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Association between type of health insurance and children's oral health, NHANES 2011–2014

机译:健康保险与儿童口腔健康类型之间的协会,NHANES 2011-2014

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Abstract 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. Results Among 6,057 children, the odds of having any dental caries or untreated caries was not significantly different for publicly insured and uninsured children compared to privately insured children, when adjusting for family income and education. Children in families with income to poverty ratios 200 percent had greater odds of caries and untreated caries relative to children in families with income to poverty ratios ≥400 percent. Children with less educated parents also experienced greater odds of caries and untreated caries. Conclusions Oral health outcomes, after adjusting for covariates, were similar for children with public and private health insurance. However, children in low‐income families and with less educated parents had greater odds of untreated caries and dental caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status.
机译:摘要目的在美国使用全国代表监督数据检查美国儿童的健康保险(公共,未保险,私人或其他)和口头健康成果之间的关联。使用国家健康和营养考试调查(2011/12-2013 / 14),物流回归模型用于估算任何龋齿和任何未经治疗的龋齿的含量(公共,未保险,私人等)的龋齿)对于2-19岁的儿童,有关相关个人和社会经济特征的调整。结果6,057名儿童之间,与私人被保险的儿童进行家庭收入和教育时,有任何龋齿或未经治疗的龋齿的可能性没有显着差异。贫困比率收入的家庭中的儿童患有更多龋齿和未经治疗的龋齿与收入贫困率≥400%的贫困人口的龋齿和未经治疗的龋齿。受过教育较少的父母的儿童也经历了更大的龋齿和未经治疗的龋齿。结论调整协变量后的口腔健康结果与公共和私人健康保险的儿童相似。然而,低收入家庭和较少受过教育的父母的儿童具有更大的未经治疗的龋齿和龋齿,这表明专注于公开保险人口的举措可能会错过社会经济地位的其他弱势儿童。

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