Access to preventive services after the integration of oral health care into early childhood education and medical care

The Journal of the American Dental Association
Jacqueline M BurgetteRichard Gary Rozier

Abstract

The effect of Early Head Start (EHS) on receipt of preventive oral health services (POHS) from both oral and medical health care providers is not known. The authors compared children enrolled in North Carolina EHS programs with similar children enrolled in Medicaid but not EHS on the use of POHS. They analyzed 4 dependent variables (oral assessment by medical health care provider, oral assessment by oral health care provider, fluoride application by medical health care provider, fluoride application by oral health care provider) by using multivariate logistic regression that controlled for covariates. Primary caregivers of children enrolled in EHS (n = 479) and Medicaid (n = 699) were interviewed when children were approximately 10 and 36 months of age. An average of 81% of EHS and non-EHS children received POHS from an oral or medical health care provider at follow-up. EHS children had greater odds of receiving an oral health assessment (odds ratio [OR], 2.33; 95% confidence interval [CI], 1.74 to 3.13) and fluoride (OR, 1.53; 95% CI, 1.16 to 2.03) from an oral health care provider than children not enrolled. EHS children had decreased odds (OR, 0.73; 95% CI, 0.54 to 0.99) of receiving fluoride from a medical health care provi...Continue Reading

Citations

Jan 5, 2020·Annual Review of Public Health·Mary E NorthridgeRaghbir Kaur
Mar 6, 2021·Contemporary Clinical Trials Communications·Shelley CurtanSuchitra Nelson
Aug 12, 2021·Journal of Public Health Dentistry·Jacqueline M BurgetteBrian Martin

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