Predictors of use of dental care by children in north-central Appalachia in the USA.

Autor: Nelson CI; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Psychology, West Virginia University, Morgantown, West Virginia, United States of America., Wright CD; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Psychology, West Virginia University, Morgantown, West Virginia, United States of America., Brumbaugh JT; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Psychology, West Virginia University, Morgantown, West Virginia, United States of America., Neiswanger K; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America., Crout RJ; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Periodontics, West Virginia University School of Dentistry, Morgantown, West Virginia, United States of America., Lilly CL; School of Public Health, West Virginia University, Morgantown, West Virginia, United States of America., Marazita ML; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.; Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America., McNeil DW; Center for Oral Health Research in Appalachia, Appalachia, New York, United States of America.; Department of Psychology, West Virginia University, Morgantown, West Virginia, United States of America.; Department of Dental Practice and Rural Health, West Virginia University, Morgantown, West Virginia, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Jul 22; Vol. 16 (7), pp. e0250488. Date of Electronic Publication: 2021 Jul 22 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0250488
Abstrakt: Use of dental services in childhood, especially preventive care, is associated with many important oral health outcomes throughout life. The Andersen behavioral model of healthcare utilization posits that predisposing characteristics, enabling resources, and need factors predict utilization in oral and other healthcare domains. Inequities that produce lower utilization of dental services in north-central Appalachia have been documented in comparison to the USA generally. Additionally, within Appalachia, there are disparities, such as those across different states related to varying public policies and resources supporting healthcare. Predictors of dental utilization in Appalachia have been a focus in adults, but less so in children. The aim of the current study was to understand predictors of dental utilization in children in north-central Appalachia in order to inform future research about how to intervene to address these disparities. In this study, there were 1,178 children, ages 1 through 10 years, from selected representative counties in West Virginia and Pennsylvania, along with a parent/caregiver, who were part of the Center for Oral Health Research in Appalachia (COHRA1) cohort. Use of dental services by their child was indicated by parents/caregivers, who also reported on sociodemographic, dental care-related anxiety and fear, and values and attitudes associated with oral healthcare. Results indicated that use of professional dental services by children was related to child age, dental anxiety and fear, and parental oral health values and attitudes. Older children in this age group, those who evidenced more dental care-related anxiety and fear, and whose parent/caregiver placed higher value on oral health and healthcare for themselves, were more likely to have had a dental visit in the past year.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje