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County-level determinants of dental utilization for Medicaid-enrolled children with chronic conditions: how does place affect use?
Journal article   Peer reviewed

County-level determinants of dental utilization for Medicaid-enrolled children with chronic conditions: how does place affect use?

Donald L Chi and Brian Leroux
Health & place, Vol.18(6), pp.1422-1429
11/2012
DOI: 10.1016/j.healthplace.2012.07.007
PMCID: PMC3597237
PMID: 22981229
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3597237View
Open Access

Abstract

Little is known about how place affects childrens' access to dental care. We analyzed data for 25,908 Iowa Medicaid-enrolled children with chronic conditions to identify the county-level determinants of dental utilization. Our analyses suggest that higher levels of poverty and designation as a dental health professional shortage area at the county-level are associated with lower probability of child-level dental use. There are significant interactions between child-level race/ethnicity and county-level poverty as well as between child-level disability and county-level unemployment. We present a new descriptive model on dental utilization that emphasizes county-level factors as well as interactions between county-level and child-level factors.
Adolescent Child Child, Preschool Chronic Disease - epidemiology Dental Care for Children - statistics & numerical data Dental Care for Children - utilization Female Health Services Accessibility - statistics & numerical data Healthcare Disparities - statistics & numerical data Humans Iowa - epidemiology Male Medicaid - statistics & numerical data Medically Underserved Area Poverty Areas Socioeconomic Factors United States

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