Identifying communities with low dentist supply in California.
OBJECTIVE
This study estimates the supply and geographic distribution of dentists in California and examines the community characteristics associated with supply of dentists.


METHODS
The number of practicing dentists was estimated from American Dental Association data on licensed dentists in California. Each dentist's address was geocoded and matched to a Medical Service Study Area (MSSA). Dentist-to-population ratios were computed, and the association between dentist supply and community characteristics was analyzed in regression models.


RESULTS
Approximately 20 percent of California communities may have a shortage of dentists. Two-thirds of dental shortage communities are rural. Communities with a lower supply of dentists have higher percentages of minorities, children, and low-income persons. Minority dentists were more likely to practice in minority communities.


CONCLUSIONS
Geographic maldistribution of dentists may contribute to poor access to dental care in many communities, especially in rural, low-income, and minority communities. Minority dentists are more likely to practice in minority communities, but are a small portion of the dental workforce.
Mertz
E A
EA
Center for California Health Workforce Studies, University of California, San Francisco, 3333 California Street, Suite 410, San Francisco, CA 94118, USA. bethm@itsa.ucsf.edu
Grumbach
K
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D000328:Adult; D002140:California; D003149:Community Dentistry / Q000706:statistics & numerical data; D003815:Dentists / Q000600:supply & distribution*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006280:Health Workforce / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis; D012424:Rural Population; D014505:Urban Population