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Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States

BACKGROUND: American adults delay dental care more than any other healthcare service. Unfortunately, the COVID-19 pandemic may have stalled efforts to address dental service delays. Early evidence has suggested substantial declines in dental service visits in the early phase of the pandemic; however...

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Autor principal: Semprini, Jason
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154088/
https://www.ncbi.nlm.nih.gov/pubmed/37143852
http://dx.doi.org/10.1155/2023/5601447
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author Semprini, Jason
author_facet Semprini, Jason
author_sort Semprini, Jason
collection PubMed
description BACKGROUND: American adults delay dental care more than any other healthcare service. Unfortunately, the COVID-19 pandemic may have stalled efforts to address dental service delays. Early evidence has suggested substantial declines in dental service visits in the early phase of the pandemic; however, our study is among the first to measure within-person changes from 2019 to 2020 and conduct subgroup analyses to examine if changing dental patterns were mediated by exposure to the pandemic, risk of adverse COVID-19 outcomes, or dental insurance. METHODS: We analyzed a National Health Interview Survey panel of individuals initially surveyed in 2019, with subsequent follow-up in 2020. The outcomes included dental service access measures and the interval of a most recent dental visit. By constructing a probability-weighted linear regression model with fixed-effects, we estimated the average within-person change from 2019 to 2020. Robust standard errors were clustered within each respondent. RESULTS: From 2019 to 2020, adults reported a 4.6%-point reduction in the probability of visiting the dentist (p < 0.001). Significantly higher declines were found in Northeast and West regions compared to Midwest and South regions. We find no evidence that declining dental services in 2020 were associated with more chronic diseases, older age, or lack of dental insurance coverage. Adults did not report more financial or nonfinancial access barriers to dental care in 2020 compared to 2019. CONCLUSIONS: The long-term effects of the COVID-19 pandemic on delayed dental care warrant continued monitoring as policymakers aim to mitigate the pandemic's negative consequences on oral health equity.
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spelling pubmed-101540882023-05-03 Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States Semprini, Jason Int J Dent Research Article BACKGROUND: American adults delay dental care more than any other healthcare service. Unfortunately, the COVID-19 pandemic may have stalled efforts to address dental service delays. Early evidence has suggested substantial declines in dental service visits in the early phase of the pandemic; however, our study is among the first to measure within-person changes from 2019 to 2020 and conduct subgroup analyses to examine if changing dental patterns were mediated by exposure to the pandemic, risk of adverse COVID-19 outcomes, or dental insurance. METHODS: We analyzed a National Health Interview Survey panel of individuals initially surveyed in 2019, with subsequent follow-up in 2020. The outcomes included dental service access measures and the interval of a most recent dental visit. By constructing a probability-weighted linear regression model with fixed-effects, we estimated the average within-person change from 2019 to 2020. Robust standard errors were clustered within each respondent. RESULTS: From 2019 to 2020, adults reported a 4.6%-point reduction in the probability of visiting the dentist (p < 0.001). Significantly higher declines were found in Northeast and West regions compared to Midwest and South regions. We find no evidence that declining dental services in 2020 were associated with more chronic diseases, older age, or lack of dental insurance coverage. Adults did not report more financial or nonfinancial access barriers to dental care in 2020 compared to 2019. CONCLUSIONS: The long-term effects of the COVID-19 pandemic on delayed dental care warrant continued monitoring as policymakers aim to mitigate the pandemic's negative consequences on oral health equity. Hindawi 2023-04-25 /pmc/articles/PMC10154088/ /pubmed/37143852 http://dx.doi.org/10.1155/2023/5601447 Text en Copyright © 2023 Jason Semprini. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Semprini, Jason
Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title_full Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title_fullStr Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title_full_unstemmed Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title_short Estimating the Within-Person Change in Dental Service Access Measures during the COVID-19 Pandemic in the United States
title_sort estimating the within-person change in dental service access measures during the covid-19 pandemic in the united states
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154088/
https://www.ncbi.nlm.nih.gov/pubmed/37143852
http://dx.doi.org/10.1155/2023/5601447
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