Consequences of community water fluoridation cessation for Medicaid-eligible children and adolescents in Juneau, Alaska

Autor: Jennifer Meyer, Vasileios Margaritis, Aaron Mendelsohn
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Oral Health, Vol 18, Iss 1, Pp 1-10 (2018)
Druh dokumentu: article
ISSN: 1472-6831
DOI: 10.1186/s12903-018-0684-2
Popis: Abstract Background The general aim of this research was to determine whether cessation of community water fluoridation (CWF) increased oral health disparities, as measured by dental caries procedures and restoration costs for children and adolescents. Methods The analysis was based on all Medicaid dental claims records of 0- to 18-year-old patients residing in zip code 99801 (Juneau, Alaska) during an optimal CWF year (2003, n = 853) compared to all claims for the same age group from 2012 (n = 1052), five years after cessation of CWF. A bivariate analysis (Mann-Whitney U test) of the mean number of caries procedures performed per client was conducted in the study groups under both independent CWF conditions. Furthermore, logistic regression was performed using the dependent variables of caries procedures and the cost of caries-related procedures, with adjustments for CWF group, gender, and race. Results The statistically significant results included a higher mean number of caries-related procedures among 0- to 18-year-old and
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