Racial and ethnic disparities in utilization of dental services among children in Iowa: the Latino experience

Alejandra Valencia; Peter Damiano; Fang Qian; John J Warren; Karin Weber-Gasparoni; Michael Jones

doi:10.2105/AJPH.2011.300471

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Racial and ethnic disparities in utilization of dental services among children in Iowa: the Latino experience

Journal article

Open access

Peer reviewed

Racial and ethnic disparities in utilization of dental services among children in Iowa: the Latino experience

Alejandra Valencia, Peter Damiano, Fang Qian, John J Warren, Karin Weber-Gasparoni and Michael Jones

American journal of public health (1971), Vol.102(12), pp.2352-2359

12/2012

DOI: 10.2105/AJPH.2011.300471

PMCID: PMC3519335

PMID: 22698039

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519335View

Published (Version of record) Open Access

Abstract

We sought to understand the role of Latino acculturation in dental care utilization in Iowa children. We used logistic regression to evaluate factors associated with having a previous-year dental check-up with 2005 Iowa Child and Family Household Health Survey data. We constructed models to examine the association with race/ethnicity and used chosen interview language to measure Latino acculturation. After we controlled for several factors, having a regular dental care source, having a dental need, dental insurance status, family income, children's dental health rating, children's age, and brushing habits were associated with having a previous-year dental check-up. Race/ethnicity was indirectly associated with use of dental services through other related factors with significant differences for less-acculturated Latinos. Policymakers and health planners should implement strategies to address individual, community, and system factors affecting racial/ethnic minorities. A regular source of dental care for Latino children that will enhance their access to services should be ensured. Ignoring the needs of the fastest growing segment of children with the poorest oral health and the least access to care will lead to future increase of oral diseases in this population.

Income - statistics & numerical data

Healthcare Disparities - statistics & numerical data

Age Factors

Humans

Child, Preschool

Healthcare Disparities - ethnology

European Continental Ancestry Group - statistics & numerical data

Hispanic Americans - statistics & numerical data

Logistic Models

Male

Insurance Coverage - statistics & numerical data

Dental Care for Children - utilization

Insurance, Dental - statistics & numerical data

Toothbrushing - statistics & numerical data

African Americans - statistics & numerical data

Adolescent

Female

Iowa - epidemiology

Child

Health Care Surveys

Details

Title: Subtitle: Racial and ethnic disparities in utilization of dental services among children in Iowa: the Latino experience
Creators: Alejandra Valencia - Department of Preventive and Community Dentistry, University of Iowa, Iowa City, USA. avalencia@heartlandalliance.org
Peter Damiano
Fang Qian
John J Warren
Karin Weber-Gasparoni
Michael Jones
Resource Type: Journal article
Publication Details: American journal of public health (1971), Vol.102(12), pp.2352-2359
Publisher: United States
DOI: 10.2105/AJPH.2011.300471
PMID: 22698039
PMCID: PMC3519335
ISSN: 0090-0036
eISSN: 1541-0048
Language: English
Date published: 12/2012
Academic Unit: Statistics and Actuarial Science; Preventive and Community Dentistry; Health Management and Policy; Biostatistics; Pediatric Dentistry; Public Policy Center (Archive); Dental Research; University College Courses
Record Identifier: 9983917791002771

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