牙科保健覆盖范围和使用：建模的局限性和机会。
Dental care coverage and use: modeling limitations and opportunities.
机构信息
Richard J. Manski, John F. Moeller, and Haiyan Chen are with Dental Public Health, University of Maryland School of Dentistry, Baltimore.
出版信息
Am J Public Health. 2014 Feb;104(2):e80-7. doi: 10.2105/AJPH.2013.301693. Epub 2013 Dec 12.
OBJECTIVES
We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage.
METHODS
We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use.
RESULTS
Compared with persons with no coverage and no dental care use, users of dental care with coverage were more likely to be younger, female, wealthier, college graduates, married, in excellent or very good health, and not missing all their permanent teeth.
CONCLUSIONS
Providing dental care coverage to uninsured older US adults without use will not necessarily result in use rates similar to those with prior coverage and use. We have offered a model using modifiable factors that may help policy planners facilitate programs to increase dental care coverage uptake and use.
目的
我们研究了为什么没有牙科保险覆盖和使用的美国老年成年人如果提供保险，其使用率会低于那些有保险的成年人。
方法
我们使用了 2008 年健康与退休研究的数据，估计了一个多项逻辑回归模型，以分析个人特征对将美国老年成年人分组为有和没有牙科保险覆盖和使用的影响。
结果
与没有保险和没有牙科护理使用的人相比，有保险和使用牙科护理的人更年轻、女性、更富有、大学毕业、已婚、身体状况极好或非常好、并且没有缺失所有的恒牙。
结论
为没有使用牙科护理的无保险美国老年人提供保险覆盖不一定会导致使用率与有先前保险覆盖和使用的人相似。我们提供了一个使用可修改因素的模型，这些因素可能有助于政策规划者促进增加牙科护理覆盖范围和使用率的项目。
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