wow-inequalities/02-data/intermediate/wos_sample/c7cf71e079e56d95aa40218ac5904013-griffin-s.-o.-and-t/info.yaml

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abstract: 'Introduction: Untreated dental caries (UC), although preventable, is the
most prevalent disease in the United States. UC diminishes quality of
life and lowers productivity for millions of Americans and is notably
higher among lower-income compared to higher-income persons. Objective:
This study examines changes in disparities by income in past-year dental
use (DU) and UC in 4 life stages (2-5, 6-19, 20-64, and >= 65 y) between
1999-2004 and 2011-2016. We also examined changes in dental safety net
policies during this time. Methods: We obtained data on dependent
variables, UC and DU, from cross-sectional, nationally representative
surveys for 1999-2004 and 2011-2016. We used multivariable regression
models with 3 main-effect explanatory variables: income (<200\% or >=
200\% federal poverty level), life stage, and survey period (1999-2004
or 2011-2016) and sociodemographic variables. We included 2-way
interaction terms among main-effect variables to test whether
disparities had changed over time in each life stage and a 3-way term to
test changes in disparities differed across life stages. Results:
Model-adjusted disparities in DU decreased for both preschool-age and
school-age children, and disparities in UC decreased for school-age
children. Changes in DU and UC disparities were not detectable for
working-age adults and increased for retirement-age adults. Changes in
DU and UC among preschool and school-age children were not significantly
different from one another and were significantly different from changes
among retirement-age adults. Compared to working-age adults, changes in
disparities for DU and UC were significantly different for school-age
children, and changes in DU were significantly different for
preschool-age children. Between surveys, the dental safety net was
expanded for youth but remained largely unchanged for adults.
Conclusions: Expanding the dental safety net for youth could have
contributed to increased access to dental care among children relative
to adults and contributed to the decrease in disparities in DU and UC
among youth. Knowledge Transfer Statement:Between 1999-2004 and
2011-2016, the dental safety net was expanded for youth but remained
largely unchanged for adults. Using national survey data to compare
changes in disparities in past-year dental use and untreated dental
caries by income between adults and youth sheds light on the potential
impact of expanding the dental safety net.'
affiliation: 'Griffin, SO (Corresponding Author), Ctr Dis Control \& Prevent, Div
Oral Hlth, Atlanta, GA 30333 USA.
Griffin, SO (Corresponding Author), CDC, Div Oral Hlth, Natl Ctr Chron Dis Prevent
\& Hlth Promot, 4770 Bufford Hwy,MSF 10, Atlanta, GA 30341 USA.
Griffin, S. O.; Thornton-Evans, G., Ctr Dis Control \& Prevent, Div Oral Hlth, Atlanta,
GA 30333 USA.
Wei, L., DB Consulting Grp Inc, Atlanta, GA USA.
Griffin, P. M., Purdue Univ, Regenstrief Ctr Healthcare Engn, W Lafayette, IN 47907
USA.'
article-number: '2380084420934746'
author: Griffin, S. O. and Thornton-Evans, G. and Wei, L. and Griffin, P. M.
author-email: sig1@cdc.gov
author_list:
- family: Griffin
given: S. O.
- family: Thornton-Evans
given: G.
- family: Wei
given: L.
- family: Griffin
given: P. M.
da: '2023-09-28'
doi: 10.1177/2380084420934746
earlyaccessdate: JUN 2020
eissn: 2380-0852
files: []
issn: 2380-0844
journal: JDR CLINICAL \& TRANSLATIONAL RESEARCH
keywords: 'health care disparities; dentists'' practice patterns; public policies;
dental caries; Medicaid; Medicare'
keywords-plus: ORAL-HEALTH; CHILDREN
language: English
month: APR
number: '2'
number-of-cited-references: '31'
pages: 234-241
papis_id: 67be3ae683788524606fc8e91121183a
ref: Griffin2021disparitiesdental
times-cited: '7'
title: Disparities in Dental Use and Untreated Caries Prevalence by Income
type: Article
unique-id: WOS:000546097700001
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '6'
web-of-science-categories: Dentistry, Oral Surgery \& Medicine
year: '2021'