县级因素对有慢性病的医疗补助计划参保儿童的牙科利用率的影响：地点如何影响使用情况？
County-level determinants of dental utilization for Medicaid-enrolled children with chronic conditions: how does place affect use?
机构信息
Department of Oral Health Sciences, University of Washington, Box 357475, Seattle, WA 98195, USA.
出版信息
Health Place. 2012 Nov;18(6):1422-9. doi: 10.1016/j.healthplace.2012.07.007. Epub 2012 Aug 13.
Abstract
Little is known about how place affects childrens' access to dental care. We analyzed data for 25,908 Iowa Medicaid-enrolled children with chronic conditions to identify the county-level determinants of dental utilization. Our analyses suggest that higher levels of poverty and designation as a dental health professional shortage area at the county-level are associated with lower probability of child-level dental use. There are significant interactions between child-level race/ethnicity and county-level poverty as well as between child-level disability and county-level unemployment. We present a new descriptive model on dental utilization that emphasizes county-level factors as well as interactions between county-level and child-level factors.
摘要
关于地点如何影响儿童获得牙科护理的知识甚少。我们分析了 25908 名爱荷华州医疗补助计划中患有慢性病的儿童的数据，以确定牙科利用率的县一级决定因素。我们的分析表明，较高水平的贫困和在县一级被指定为牙科保健专业短缺地区与较低的儿童牙科使用率相关。儿童种族/民族和县一级贫困之间以及儿童残疾和县一级失业率之间存在显著的相互作用。我们提出了一个新的关于牙科利用率的描述性模型，该模型强调了县一级的因素以及县一级和儿童一级因素之间的相互作用。
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