An Explanatory Model of the Dental Care Utilization of Low-Income Children
Bibliographic Data
| ID | 9103676 |
|---|---|
| Authors | Paul Milgrom (0000-0003-0784-9181, University of Washington, corresponding author), Peter Milgrom, Lloyd Mancl (0000-0001-8566-8883, corresponding author), Barbara King (0000-0003-0577-9028), Philip Weinstein (0000-0001-9860-7166, corresponding author), Norma Wells (corresponding author), Ellen Jeffcott |
| Year | 1998 |
| Volume | 36 |
| Issue | 4 |
| Pages | 554-566 |
| Publication date | 1998-04-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199804000-00011 |
| PMID | 9544595 |
| OpenAlex | W2085886775 |
| Language | EN |
| Citations received | 26 |
| References cited | 10 |
OBJECTIVES: Factors related to the utilization of dental care by 5- to 11-year-old children from low-income households were investigated using a comprehensive multivariate model that assessed the contribution of structure, history, cognition, and expectations. The influence of dentist-patient interactions, psychosocial and health beliefs, particularly fear of the dentist, on utilization were investigated. METHODS: Children were chosen randomly from public schools, and 895 mothers were surveyed and their children were interviewed in the home. Utilization was studied during the 1991-1992 school year, including a 6-month follow-up period after the interview. RESULTS: The overall utilization rate was 63.2%, and the rate for nonemergent (preventive) visits was 59.9%. Utilization was unrelated to actual oral health status. Race and years the guardian lived in the United States were predictive of an episode of care. Preventive medical visits and perceived need were strong predictors of a visit to the dentist, as were beliefs in the efficacy of dental care. Mothers who were satisfied with their own care and oral health and whose children were covered by insurance were more likely to utilize children's dental care. In contrast, child dental fear and absences from school for family problems were associated with lower rates of utilization. CONCLUSIONS: Mutable factors that govern the use of care in this population were identified. These findings have implications for the design of dental care delivery systems for children and their families
Dental care · Dental insurance · Environmental health · Family medicine · Health care · Health insurance · Medical Expenditure Panel Survey · Multivariate analysis · Population · Psychiatry · Psychosocial · Public health · Dental Anxiety and Anesthesia Techniques · Dental Education, Practice, Research · Dental Health and Care Utilization · Medicine · Nursing · Gerontology
Dental Utilization by Low‐income Mothers
Underutilization of Dental Care When It Is Freely Available
Influences on Children's Oral Health
Determinants of Dental Service Utilization Among 2 to 11-Year-Old California Children
Dental Health Services Utilization and Associated Factors in Children 6 to 12 Years Old in a Low‐Income Country
Development and validation of a measure of pediatric oral health-related quality of life
Medical Care Transition Planning and Dental Care Use for Youth with Special Health Care Needs During the Transition from Adolescence to Young Adulthood
Examining Continuity of Care for Medicaid-Enrolled Children Receiving Oral Health Services in Medical Offices
Washington state foster care
Oral Health of Young Children in Mississippi Delta Child Care Centers
Overcoming the Odds
Head Start Oral Health Assessment
Children's tooth decay in a public health program to encourage low-income pregnant women to utilize dental care
Preventive dental care utilization and dental caries for Medicaid ‐enrolled adolescents in Oregon
School screening and parental reminders in increasing dental care for children in need
Urban-rural differences in dental caries of 5-year old children in Scotland
Social Class and Public Administration
Barriers to Care-Seeking for Children’s Oral Health Among Low-Income Caregivers
Timing of First Dental Visits for Newly Medicaid-Enrolled Children With an Intellectual or Developmental Disability in Iowa, 2005–2007
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Caregivers Who Refuse Preventive Care for Their Children
Relationship Between Medical Well Baby Visits and First Dental Examinations for Young Children in Medicaid
Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children
Racial Disparities in Quality of Dental Care Among Publicly Insured Children
Provider payment bares teeth
Exploring the Social and Business Returns of a Corporate Oral Health Initiative Aimed at Disadvantaged Hispanic Families
A Profile of Black and Hispanic Subgroups' Access to Dental Care
Dental Care Satisfaction
Testing the Health Belief Model
Determinants of Children??s Health Care Use
Health Insurance and Utilization of Medical Care for Children with Special Health Care Needs
Social Networks, Health Beliefs, and Preventive Health Behavior
| Unique citing works | 26 |
|---|---|
| Citations per year | 0,93 |
| Citation span | 1998 - 2025 (28) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 25 |