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Related Experiment Video

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Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants

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Published on: March 29, 2018

State-Level Structural Racism and Children's Dental Care Access and Oral Health.

A M Kranz¹, L A Evans², C Gadwah-Meaden^3,4

¹RAND Corporation, Arlington, VA, USA.

JDR Clinical and Translational Research

|December 21, 2024

Summary

This summary is machine-generated.

Structural racism at the state level did not explain racial disparities in children's dental visits or oral health. Further research is needed to understand and address these persistent oral health gaps for Black children.

Keywords:

child dental care health services accessibility oral health racism

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Area of Science:

Public Health
Health Disparities
Pediatric Oral Health

Background:

Black children experience poorer oral health and fewer dental visits compared to White children in the US.
Existing research has not sufficiently explored the impact of structural racism on these racial disparities in pediatric oral health.

Purpose of the Study:

To assess the association between state-level structural racism and oral health outcomes in children.
To examine the role of structural racism in Black-White disparities in children's dental care utilization and oral health status.

Main Methods:

A repeated cross-sectional observational study using data from the 2016-2021 National Survey of Children's Health (NSCH).
Examined outcomes including dental visit utilization, any oral health problem, and overall oral health condition in children aged 1-17.
Constructed a state-level structural racism index (judicial, educational, economic, political, neighborhood segregation) and linked it to NSCH data, employing regression models adjusted for demographics and socioeconomic status.

Main Results:

The study included 98,423 children (11% Black, 88% White).
Black children exhibited worse oral health outcomes and lower dental visit rates than White children.
State-level structural racism was not significantly associated with dental care access, oral health problems, or overall oral health condition; disparities remained after adjustment.

Conclusions:

Significant Black-White disparities in children's oral health persist, and state-level structural racism does not appear to be a direct explanatory factor.
Further research should investigate other geographic levels and refine structural racism indices to include healthcare access and child-specific institutional factors.
Policy interventions should focus on expanding care delivery, diversifying providers, and increasing Medicaid participation among dentists to reduce oral health disparities.