State-Level Racial Inequity in Children's Dental Care Use in the U.S. and Association with State-Level Structural Racism.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI:10.1353/hpu.2024.a943975

Julie C Reynolds, Carissa L Comnick, Pamela C Nwachukwu, Astha Singhal

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Abstract

Introduction: The aims of this study were to estimate state-level racial inequities in dental care use among children in the U.S., overall and by insurance type, and to examine relationships between inequities and state-level structural racism.

Methods: Pooled 2017-2019 data from the National Survey of Children's Health were used to estimate racial inequities in dental care use. Independent variables included state-level structural racism indicators and other factors.

Results: There was substantial variation in the degree and direction of inequities across states and by insurance type. Inequities were not associated with overall structural racism indices. However, one dimension of structural racism-the Black-White incarceration index-was significantly associated with the Black-White disparity (p=.040).

Conclusion: Racial inequities in dental utilization among children varied across states and by insurance status. More research is needed to explore more granular geographic levels of structural racism and relationships with additional dental care access indicators.

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美国各州儿童牙科保健使用中的种族不平等以及与各州结构性种族主义的关联。

导言：本研究的目的是估算美国各州儿童牙科保健使用中的种族不平等，包括总体不平等和按保险类型划分的不平等，并研究不平等与各州结构性种族主义之间的关系：利用全国儿童健康调查（National Survey of Children's Health）的2017-2019年汇总数据来估算牙科保健使用中的种族不平等现象。独立变量包括州级结构性种族主义指标和其他因素：各州和不同保险类型的不平等程度和方向存在很大差异。不平等现象与总体结构性种族主义指数无关。然而，结构性种族主义的一个维度--黑人-白人监禁指数--与黑人-白人差距有显著关联（p=.040）：结论：儿童牙科使用率的种族不平等在各州和保险状况不同的情况下各不相同。还需要进行更多的研究，以探索更细化的结构性种族主义的地域水平以及与其他牙科保健获取指标的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.