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Oral health needs of U.S. children with developmental disorders: a population-based study

BACKGROUND: Children with Special Health Care Needs (CSHCN) have higher rates of oral diseases and tooth decay compared with the general population. Children with developmental disorders/ disabilities (DD) are a subset of CSHCN whose oral health has not been specifically addressed. Therefore, this s...

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Autores principales: Obeidat, Raghad, Noureldin, Amal, Bitouni, Anneta, Abdellatif, Hoda, Lewis-Miranda, Shirley, Liu, Shuling, Badner, Victor, Timothé, Peggy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9055681/
https://www.ncbi.nlm.nih.gov/pubmed/35488224
http://dx.doi.org/10.1186/s12889-022-13237-2
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author Obeidat, Raghad
Noureldin, Amal
Bitouni, Anneta
Abdellatif, Hoda
Lewis-Miranda, Shirley
Liu, Shuling
Badner, Victor
Timothé, Peggy
author_facet Obeidat, Raghad
Noureldin, Amal
Bitouni, Anneta
Abdellatif, Hoda
Lewis-Miranda, Shirley
Liu, Shuling
Badner, Victor
Timothé, Peggy
author_sort Obeidat, Raghad
collection PubMed
description BACKGROUND: Children with Special Health Care Needs (CSHCN) have higher rates of oral diseases and tooth decay compared with the general population. Children with developmental disorders/ disabilities (DD) are a subset of CSHCN whose oral health has not been specifically addressed. Therefore, this study had two objectives: to describe the oral health needs (OHN) of children with DD compared with children without DD; and to assess barriers to access to care, utilization of dental services, and their association with oral health needs for children with DD. METHODS: This cross-sectional study utilized a sample of 30,530 noninstitutionalized children from the 2018 National Survey of Children’s Health (NSCH). Analysis was conducted using descriptive and inferential statistics. RESULTS: The analysis identified 6501 children with DD and 24,029 children without DD. Children with DD had significantly higher prevalence of OHN (20.3% vs. 12.2%, respectively), unmet dental needs (3.5% vs 1.2%), and utilization of any dental visits (86.1% vs 76.1%), (P-value < . 001). The adjusted logistic model identified four factors that contributed to the higher odds of OHN among children with DD: poverty (< 100% of the Federal Poverty Level (AOR = 2.27, CI: 1.46–3.51), being uninsured (AOR = 2.12, 95% CI: 1.14–3.95), a high level of disability (AOR = 1.89, CI: 1.23–2.78), and living in the western United States (AOR = 1.61, CI: 1.09–2.37. CONCLUSION: Despite higher utilization of dental services, children with DD had poorer oral health and more unmet dental needs than children without DD. Advocacy efforts and policy changes are needed to develop affordable access that assesses, as early as possible, children with DD whose conditions impact their ability a great deal so that their potential OHN may be alleviated more effectively.
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spelling pubmed-90556812022-05-01 Oral health needs of U.S. children with developmental disorders: a population-based study Obeidat, Raghad Noureldin, Amal Bitouni, Anneta Abdellatif, Hoda Lewis-Miranda, Shirley Liu, Shuling Badner, Victor Timothé, Peggy BMC Public Health Research BACKGROUND: Children with Special Health Care Needs (CSHCN) have higher rates of oral diseases and tooth decay compared with the general population. Children with developmental disorders/ disabilities (DD) are a subset of CSHCN whose oral health has not been specifically addressed. Therefore, this study had two objectives: to describe the oral health needs (OHN) of children with DD compared with children without DD; and to assess barriers to access to care, utilization of dental services, and their association with oral health needs for children with DD. METHODS: This cross-sectional study utilized a sample of 30,530 noninstitutionalized children from the 2018 National Survey of Children’s Health (NSCH). Analysis was conducted using descriptive and inferential statistics. RESULTS: The analysis identified 6501 children with DD and 24,029 children without DD. Children with DD had significantly higher prevalence of OHN (20.3% vs. 12.2%, respectively), unmet dental needs (3.5% vs 1.2%), and utilization of any dental visits (86.1% vs 76.1%), (P-value < . 001). The adjusted logistic model identified four factors that contributed to the higher odds of OHN among children with DD: poverty (< 100% of the Federal Poverty Level (AOR = 2.27, CI: 1.46–3.51), being uninsured (AOR = 2.12, 95% CI: 1.14–3.95), a high level of disability (AOR = 1.89, CI: 1.23–2.78), and living in the western United States (AOR = 1.61, CI: 1.09–2.37. CONCLUSION: Despite higher utilization of dental services, children with DD had poorer oral health and more unmet dental needs than children without DD. Advocacy efforts and policy changes are needed to develop affordable access that assesses, as early as possible, children with DD whose conditions impact their ability a great deal so that their potential OHN may be alleviated more effectively. BioMed Central 2022-04-29 /pmc/articles/PMC9055681/ /pubmed/35488224 http://dx.doi.org/10.1186/s12889-022-13237-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Obeidat, Raghad
Noureldin, Amal
Bitouni, Anneta
Abdellatif, Hoda
Lewis-Miranda, Shirley
Liu, Shuling
Badner, Victor
Timothé, Peggy
Oral health needs of U.S. children with developmental disorders: a population-based study
title Oral health needs of U.S. children with developmental disorders: a population-based study
title_full Oral health needs of U.S. children with developmental disorders: a population-based study
title_fullStr Oral health needs of U.S. children with developmental disorders: a population-based study
title_full_unstemmed Oral health needs of U.S. children with developmental disorders: a population-based study
title_short Oral health needs of U.S. children with developmental disorders: a population-based study
title_sort oral health needs of u.s. children with developmental disorders: a population-based study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9055681/
https://www.ncbi.nlm.nih.gov/pubmed/35488224
http://dx.doi.org/10.1186/s12889-022-13237-2
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