Determinants of dental service utilization among 2 to 11-year-old California children

Umo Isong1, Jane A Weintraub

  • 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.
Abstract

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