title: Receipt of preventive oral health care by U.S. children: a population-based study of the 2005-2008 medical expenditure panel surveys.
abstract: This study provides estimates of the annual use of preventive oral health care by U.S. children ages 6 months-17 years. We estimated the annual use of preventive oral health care with data from the Medical Expenditure Panel Survey for the years 2005 through 2008 (n = 18,218). Additionally, we tested associations between use of preventive oral health care and predisposing factors, enabling factors and health need within three age groups: young children, school-age children and youth. Overall, 21 % of the sample was reported to have received preventive oral health care in the prior year. More school-age children received preventive care than did young children or youth regardless of gender, race/ethnicity, health status, residence, or family size. Among the youngest children, low parental education and lack of health insurance were associated with lower odds of receiving preventive care. School-age children of racial and ethnic minority groups had a higher odds of receiving preventive care than did non-Hispanic Whites. Youth with special health care needs were less likely to receive care than their peers. Within each age group, use of preventive care increased significantly from 2005 to 2008. In the U.S. there has been an increase in use of pediatric preventive dental care. Continued effort is needed to achieve primary prevention. Outreach and education should include all parents and especially parents with low levels of education, parents of children with special health care needs and those without health insurance.
authors.affiliation: Department of Health Services, School of Public Health, University of Washington, Box 357230, Seattle, WA, 98195-7230, USA, colleenh@u.washington.edu.
authors.forename: Colleen E
authors.initials: CE
authors.lastname: Huebner
authors.forename: Janice F
authors.initials: JF
authors.lastname: Bell
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Reed
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D019140:Dental Care for Children / Q000191:economics* / Q000706:statistics & numerical data; D019538:Health Care Surveys; D005102:Health Expenditures / Q000639:trends*; D006801:Humans; D007223:Infant; D009909:Oral Health; D014481:United States