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Dental Service Utilization Among Children in the Child Welfare System.
- Source :
-
Maternal & Child Health Journal . May2018, Vol. 22 Issue 5, p753-761. 9p. 2 Charts. - Publication Year :
- 2018
-
Abstract
- Objective: To examine predisposing, enabling, and need-related factors associated with dental utilization by children involved with the child welfare system (CWS).Methods: Data were analyzed from the National Survey of Child and Adolescent Well-Being (NSCAW; Wave II), a national probability sample of children (2-17 years) following a welfare assessment during 2008-2009 (nā=ā2806). Caregiver-reported child receipt of dental services in the past year was the outcome in weighted logistic regression models.Results: Two-thirds of children had a recent dental visit. Older children (OR 2.95, 95% CI 2.06,4.21 for ages 6-11; OR 2.47, CI 1.82, 3.37 for ages 12-17, compared to ages 2-5) were more likely to have visited the dentist, as were children of more educated caregivers (OR 1.68; CI 1.20, 2.36 for high school, OR 2.45; CI 1.71, 3.52 for more than high school). Children without a usual source of care (OR 0.50; CI 0.27, 0.94) and those living with non-biological parents had lower odds of a recent visit (OR 0.64; CI 0.43, 0.97). Children with dental problems were twice as likely to have a recent visit (OR 2.02; CI 1.21, 3.38), while children with unmet needs who could not afford care had lower odds of utilizing services (OR 0.28; CI 0.16, 0.46).Conclusions for Practice: Many children in the CWS, especially younger children (ages 2-5), did not have a reported dental visit in the past year. Cost was a barrier, and caregiver status was associated with the likelihood of obtaining dental care. Health and social service providers should refer these children for dental care. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10927875
- Volume :
- 22
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Maternal & Child Health Journal
- Publication Type :
- Academic Journal
- Accession number :
- 128996744
- Full Text :
- https://doi.org/10.1007/s10995-018-2444-y