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Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability.
- Source :
-
Journal of public health dentistry [J Public Health Dent] 2010 Winter; Vol. 70 (1), pp. 35-44. - Publication Year :
- 2010
-
Abstract
- Objectives: To compare preventive dental utilization for children with intellectual and/or developmental disability (IDD) and those without IDD and to identify factors associated with dental utilization.<br />Methods: We analyzed Iowa Medicaid dental claims submitted during calendar year (CY) 2005 for a cohort of children ages 3-17 who were eligible for Medicaid for at least 11 months in CY 2005 (n = 107,605). A protocol for identifying IDD children was developed by a group of dentists and physicians with clinical experience in treating children with disabilities. Utilization rates were compared for the two groups. Crude and covariate-adjusted odds ratios were estimated using conditional logistic regression modeling.<br />Results: A significantly higher proportion of non-IDD children received preventive care than those identified as IDD (48.6 percent versus 46.1 percent; P < 0.001). However, the final model revealed no statistically significant difference between the two groups. Factors such as older age, not residing in a dental Health Professional Shortage Area, interaction with the medical system, and family characteristics increased one's likelihood of receiving preventive dental care.<br />Conclusion: Although IDD children face additional barriers to receiving dental care and may be at greater risk for dental disease, they utilize preventive dental services at the same rate as non-IDD children. Clinical and policy efforts should focus on ensuring that all Medicaid-enrolled children receive need-appropriate levels of preventive dental care.
- Subjects :
- Adolescent
Chi-Square Distribution
Child
Child, Preschool
Ethnicity statistics & numerical data
Female
Health Services Accessibility
Humans
Iowa
Logistic Models
Male
Odds Ratio
United States
Dental Care for Children statistics & numerical data
Dental Care for Disabled statistics & numerical data
Disabled Children statistics & numerical data
Medicaid statistics & numerical data
Persons with Mental Disabilities statistics & numerical data
Preventive Health Services statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 0022-4006
- Volume :
- 70
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of public health dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 19694935
- Full Text :
- https://doi.org/10.1111/j.1752-7325.2009.00141.x