Department of Oral Health Sciences, University of Washington, Seattle, Washington, USA.
Department of Health Systems and Population Health, University of Washington, Seattle, Washington, USA.
J Public Health Dent. 2023 Jul;83(3):309-316. doi: 10.1111/jphd.12583. Epub 2023 Jul 31.
This study aimed to evaluate the relationship between preventive dental care utilization and untreated dental caries for Medicaid-enrolled adolescents and to determine if the relationship is moderated by chronic conditions (CC).
This analysis was based on 2015-2016 Medicaid claims files and survey data collected from adolescents ages 12-18 years enrolled in Oregon Medicaid, who received a dental screening between December 2015 and December 2016 (n = 240). To assess the relationship between preventive dental care utilization and untreated dental caries (defined as decayed tooth surfaces), prevalence ratios (PR) and 95% confidence intervals (CI) were generated using log-linear regression models. We also tested for an interaction between preventive dental care utilization and CC.
About 60.4% of adolescents utilized preventive dental care, 21.7% had CC, and 29.6% had ≥1 decayed tooth surfaces. There were no significant differences in untreated dental caries between adolescents who did and did not utilize preventive dental care (PR: 0.73, 95% CI: 0.33-1.60; p = 0.43). There was not a significant interaction between preventive dental care utilization and CC (p = 0.65). Preventive dental care utilization was not significantly associated with untreated dental caries for adolescents with CC (PR: 0.51, 95% CI: 0.10-2.65; p = 0.42) nor among adolescents without CC (PR: 0.79, 95% CI: 0.33-1.91; p = 0.61).
Preventive dental care was not shown to be associated with lower untreated dental caries for Medicaid-enrolled adolescents or those with CC. Future work that is adequately powered should continue to elucidate this relationship in Medicaid enrollees.
本研究旨在评估接受医疗补助的青少年接受预防性牙科保健的利用情况与未经治疗的龋齿之间的关系，并确定这种关系是否受到慢性疾病（CC）的调节。
本分析基于 2015-2016 年医疗补助索赔档案和从俄勒冈州医疗补助计划中 12-18 岁接受牙科筛查的青少年收集的调查数据（n=240）。为了评估预防性牙科保健的利用情况与未经治疗的龋齿（定义为龋齿表面）之间的关系，使用对数线性回归模型生成了患病率比（PR）和 95%置信区间（CI）。我们还测试了预防性牙科保健的利用与 CC 之间的交互作用。
约 60.4%的青少年接受了预防性牙科保健，21.7%有 CC，29.6%有≥1个龋齿表面。利用预防性牙科保健的青少年与未利用预防性牙科保健的青少年之间未经治疗的龋齿没有显著差异（PR：0.73，95%CI：0.33-1.60；p=0.43）。预防性牙科保健的利用与 CC 之间没有显著的交互作用（p=0.65）。对于有 CC 的青少年，预防性牙科保健的利用与未经治疗的龋齿之间没有显著相关性（PR：0.51，95%CI：0.10-2.65；p=0.42），对于没有 CC 的青少年也没有显著相关性（PR：0.79，95%CI：0.33-1.91；p=0.61）。
对于接受医疗补助的青少年或有 CC 的青少年，预防性牙科保健与较低的未经治疗的龋齿无关。未来有足够能力的工作应该继续阐明医疗补助受助人中的这种关系。
