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Maternal and Child Health Journal

Erschienen in:

08.02.2018

Dental Service Utilization Among Children in the Child Welfare System

verfasst von: Tracy L. Finlayson, Emmeline Chuang, Jong-Deuk Baek, Robert Seidman

Erschienen in: Maternal and Child Health Journal | Ausgabe 5/2018

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Abstract

Objective

To examine predisposing, enabling, and need-related factors associated with dental utilization by children involved with the child welfare system (CWS).

Methods

Data were analyzed from the National Survey of Child and Adolescent Well-Being (NSCAW; Wave II), a national probability sample of children (2–17 years) following a welfare assessment during 2008–2009 (n = 2806). Caregiver-reported child receipt of dental services in the past year was the outcome in weighted logistic regression models.

Results

Two-thirds of children had a recent dental visit. Older children (OR 2.95, 95% CI 2.06,4.21 for ages 6–11; OR 2.47, CI 1.82, 3.37 for ages 12–17, compared to ages 2–5) were more likely to have visited the dentist, as were children of more educated caregivers (OR 1.68; CI 1.20, 2.36 for high school, OR 2.45; CI 1.71, 3.52 for more than high school). Children without a usual source of care (OR 0.50; CI 0.27, 0.94) and those living with non-biological parents had lower odds of a recent visit (OR 0.64; CI 0.43, 0.97). Children with dental problems were twice as likely to have a recent visit (OR 2.02; CI 1.21, 3.38), while children with unmet needs who could not afford care had lower odds of utilizing services (OR 0.28; CI 0.16, 0.46).

Conclusions for Practice

Many children in the CWS, especially younger children (ages 2–5), did not have a reported dental visit in the past year. Cost was a barrier, and caregiver status was associated with the likelihood of obtaining dental care. Health and social service providers should refer these children for dental care.

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Titel: Dental Service Utilization Among Children in the Child Welfare System
verfasst von: Tracy L. Finlayson
Emmeline Chuang
Jong-Deuk Baek
Robert Seidman
Publikationsdatum: 08.02.2018
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 5/2018
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-018-2444-y

Springer Medizin

Abstract

Objective

Methods

Results

Conclusions for Practice

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