnancy persist. The results of this study can be used by policymakers and practitioners to integrate oral health into prenatal care for pregnant women from marginalized backgrounds to achieve oral health parity.

scholarly journals Dental service utilization and neighborhood characteristics in young adults in the United States: a multilevel approach

2015 ◽  
Vol 75 (4) ◽  
pp. 282-290 ◽  
Author(s):  
Christopher Okunseri ◽  
Raul I. Garcia ◽  
Elaye Okunseri ◽  
Alexis Visotcky ◽  
Aniko Szabo
Keyword(s):  
United States ◽  
Young Adults ◽  
Service Utilization ◽  
The United States ◽  
Dental Service ◽  
Neighborhood Characteristics ◽  
Multilevel Approach

scholarly journals Dental Service Utilization Among Children in the Child Welfare System

2018 ◽  
Vol 22 (5) ◽  
pp. 753-761 ◽  
Author(s):  
Tracy L. Finlayson ◽  
Emmeline Chuang ◽  
Jong-Deuk Baek ◽  
Robert Seidman
Keyword(s):  
Child Welfare ◽  
Service Utilization ◽  
Child Welfare System ◽  
Dental Service ◽  
Welfare System

scholarly journals Effect of Copayment on Dental Visits: A Regression Discontinuity Analysis

2020 ◽  
Vol 99 (12) ◽  
pp. 1356-1362
Author(s):  
U. Cooray ◽  
J. Aida ◽  
R.G. Watt ◽  
G. Tsakos ◽  
A. Heilmann ◽  
...  
Keyword(s):  
Service Utilization ◽  
Universal Health Coverage ◽  
Service Use ◽  
Dental Treatment ◽  
Regression Discontinuity ◽  
Causal Effect ◽  
Dental Service ◽  
Health Coverage ◽  
Dental Visits ◽  
Universal Health

Despite their prevalence and burdens, oral diseases are neglected in universal health coverage. In Japan, a 30% copayment (out of pocket) by the user and a 70% contribution by Japan’s universal health insurance (JUHI) are required for dental and medical services. From the age of 70 y, an additional 10% is offered by JUHI (copayment, 20%; JUHI, 80%). This study aimed to investigate the effect of cost on dental service use among older adults under the current JUHI system. A regression discontinuity quasi-experimental method was used to investigate the causal effect of the JUHI discount policy on dental visits based on cross-sectional data. Data were derived from the 2016 Japan Gerontological Evaluation Study. This analysis contained 7,161 participants who used JUHI, were aged 68 to 73 y, and responded to questions regarding past dental visits. Analyses were controlled for age, sex, number of teeth, and equalized household income. Mean ± SD age was 72.1 ± 0.79 y for the discount-eligible group and 68.9 ± 0.78 y for the noneligible group. During the past 12 mo, significantly more discount-eligible participants had visited dental services than noneligible participants (66.0% vs. 62.1% for treatment visits, 57.7% vs. 53.1% for checkups). After controlling for covariates, the effect of discount eligibility was significant on dental treatment visits (odds ratio [OR], 1.36; 95% CI, 1.32 to 1.40) and dental checkups (OR, 1.49; 95% CI, 1.44 to 1.54) in the regression discontinuity analysis. Similar findings were observed in triangular kernel-weighted models (OR, 1.38 [95% CI, 1.34 to 1.44]; OR, 1.52 [95% CI, 1.47 to 1.56], respectively). JUHI copayment discount policy increases oral health service utilization among older Japanese. The price elasticity for dental checkup visits appears to be higher than for dental treatment visits. Hence, reforming the universal health coverage system to improve the affordability of relatively inexpensive preventive care could increase dental service utilization in Japan.

Dental service utilization of disabled children

1991 ◽  
Vol 11 (5) ◽  
pp. 194-196 ◽  
Author(s):  
Geok Lam Lo ◽  
George Soh ◽  
Hemalatha Vignehsa ◽  
Naren K. Chellappah
Keyword(s):  
Service Utilization ◽  
Dental Service ◽  
Disabled Children

scholarly journals Primary Language Spoken at Home and Children's Dental Service Utilization in the United States

2009 ◽  
Vol 69 (4) ◽  
pp. 276-283 ◽  
Author(s):  
Matthew Noyce ◽  
Aniko Szabo ◽  
Nicholas M. Pajewski ◽  
Scott Jackson ◽  
T. Gerard Bradley ◽  
...  
Keyword(s):  
United States ◽  
Service Utilization ◽  
The United States ◽  
Dental Service ◽  
Primary Language ◽  
Language Spoken At Home ◽  
At Home
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