Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability

Donald L Chi; Elizabeth T Momany; Raymond A Kuthy; Jane M Chalmers; Peter C Damiano

doi:10.1111/j.1752-7325.2009.00141.x

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Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability

Journal article

Open access

Peer reviewed

Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability

Donald L Chi, Elizabeth T Momany, Raymond A Kuthy, Jane M Chalmers and Peter C Damiano

Journal of public health dentistry, Vol.70(1), pp.35-44

2010

DOI: 10.1111/j.1752-7325.2009.00141.x

PMCID: PMC3592375

PMID: 19694935

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Abstract

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. 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. 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. 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.

Ethnic Groups - statistics & numerical data

Mentally Disabled Persons - statistics & numerical data

Disabled Children - statistics & numerical data

United States

Humans

Child, Preschool

Logistic Models

Male

Medicaid - statistics & numerical data

Preventive Health Services - utilization

Chi-Square Distribution

Dental Care for Children - utilization

Preventive Health Services - statistics & numerical data

Iowa

Dental Care for Children - statistics & numerical data

Health Services Accessibility

Adolescent

Female

Dental Care for Disabled - utilization

Odds Ratio

Child

Dental Care for Disabled - statistics & numerical data

Medicaid - utilization

Oral Health Policy

Details

Title: Subtitle: Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability
Creators: Donald L Chi - Department of Pediatric Dentistry, College of Dentistry, Public Policy Center, The University of Iowa, IA 52246, USA. donald-chi@uiowa.edu
Elizabeth T Momany
Raymond A Kuthy
Jane M Chalmers
Peter C Damiano
Resource Type: Journal article
Publication Details: Journal of public health dentistry, Vol.70(1), pp.35-44
DOI: 10.1111/j.1752-7325.2009.00141.x
PMID: 19694935
PMCID: PMC3592375
NLM abbreviation: J Public Health Dent
ISSN: 0022-4006
eISSN: 1752-7325
Publisher: United States
Grant note: T32 DE014678 / NIDCR NIH HHS L60 MD003921 / NIMHD NIH HHS T32-DE014678 / NIDCR NIH HHS D13-HP30026 / PHS HHS K08 DE020856 / NIDCR NIH HHS
Language: English
Date published: 2010
Academic Unit: Preventive and Community Dentistry; Health Management and Policy; Public Policy Center (Archive); University College Courses; Oral Health Policy Research
Record Identifier: 9983917670702771

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