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Determinants of dental service utilization among 2 to 11-year-old California children
1Department of Preventive and Restorative Dental Sciences, University of California, 3333 California Street, Ste. 495, San Francisco, CA 94143-1361, USA. isong@itsa.ucsf.edu
Insights
Dental service utilization in California children (ages 2-11) is influenced by parental, child, and household factors. School-aged, insured children from high-income families were more likely to have recent dental visits.
Area of Science:
- Public Health
- Pediatric Dentistry
- Health Services Research
Background:
- The 2001 California Health Interview Survey (CHIS) collected data on health care access and insurance coverage.
- Understanding dental service utilization is crucial for pediatric oral health outcomes.
Purpose of the Study:
- To identify factors associated with dental service utilization among children aged 2 to 11 years in California.
- To analyze predictors of dental visits and preventive dental care access in a pediatric population.
Main Methods:
- Utilized data from the 2001 California Health Interview Survey (CHIS), a random digit dialing telephone survey.
- Collected information on the last dental visit for 10,569 children aged 2-11 years from the most knowledgeable household adult.
Main Results:
- In 2001, 73.5% of children had a dental visit, and 58.2% had a preventive visit; 18.3% had never visited a dentist.
- Nearly 1 million children, primarily aged 2-5 years, had never seen a dentist.
- Children with recent dental visits were typically school-aged, insured, and from high-income households. Parental age and education also predicted utilization.
Conclusions:
- Dental service utilization among children is multifactorial, influenced by parental, child, and household characteristics.
- Targeted interventions may be needed for underserved populations, particularly young children with no prior dental experience.
Objective:
The 2001 California Health Interview Survey (CHIS) was designed to elicit population-based estimates about health care access and insurance coverage. This study aimed to determine factors associated with dental service utilization among children ages 2 to 11 years in California.
Methods:
CHIS was a random digit dialing telephone survey. Interviews were conducted with the adult in the household that was most knowledgeable about the child's care, and information was collected on the child's last dental visit.
Results:
Data on dental visits were collected on 10,569 children ages 2-11 years. In 2001, 73.5 (+/- 0.6)% of children had a dental visit, 58.2 (+/- 0.6)% a preventive dental visit, while 18.3 (+/- 0.5)% had never visited the dentist. Nearly 1 million children had never visited the dentist, primarily children ages 2-5 years. Overall, 76.3 (+/- 0.6)% of children had dental insurance. Children with a past-year dental visit were likely to be school age, insured and from high-income households. Other predictors of utilization were the responding adult's age and educational attainment.
Conclusion:
Dental service utilization is determined by a mix of parental, child and household factors.
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