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Journal of Public Health Dentistry

M Gentry Byrd, Rocio B Quinonez, Kelly Lipp, Alice Chuang, Ceib Phillips, Jane A Weintraub
OBJECTIVES: To evaluate characteristics of pregnant women served through the University of North Carolina's (UNC) prenatal oral health program (pOHP) dental clinic and community healthcare pathways to inform efforts in promoting prenatal oral health policies. METHODS: The pOHP provides medical and dental students and practitioners with interprofessional experiences caring for pregnant women. A retrospective chart audit captured 314 pregnant women who made appointments over 33 months...
October 4, 2018: Journal of Public Health Dentistry
Scott B Schwartz, Anne E Sanders, Jessica Y Lee, Kimon Divaris
OBJECTIVE: Recent reports have documented health disparities according to sexual orientation and used the minority stress model as a framework for understanding their origins. To date, however, sexual orientation-related disparities in the oral health domain have not been evaluated. Accordingly, this study sought to investigate potential health disparities in objectively-assessed and subjective reports of oral heath among lesbian, gay, and bisexual adults relative to the heterosexual community-dwelling US population...
October 2, 2018: Journal of Public Health Dentistry
Tariq S Ghazal, Steven M Levy, Noel K Childers, Knute D Carter, Daniel J Caplan, John J Warren, Justine L Kolker
OBJECTIVES: To conduct an assessment of time-dependent covariates related to dental caries of the permanent dentition among a low socioeconomic status, understudied cohort of children, incorporating time-dependent covariates through the application of extended Cox proportional hazards modeling. METHODS: This study modeled the time to first cavitated dental caries in permanent teeth among school-aged children and assessed factors associated with this event. A cohort of 98 low socioeconomic status African-American children with mean age of 5...
September 20, 2018: Journal of Public Health Dentistry
Nan Qiao, Aaron E Carroll, Teresa Maria Bell
BACKGROUND: Children from lower income families have inadequate dental insurance coverage and poorer dental health in the United States. The Affordable Care Act (ACA) created Health Insurance Exchange Marketplaces to increase competition among health insurers and to provide low-income families with less costly health plans. The study examined Marketplace pediatric stand-alone dental plans (SADPs) and factors that affect their premiums. METHODS: The data used were 2016 Federal-Facilitated and State-Partnership Marketplace pediatric SADP data...
September 20, 2018: Journal of Public Health Dentistry
Daniel J Freitas, Lauren M Kaplan, Lina Tieu, Claudia Ponath, David Guzman, Margot Kushel
OBJECTIVES: To describe the prevalence of and factors associated with oral health measures in a sample of older homeless adults in Oakland, CA. METHODS: We conducted a cross-sectional analysis of data from a population-based study of 350 homeless adults aged ≥50 in which trained researchers conducted structured interviews using validated questions regarding sociodemographics, health-related behaviors, healthcare utilization, and health status. We assessed self-reported tooth loss, oral pain, and unmet need for dental care...
September 17, 2018: Journal of Public Health Dentistry
Erin L Duffy, Ashley M Kranz, Andrew W Dick, Mark Sorbero, Bradley D Stein
OBJECTIVES: To examine the association between type of health insurance (public, uninsured, private, or other) and oral health outcomes for children in the United States using nationally representative surveillance data. METHODS: Using the National Health and Nutrition Examination Survey (2011/12-2013/14), logistic regression models were used to estimate the odds of any dental caries and any untreated caries by type of health insurance (public, uninsured, private, and other) for children aged 2-19 years, with adjustment for relevant individual and socioeconomic characteristics...
August 31, 2018: Journal of Public Health Dentistry
Steven M Levy, Julie M Eichenberger-Gilmore, John J Warren, Golnaz Kavand, Elena Letuchy, Barbara Broffitt, Teresa A Marshall, Trudy L Burns, Kathy F Janz, Cynthia Pauley, James C Torner, Kathy Phipps
OBJECTIVES: There is strong affinity between fluoride and calcium, and mineralized tissues. Investigations of fluoride and bone health during childhood and adolescence show inconsistent results. This analysis assessed associations between period-specific and cumulative fluoride intakes from birth to age 11, and age 11 cortical bone measures obtained using peripheral quantitative computed tomography (pQCT) of the radius and tibia (n = 424). METHODS: Participants were a cohort recruited from eight Iowa hospitals at birth...
August 29, 2018: Journal of Public Health Dentistry
Donald L Chi, Julia Richman, Kirsten Senturia, Ellen Zahlis
OBJECTIVE: To describe caregivers' understanding of fluoride varnish. METHODS: We administered the Oral Health Literacy Inventory for Parents within a pediatric dental clinic (N = 113). Caregivers were asked to read and define each item. Interviews were audio recorded, transcribed, and coded inductively. The main analyses focused on responses to "fluoride varnish" and were conducted at the response level. RESULTS: Of the 140 responses, 22...
August 28, 2018: Journal of Public Health Dentistry
Armita Dehmoobadsharifabadi, Sonica Singhal, Carlos R Quiñonez
OBJECTIVE: To investigate the role of public dental care spending and insurance coverage on dental services utilization disparities among different Canadian jurisdictions. METHODS: We utilized Canadian Institute for Health Information provincial/territorial per capita estimates for public dental care expenditure, public information on legislated dental care programs, and oral health data from the 2007-2008 Canadian Community Health Survey to make inferences regarding the relationship between dentist visits in the past 12 months and self-perceived oral health...
August 23, 2018: Journal of Public Health Dentistry
Mary C Kelly, Daniel J Caplan, Mercedes Bern-Klug, Howard J Cowen, Marsha A Cunningham-Ford, Leonardo Marchini, Elizabeth T Momany
OBJECTIVE: The primary objective of this study was to determine whether the utilization rate of preventive oral health care services while senior adults were community-dwelling differed from the rate after those same senior adults were admitted to nursing facilities. A secondary objective was to evaluate other significant predictors of receipt of preventive oral health procedures after nursing facility entry. METHODS: Iowa Medicaid claims from 2007-2014 were accessed for adults who were 68+ years upon entry to a nursing facility and continuously enrolled in Medicaid for at least three years before and at least two years after admission (n = 874)...
December 2018: Journal of Public Health Dentistry
Ahmed Mohamed, Brooke Alhanti, Mac McCullough, Kate Goodin, Kirsten Roling, Larry Glickman
OBJECTIVE: To evaluate changes in emergency department (ED) dental-related visits in Maricopa County before and after the elimination of dental benefits for adult Medicaid-insured patients as of October 2010. METHODS: Hospital visits extracted from a hospital discharge dataset were used to calculate a yearly rate ratio of dental-related versus non-dental-related ED visits (as a comparison group) for adults, children, and payer types. Changes in ED visits over time were evaluated from 2006 to 2012...
December 2018: Journal of Public Health Dentistry
Julie C Reynolds, Susan C McKernan, Jennifer M C Sukalski, Peter C Damiano
BACKGROUND: Dental coverage for Iowa's Medicaid expansion population is provided through the Dental Wellness Plan (DWP), implemented in May 2014. The plan targets healthy behavior incentives via an earned benefits structure, whereby additional services are covered if enrollees return every 6-12 months for routine dental visits. This study examines enrollee satisfaction with the DWP. METHODS: We surveyed a random sample of DWP enrollees 1 year after program implementation about their experiences...
December 2018: Journal of Public Health Dentistry
Jason M Armfield, Antonio Crego, Helena S Schuch, Liana Luzzi
OBJECTIVES: To determine if temporal changes in dental fear over a 4-month period are predicted by changed cognitive vulnerability-related perceptions of going to the dentist. METHODS: Australian adults (n = 484) completed mailed questionnaires at baseline and follow-up, containing measures of dental fear, cognitive vulnerability-related perceptions, dental services received, and possible aversive experiences during the study period. Change in dental fear was the main outcome measure, categorized as decreased (Fear- ), unchanged (Fear0 ), and increased (Fear+ )...
December 2018: Journal of Public Health Dentistry
Yi-An Chen, Carlos Quiñonez
OBJECTIVES: To: a) Familiarize readers with the concept of a basic income guarantee (BIG) and its different forms; b) Consider how BIG could improve oral health and decrease oral health disparities; c) Motivate readers to advocate for the evaluation of oral health outcomes in BIG experiments. METHODS: Published articles and book chapters that have analyzed and reviewed data from past BIG pilot projects were examined for their findings on health and socioeconomic outcomes...
December 2018: Journal of Public Health Dentistry
Jannetje Berendsen, Clarissa Bonifacio, Martine van Gemert-Schriks, Cor van Loveren, Erik Verrips, Denise Duijster
OBJECTIVES: This study aimed to evaluate parents' Willingness to Invest (WTI) in their children's oral health in terms of money, visits to a dental practice, and brushing minutes. Objectives were to assess the association between parents' WTI and a) children's dental caries experience, b) children's oral hygiene behavior (OHB), and c) maternal education level and ethnic background. METHODS: A sample of 630 five to six-year-old-children was recruited from pediatric dental centers in the Netherlands...
December 2018: Journal of Public Health Dentistry
Jennifer Clemens, Jaana Gold, Jeffrey Chaffin
OBJECTIVES: Silver diamine fluoride (SDF) treatment has been identified as a potential solution to address the dental public health issues of untreated dental caries and insufficient access to care. The current study assessed the effectiveness of 38 percent SDF in arresting active dental caries lesions and in reducing or preventing associated dental pain and infections in young, at-risk children. METHODS: We enrolled 32 children aged 2-5 years with 118 active caries lesions in primary teeth from a community dental clinic in Oregon...
December 2018: Journal of Public Health Dentistry
Vy H Nguyen, Sue C Lin, David P Cappelli, Suma Nair
OBJECTIVES: Vulnerable populations in underserved communities are disproportionately at high risk for multiple medical, dental, and behavioral health conditions. This study aims to: a) examine the occurrence of acute dental needs and b) investigate the association of acute dental needs and self-rated general and mental health status among the adult dentate health center population. METHODS: This cross-sectional study analyzed data on adult patients (n = 5,035) from the 2014 Health Center Patient Survey, a nationally representative survey of health center patients...
December 2018: Journal of Public Health Dentistry
Susan O Griffin, Kari Jones, Shillpa Naavaal, Joan M O'Connell, Christina Demopoulos, Dawn Arlotta
OBJECTIVE: Develop methodology to estimate the annual cost of resources used by school sealant programs (SSPs) and demonstrate its use. METHODS: We used existing literature and expert opinion to identify SSP cost components and the most appropriate units for their measurement (e.g., per operator) and collection frequency (e.g., per day). For equipment and reusable instruments, costs were sufficiently homogenous across SSPs that we could provide default per unit cost estimates (2016 US$) that SSPs can use in lieu of collecting their own data...
December 2018: Journal of Public Health Dentistry
Hugh Silk, Ellen Sachs Leicher, Veronica Alvarado, Elizabeth Cote, Susan Cote
OBJECTIVES: To implement and study the effect of improving pediatric oral health by training primary care practices and training programs. METHOD: In six New England States, primary care practices and clinical training programs (medical schools, residencies, physician assistant programs) were recruited and trained to incorporate pediatric oral health into medical practice. We measured the results of varying practice recruitment approaches and measured training outcomes based on self-reported implementation and state reported EPSDT CMS oral health claims...
December 2018: Journal of Public Health Dentistry
Benjamin W Chaffee, Elizabeth T Couch, Stuart A Gansky
OBJECTIVE: Measure associations between adolescent baseball players' perceptions of smokeless tobacco (ST) use by professional baseball players and those adolescents' actual ST use and susceptibility. METHODS: Male baseball players (N = 360) at 25 rural California high schools completed tobacco behavior surveys and reported how likely they believed it was their favorite major league baseball player used ST. We compared ST use and, among ST never-users, willingness and expectations to use ST, according to perceived favorite player's use...
December 2018: Journal of Public Health Dentistry
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