Evidence map›Paper›PMID 21088261›Full record

ArticleAmerican journal of public health2011

Timing of first dental visits for newly Medicaid-enrolled children with an intellectual or developmental disability in Iowa, 2005-2007.

Donald L Chi, Elizabeth T Momany, Michael P Jones, Peter C Damiano

Abstract read
In one paragraph

Article in American journal of public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Donald L ChiDepartment of Pediatric Dentistry, Public Policy Center, University of Iowa, Iowa City, USA. dchi@uw.edu
Elizabeth T Momany
Michael P Jones
Peter C Damiano

Funding

Institutional Training Program in Oral Health ResearchT32DE014678 · NIDCR · UNIVERSITY OF IOWA · PI SQUIER, CHRISTOPHER · 2002 to 2011
$5.2M
Addressing Oral Health Disparities in Medicaid-Enrolled Special Needs Children wiK08DE020856 · NIDCR · UNIVERSITY OF WASHINGTON · PI CHI, DONALD LESLIE · 2010 to 2014
$627k
NIDCR NIH HHS K08 DE020856NIDCR NIH HHS K08-DE020856NIDCR NIH HHS T32 DE014678NIDCR NIH HHS T32-DE014678-06NIMHD NIH HHS L60 MD003921
6 · The paper itself

Abstract

objectivesWe evaluated the relationship between having an intellectual or developmental disability (IDD) and the timing of the first dental visit for children who were newly enrolled in Medicaid in Iowa.

methodsWe identified children aged 3 to 8 years with and without IDD who were newly enrolled in the Iowa Medicaid program in 2005 (N = 5391). We gathered data on presence of IDD, health status, age at baseline, gender, length of Medicaid enrollment, medical care visits, household Medicaid enrollment, urbanization, residence in a federally designated Health Professional Shortage Area (HPSA), and time of first dental visit through 2007.

resultsAbout 32% of children had a first dental visit within 6 months of enrollment; this proportion increased to 49%, 64%, and 74% by years 1, 2, and 3, respectively. In the unadjusted models, there was no significant difference between children with and without IDD in time to first dental visit (P = .22). After adjusting for model covariates, however, children with IDD were 31% more likely to have a delayed first dental visit (P = .04).

conclusionsNewly Medicaid-enrolled children aged 3 to 8 years with IDD in Iowa were significantly more likely to have a later first dental visit. Future interventions should focus on ensuring timely access to first dental visits for all Medicaid-enrolled children, with an emphasis on those with IDD.

Indexed as

Developmental DisabilitiesIntellectual DisabilityMedicaidAge FactorsChildChild, PreschoolDental Care for ChildrenHumansIowaKaplan-Meier EstimateMedically Underserved AreaProportional Hazards ModelsTime FactorsUnited States

Identifiers

PMID21088261
PMCPMC3076421

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.