Absence of a moderating effect of parent health literacy on Early Head Start enrollment and dental use
| Autor: | Jessica Y. Lee, Rebecca S. King, Jacqueline M. Burgette, Morris Weinberger, R. Gary Rozier, John S. Preisser |
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| Rok vydání: | 2018 |
| Předmět: |
Dental use
business.industry Dental Care for Children Logit Public Health Environmental and Occupational Health Health literacy 030206 dentistry Early Head Start Logistic regression 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Propensity score matching Structured interview Medicine business General Dentistry Demography |
| Zdroj: | Journal of Public Health Dentistry. 78:257-265 |
| ISSN: | 0022-4006 |
| DOI: | 10.1111/jphd.12269 |
| Popis: | OBJECTIVES To examine the moderating effect of parents' health literacy (HL) on the effectiveness of North Carolina Early Head Start (EHS) in improving children's dental use. METHODS Parents of 479 children enrolled in EHS and 699 Medicaid-matched parent-child dyads were interviewed at baseline when children were approximately 10 months old and 24 months later. We used in-person computer-assisted, structured interviews to collect information on sociodemographic characteristics, dental use, and administer the Short Assessment of Health Literacy - Spanish and English (SAHL-S&E). This quasi-experimental study tested whether the interaction effect between EHS and parents' HL was associated with dental use. Logit (any use) and marginalized zero-inflated negative binomial count models (number of dental visits) included random effects to account for clustering and controlled for baseline dental use, dental need, survey language, and a propensity score covariate. RESULTS Nineteen percent of parents in EHS had low literacy compared to 12 percent of parents in the non-EHS group (P |
| Databáze: | OpenAIRE |
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