Article

Parental perceptions of unmet dental need and cost barriers to care for developmentally disabled children.

NIDCR/NIH, Bethesda, MD, USA.
Pediatric dentistry (Impact Factor: 0.56). 23(4):321-5.
Source: PubMed

ABSTRACT The purpose of this investigation was to describe and assess the disparities, if any, in parental perceived cost barriers to oral health care among developmentally disabled children using a national data set.
Data from the 1997 National Health Interview Survey (NHIS) were analyzed using a SUDAAN statistical package.
After adjusting for age and sex, parental perception of unmet need was significantly associated with developmentally disabled children 2-17 years in lower socioeconomic groups.
Though most children from lower socioeconomic groups are eligible for Medicaid coverage, parents of these children perceive cost barriers to dental care. Children with developmental disabilities face even more perceived barriers to care based on family income.

2 Followers
 · 
172 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Dental care among young adults with intellectual disability (ID) is poorly documented and largely unmet. By using population-based data from the Metropolitan Atlanta Developmental Disabilities Follow-Up Study, we assessed factors associated with at least one or two dental visits per year among young adults with and without ID. Significantly fewer young adults with ID (45%) visited a dentist at least once per year, compared with those without ID (58%). ID severity and the presence of co-occurring developmental disabilities predicted dental care use. Sociodemographics, daily functioning, societal participation, dental services, and dental health factors were examined as predictors of dental care frequency. Our findings can help focus efforts toward improving the frequency of dental care visits among young adults with ID.
    Research in developmental disabilities 03/2013; 34(5):1630-1641. DOI:10.1016/j.ridd.2013.02.006 · 4.41 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The authors assessed the prevalence and predictors of untreated caries and oral pain among Special Olympic athletes. The study population consisted of a convenience sample of 9,620 athletes who were participating in the 2001 Special Olympics events held at 40 sites in the United States, and who consented to a standardized oral health screening. The prevalence of oral pain and untreated caries was 13.5% and 30.4%, respectively. Statistically significant independent associations (adjusted odds ratios [OR], p ≥ 0.05) between untreated caries and oral pain (OR=1.50), gingivitis (OR=1.92), injury (OR=1.28), missing teeth (OR=1.79), and home care (frequency of cleaning their teeth once or less per week compared with once or more per day OR=2.13) were found. In another model, we found statistically significant independent associations between oral pain and untreated caries (OR=1.58), gender (OR=1.28), gingivitis (OR=1.30), and home care (frequency of cleaning their teeth once or less per week compared to once or more per day OR=4.60). Substantial levels of untreated caries and oral pain were prevalent and related to poor oral hygiene and poor oral health. These findings were discouraging given that the study participants represented a generally well-supported, high-functioning stratum of persons with mental retardation in the United States.
    Special Care in Dentistry 03/2008; 23(4):139 - 142. DOI:10.1111/j.1754-4505.2003.tb00300.x
  • [Show abstract] [Hide abstract]
    ABSTRACT: There is considerable debate about whether sugar-sweetened beverages (SSBs) should be allowable purchases with benefits from the Supplemental Nutrition Assistance Program (SNAP). To examine national patterns in adult consumption of SSBs by SNAP eligibility. Cross-sectional analysis of 24-hour dietary recall data obtained from the National Health and Nutrition Examination Survey 2003-2010 (N=17,198), analyzed in 2013. In 2003-2010, 65% of adults receiving SNAP consumed SSBs, averaging 307 calories daily, and 74 grams of sugar. Compared to adults ineligible for SNAP, adults receiving SNAP consumed a higher percentage of SSBs (65% vs. 59%, p<0.001), more calories from SSB per capita (210kcal vs. 175kcal, p=0.001), and more daily calories from SSBs among drinkers (307kcal vs. 278kcal, p =0.008). Overall, per capita consumption from SSBs was highest among adults receiving SNAP (210kcal, 9% total daily intake), followed by adults eligible but not participating in SNAP (192kcal, 8% total daily intake) - both of which had significantly higher SSB consumption than ineligible adults (175kcal, 8% total daily intake) (p<0.05). Adults eligible for SNAP benefits consume more SSBs than ineligible adults.
    Preventive Medicine 10/2013; 57(6). DOI:10.1016/j.ypmed.2013.10.006 · 2.93 Impact Factor

Full-text (2 Sources)

Download
47 Downloads
Available from
May 31, 2014