Christopher E Okunseri1, Klea Rota1, Elaye Okunseri1, Kadam Patel2, Raul I Garcia3, Cheng Zheng4, Aniko Szabo2. 1. Department of Clinical Services, School of Dentistry, Marquette University, Milwaukee, WI, USA. 2. Institute of Health and Equity, Division of Biostatistics,Medical College of Wisconsin, Milwaukee, WI, USA. 3. Department of Health Policy & Health Services Research, Boston University Henry M. Goldman, School of Dental Medicine Massachusetts, Boston, MA, USA. 4. Joseph. J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Abstract
OBJECTIVES: To determine the patterns and time trends of dental services received and access to dental care among immigrant and US-born children living in the United States. METHODS: We analyzed the nationally representative Medical Expenditure Survey data for 2007-2015. Survey weighted mean and frequency were calculated for all the years and for each year for the complete cohort and for the four subgroups of children categorized based on the child's and parents' birthplace (United States or Foreign). These groups were compared to detect differences in dental service received. RESULTS: Overall 34,482 children aged <18 years were included in the analysis representing the weighted sample size of 564,255,643. Utilization of preventive dental services increased from 37.2 percent in 2007 to 44.4 percent in 2015 overall (P < 0.0001), with similar trend seen within all subgroups. Immigrant children compared to US-born children had higher numbers of surgical and restorative procedures (17 versus 16 per 100-person years, P = 0.03), fewer had at least one preventive dental visit in a year (32.8 percent versus 43.0 percent, P < 0.0001) and were less likely be unable to access dental care (3.0 percent versus 1.7 percent, P = 0.005). Fewer children had delayed access to dental care in recent years (2.0 percent in 2007 to 1.5 percent in 2015) and the decline was consistent in all the subgroups. CONCLUSION: Stratification into the different subgroups allowed for improved understanding of dental procedure utilization and dental services utilization in all subgroups increased over time. Immigrant children had lower utilization of preventive procedures and higher utilization of surgical and restorative procedures.
OBJECTIVES: To determine the patterns and time trends of dental services received and access to dental care among immigrant and US-born children living in the United States. METHODS: We analyzed the nationally representative Medical Expenditure Survey data for 2007-2015. Survey weighted mean and frequency were calculated for all the years and for each year for the complete cohort and for the four subgroups of children categorized based on the child's and parents' birthplace (United States or Foreign). These groups were compared to detect differences in dental service received. RESULTS: Overall 34,482 children aged <18 years were included in the analysis representing the weighted sample size of 564,255,643. Utilization of preventive dental services increased from 37.2 percent in 2007 to 44.4 percent in 2015 overall (P < 0.0001), with similar trend seen within all subgroups. Immigrant children compared to US-born children had higher numbers of surgical and restorative procedures (17 versus 16 per 100-person years, P = 0.03), fewer had at least one preventive dental visit in a year (32.8 percent versus 43.0 percent, P < 0.0001) and were less likely be unable to access dental care (3.0 percent versus 1.7 percent, P = 0.005). Fewer children had delayed access to dental care in recent years (2.0 percent in 2007 to 1.5 percent in 2015) and the decline was consistent in all the subgroups. CONCLUSION: Stratification into the different subgroups allowed for improved understanding of dental procedure utilization and dental services utilization in all subgroups increased over time. Immigrant children had lower utilization of preventive procedures and higher utilization of surgical and restorative procedures.
Authors: Jonathan T Macy; Elizabeth A S Moser; Adam T Hirsh; Patrick O Monahan; George J Eckert; Gerardo Maupomé Journal: BMC Oral Health Date: 2018-03-12 Impact factor: 2.757
Authors: María García-Pola; Agueda González-Díaz; José Manuel García-Martín Journal: Int J Environ Res Public Health Date: 2021-04-13 Impact factor: 3.390