Journal article
Timing of first dental visits for newly medicaid-enrolled children with an intellectual or developmental disability in Iowa, 2005-2007
American Journal of Public Health, Vol.101(5), pp.922-929
2011
DOI: 10.2105/AJPH.2010.191940
PMCID: PMC3076421
PMID: 21088261
Abstract
OBJECTIVES: We evaluated the relationship between having an intellectual or developmental disability (IDD) and the timing of the first dental visit for children who were newly enrolled in Medicaid in Iowa.METHODS: We identified children aged 3 to 8 years with and without IDD who were newly enrolled in the Iowa Medicaid program in 2005 (N = 5391). We gathered data on presence of IDD, health status, age at baseline, gender, length of Medicaid enrollment, medical care visits, household Medicaid enrollment, urbanization, residence in a federally designated Health Professional Shortage Area (HPSA), and time of first dental visit through 2007.RESULTS: About 32% of children had a first dental visit within 6 months of enrollment; this proportion increased to 49%, 64%, and 74% by years 1, 2, and 3, respectively. In the unadjusted models, there was no significant difference between children with and without IDD in time to first dental visit (P = .22). After adjusting for model covariates, however, children with IDD were 31% more likely to have a delayed first dental visit (P = .04).CONCLUSIONS: Newly Medicaid-enrolled children aged 3 to 8 years with IDD in Iowa were significantly more likely to have a later first dental visit. Future interventions should focus on ensuring timely access to first dental visits for all Medicaid-enrolled children, with an emphasis on those with IDD.
Details
- Title: Subtitle
- Timing of first dental visits for newly medicaid-enrolled children with an intellectual or developmental disability in Iowa, 2005-2007
- Creators
- Donald L ChiElizabeth T MomanyMichael P JonesPeter C Damiano
- Resource Type
- Journal article
- Publication Details
- American Journal of Public Health, Vol.101(5), pp.922-929
- DOI
- 10.2105/AJPH.2010.191940
- PMID
- 21088261
- PMCID
- PMC3076421
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Language
- English
- Date published
- 2011
- Academic Unit
- Statistics and Actuarial Science; Preventive and Community Dentistry; Health Management and Policy; Biostatistics; Public Policy Center (Archive); University College Courses; Oral Health Policy Research
- Record Identifier
- 9983917783502771
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