Grembowski David, Spiekerman Charles, Milgrom Peter
Department of Dental Public Health Sciences, University of Washington (UW), WA, USA.
J Health Care Poor Underserved. 2007 Nov;18(4):789-813. doi: 10.1353/hpu.2007.0096.
For mothers of Medicaid children aged 3 to 6 years, we examined whether mothers' characteristics and local supply of dentists and public dental clinics are associated with having a regular source of dental care. Disproportionate stratified sampling by racial/ethnic group selected 11,305 children aged 3 to 6 in Medicaid in Washington State. Mothers (n=4,373) completed a mixed-mode survey that was combined with dental supply measures. Results reveal 38% of mothers had a regular dental place and 27% had a regular dentist. Dental insurance, greater education, income, length of residence, and better mental health were associated with having a regular place or dentist for Black, Hispanic, and White mothers, along with increased supply of private dentists and safety net clinics for White and Hispanic mothers. Mothers lacking a regular source of dental care may increase oral health disparities disfavoring their children.
对于医疗补助计划覆盖的3至6岁儿童的母亲,我们研究了母亲的特征以及当地牙医和公共牙科诊所的供应情况是否与有固定的牙科护理来源相关。通过按种族/族裔群体进行不成比例的分层抽样,我们在华盛顿州选取了11305名医疗补助计划覆盖的3至6岁儿童。母亲们(n = 4373)完成了一项混合模式调查,并结合了牙科供应措施。结果显示,38%的母亲有固定的看牙场所,27%的母亲有固定的牙医。对于黑人、西班牙裔和白人母亲来说,牙科保险、更高的教育程度、收入、居住时长以及更好的心理健康状况与有固定的看牙场所或牙医相关,同时白人母亲和西班牙裔母亲所在地区的私人牙医和安全网诊所供应增加也与之相关。缺乏固定牙科护理来源的母亲可能会加剧不利于其子女的口腔健康差异。