Effects of dental insurance and dental care utilization on oral health-related daily life activities among federally qualified healthcare center patients in the United States

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-06-14 DOI:10.1111/cdoe.12986

Tejasvita Chandel, Muath Aldosari, Steffany Chamut

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Abstract

Objectives

To assess the association between dental insurance, dental care utilization and oral health-related impact on daily activities among patients visiting Health Resources and Services Administration (HRSA)-funded health centers in the United States.

Methods

This cross-sectional study examined the 2014 Health Center Patient Survey (HCPS), a survey of patients who received care at US health centers. Logistic regression analyses were conducted to explore the likelihood of the oral health-related impact on daily activities domains such as school/work performance, sleeping, eating/chewing, social and home activities considering sociodemographic, dental insurance, and dental care utilization.

Results

Among 7002 total participants, 6890 self-reported oral health-related impact on daily activities. Adults aged 18–44 were 2.6 times more likely to report an overall impact on everyday life activities compared to children and adolescents. After adjusting for sociodemographics, Hispanic patients were less likely to report any oral health-related impacts, while patients visiting rural centres reported higher odds of oral health related impairment. Patients who experienced delays in receiving dental care or were unable to access dental care when needed were 4.5 times more likely to encounter difficulties in their daily activities.

Conclusions

This study linked limited dental insurance and care to increased oral health issues impacting daily life, particularly among adults, rural populations, and those facing delay in dental care. This highlights the need for policy reforms and interventions aimed at improving dental care access to mitigate the detrimental effects of poor oral health on daily functions for vulnerable populations.

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牙科保险和牙科保健使用对美国联邦医疗保健中心患者口腔健康相关日常生活活动的影响。

目的评估在美国卫生资源与服务管理局（HRSA）资助的健康中心就诊的患者中，牙科保险、牙科保健利用率和口腔健康对日常活动的影响之间的关联：这项横断面研究研究了 2014 年健康中心患者调查（HCPS），这是一项针对在美国健康中心接受治疗的患者的调查。考虑到社会人口学、牙科保险和牙科保健使用情况，研究人员进行了逻辑回归分析，以探讨口腔健康对日常活动领域（如学习/工作表现、睡眠、饮食/咀嚼、社交和家庭活动）产生影响的可能性：在 7002 名参与者中，有 6890 人自我报告了口腔健康对日常活动的影响。与儿童和青少年相比，18-44 岁的成年人报告对日常生活活动造成总体影响的可能性要高出 2.6 倍。在对社会人口统计学进行调整后，西班牙裔患者报告任何口腔健康相关影响的可能性较低，而到农村中心就诊的患者报告口腔健康相关损害的几率较高。延迟接受牙科治疗或在需要时无法获得牙科治疗的患者在日常活动中遇到困难的几率是其他患者的 4.5 倍：这项研究将有限的牙科保险和护理与影响日常生活的更多口腔健康问题联系在一起，尤其是在成年人、农村人口和那些面临牙科护理延误的人群中。这突出表明，有必要进行政策改革和干预，以改善牙科保健的可及性，从而减轻口腔健康状况不佳对弱势群体日常功能的不利影响。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.