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). 01/2001; 23(4):321-5.
Source: PubMed


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.

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    • "Financial barriers to health-care access often overlap with structural ones; for example, insurance coverage restrictions may put certain services out of reach of lower-income consumers with disabilities (DeJong et al., 2002; KFF, 2003b). A disturbing proportion of people with disabilities report serious problems accessing prescription drugs (32%), dental care (29%), equipment (21%), mental health services (17%), and home care (16%) due to cost (Kennedy & Erb, 2002; KFF, 2003b; Schultz, Shenkin, & Horowitz, 1998). Financial barriers vary considerably by source of insurance coverage, being most pronounced for the uninsured and those with Medicare only. "
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