Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population

Jennifer M C Sukalski; Natoshia M Askelson; Julie C Reynolds; Peter C Damiano; Wei Shi; Xian Jin Xie; Susan C McKernan

doi:10.1111/jphd.12588

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Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population

Journal article

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Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population

Jennifer M C Sukalski, Natoshia M Askelson, Julie C Reynolds, Peter C Damiano, Wei Shi, Xian Jin Xie and Susan C McKernan

Journal of public health dentistry, Vol.83(4), pp.363-370

Autumn 2023

DOI: 10.1111/jphd.12588

PMID: 37965907

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Abstract

Objectives Perceived Social Status (PSS) is a measure of cumulative socioeconomic circumstances that takes perceived self-control into account. It is hypothesized to better capture social class compared to socioeconomic status (SES) measures (i.e., education, occupation, and income). This study examined the association between PSS and dental utilization, comparing the strength of associations between dental utilization and PSS and SES measures among a low-income adult Medicaid population. Methods A cross-sectional survey was administered to a random sample of low-income adults in Iowa, United States with Medicaid dental insurance (N = 18,000) in the spring of 2018. Respondents were asked about PSS, dental utilization, and demographics. A set of multivariable logistic regression models examined the relative effects of PSS and SES measures on dental utilization, controlling for age, sex, health literacy, whether the respondent was aware they had dental insurance, transportation, and perceived need of dental care. Results The adjusted response rate was 25%, with a final sample size of 2252. Mean PSS (range 1–10) was 5.3 (SD 1.9). PSS was significantly associated with dental utilization (OR = 1.11; CI = 1.05, 1.18) when adjusting for control variables, whereas other SES measures—education, employment, and income—were not. Conclusions PSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors.

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dental utilization

medicaid

perceived social status

socioeconomic status

Details

Title: Subtitle: Perceived social status, socioeconomic status, and preventive dental utilization among a low-income Medicaid adult population
Creators: Jennifer M C Sukalski
Natoshia M Askelson - University of Iowa
Julie C Reynolds - University of Iowa
Peter C Damiano - University of Iowa
Wei Shi
Xian Jin Xie - University of Iowa
Susan C McKernan - University of Iowa
Resource Type: Journal article
Publication Details: Journal of public health dentistry, Vol.83(4), pp.363-370
DOI: 10.1111/jphd.12588
PMID: 37965907
NLM abbreviation: J Public Health Dent
eISSN: 1752-7325
Publisher: Wiley
Grant note: Iowa Department of Human Services National Institute of Dental and Craniofacial Research. Grant Number: F31DE030363
Language: English
Electronic publication date: 11/15/2023
Date published season: Autumn 2023
Date published: 2023
Academic Unit: Preventive and Community Dentistry; Health Management and Policy; Biostatistics; Injury Prevention Research Center; Public Policy Center (Archive); Dental Research; Community and Behavioral Health; University College Courses
Record Identifier: 9984511957102771

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