Dental insurance, dental care utilization, and perceived unmet dental needs in women living with HIV: Results from the Women's Interagency HIV Study
| Autor: | Jessica Donohue, Mardge H. Cohen, Maria L. Alcaide, Gina M. Wingood, Mirjam C. Kempf, Bradley E. Aouizerat, Margaret Pereyra, Deborah Gustafson, Daniel Merenstein, Carrigan Parish, Lisa R. Metsch, Susanna Levin, Daniel J. Feaster, Jennifer Webster-Cyriaque |
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| Rok vydání: | 2019 |
| Předmět: |
Insurance
Dental medicine.medical_specialty HIV Infections Dental insurance Medicare Logistic regression Health Services Accessibility Insurance Coverage Odds 03 medical and health sciences 0302 clinical medicine stomatognathic system Health care medicine Humans Dental Care General Dentistry Aged Health Services Needs and Demand Insurance Health 030505 public health Medicaid business.industry Public health Public Health Environmental and Occupational Health 030206 dentistry Women's Interagency HIV Study Odds ratio United States stomatognathic diseases Family medicine Female 0305 other medical science business |
| Zdroj: | Journal of Public Health Dentistry. 79:343-351 |
| ISSN: | 1752-7325 0022-4006 |
| Popis: | Objectives Dental care is the most commonly cited unmet health-care service due to cost. Previous research has highlighted the unmet dental needs of people living with HIV (PLWH). Understanding associations among dental insurance availability, dental care utilization, and the presence of unmet dental needs among PLWH is a public health priority. Methods Oral health surveys were collected cross-sectionally (April-October 2016) among 1,442 women living with HIV (WLWH) in the Women's Interagency HIV Study. Logistic regression models were used to analyze the association between having versus not having dental insurance by type (Ryan White, private, Medicaid/Medicare) and two primary outcomes: a) typical frequency of dental visits (at least annually, less than annually) and b) reporting an unmet dental need in the past 6 months. Results All dental insurance types were associated with higher odds of receiving annual dental care and, for those with either Medicare/Medicaid or private insurance, lower odds of having an unmet dental need. When WLWH were asked to describe their oral health, poor self-reported condition was associated with both an unmet dental need (odds ratio [OR]: 4.52, 95 percent Confidence Interval [CI] [3.29-6.20]) and lower odds of annual dental care utilization (OR: 0.44, 95 percent CI [0.34-0.57]). Self-reported depressive symptom burden was also linked to having an unmet dental need (OR: 2.10, 95 percent CI [1.46-3.01]). Conclusions Dental insurance coverage increases dental care utilization and is associated with better oral health among WLWH. In the era of health-care reform, dental insurance coverage may be instrumental for enhancing treatment outcomes. |
| Databáze: | OpenAIRE |
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