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Timing of First Dental Visits for Newly Medicaid-Enrolled Children With an Intellectual or Developmental Disability in Iowa, 2005–2007

Bibliographic Data

ID11037478
AuthorsDonald L Chi (University of Iowa), L Donald (0000-0003-2289-7747, At the time of the study, Donald L. Chi was with the Department of Pediatric Dentistry, the Department of Preventive and Community Dentistry, and the Public Policy Center, University of Iowa, Iowa City. Elizabeth T. Momany is with the Public Policy Center, University of Iowa, Iowa City. Michael P. Jones is with the Department of Biostatistics and the Public Policy Center, University of Iowa, Iowa City. Peter C. Damiano is with the Department of Preventive and Community Dentistry and the Public Policy...), Elizabeth T Momany (0000-0002-9265-070X, At the time of the study, Donald L. Chi was with the Department of Pediatric Dentistry, the Department of Preventive and Community Dentistry, and the Public Policy Center, University of Iowa, Iowa City. Elizabeth T. Momany is with the Public Policy Center, University of Iowa, Iowa City. Michael P. Jones is with the Department of Biostatistics and the Public Policy Center, University of Iowa, Iowa City. Peter C. Damiano is with the Department of Preventive and Community Dentistry and the Public Policy...), Michael P Jones (0000-0001-8500-4075, University of Iowa), Peter C Damiano (0000-0001-8654-3919, At the time of the study, Donald L. Chi was with the Department of Pediatric Dentistry, the Department of Preventive and Community Dentistry, and the Public Policy Center, University of Iowa, Iowa City. Elizabeth T. Momany is with the Public Policy Center, University of Iowa, Iowa City. Michael P. Jones is with the Department of Biostatistics and the Public Policy Center, University of Iowa, Iowa City. Peter C. Damiano is with the Department of Preventive and Community Dentistry and the Public Policy...)
Year2011
Volume101
Issue5
Pages922-929
Publication date2011-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2010.191940
PMID21088261
PMCIDPMC3076421
OpenAlexW1994171754
LanguageEN
Citations received2
References cited31

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

Dental care · Family medicine · Health care · Medicaid · Psychological intervention · Residence · Demography · Dental Health and Care Utilization · Down syndrome and intellectual disability research · Food Security and Health in Diverse Populations · Medicine · Nursing · Gerontology

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Unique citing works2
Citations per year0,15
Citation span2013 - 2026 (14)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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