ArticleAmerican journal of preventive medicine2016
Dental Homes for Children With Autism: A Longitudinal Analysis of Iowa Medicaid's I-Smile Program.
Article in American journal of preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- A national sample of developmentally disabled adolescents with obesity and their utilization of preventive dental care services.Frontiers in oral health · 2023Article
- Heterogeneity in Autism Spectrum Disorder Case-Finding Algorithms in United States Health Administrative Database Analyses.Journal of autism and developmental disorders · 2022Review
- Parental psychosocial factors, unmet dental needs and preventive dental care in children and adolescents with special health care needs: A stress process model.BMC oral health · 2022Article
- Impact of a Medicaid policy on preventive oral health services for children with intellectual disabilities, developmental disabilities, or both.Journal of the American Dental Association (1939) · 2020Article
- A Machine Learning Approach to Uncovering Hidden Utilization Patterns of Early Childhood Dental Care Among Medicaid-Insured Children.Frontiers in public health · 2020Article
- The Effects of Medical Well Baby Visits in Promoting Earlier First Dental Visits for Children.JDR clinical and translational research · 2018Article
- Research Evidence Use in Early and Periodic Screening, Diagnostic, and Treatment Dental Medicaid Class Action Lawsuits.Dental clinics of North America · 2017Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionMedicaid-enrolled children with autism spectrum disorder (ASD) encounter significant barriers to dental care. Iowa's I-Smile Program was implemented in 2006 to improve dental use for all children in Medicaid. This study compared dental home and preventive dental utilization rates for Medicaid-enrolled children by ASD status and within three time periods (pre-implementation, initial implementation, maturation) and determined I-Smile's longitudinal influence on ASD-related dental use disparities.
methodsData from 2002-2011 were analyzed for newly Medicaid-enrolled children aged 3-17 years (N=30,059); identified each child's ASD status; and assessed whether the child had a dental home or utilized preventive dental care. Log-linear regression models were used to generate rate ratios. Analyses were conducted in 2015.
resultsIn 2003-2011, 9.8% of children with ASD had dental homes compared with 8% of children without ASD; 36.3% of children with ASD utilized preventive care compared to 45.7% of children without ASD. There were no significant differences in dental home rates by ASD status during pre-implementation, initial implementation, or maturation. There were no significant differences in preventive dental utilization by ASD status during pre-implementation or initial implementation, but children with ASD were significantly less likely to utilize preventive care during maturation (rate ratio=0.79, p<0.001). Longitudinal trends in dental home and preventive dental utilization rates were not significant (p=0.54 and p=0.71, respectively).
conclusionsAmong newly Medicaid-enrolled children in Iowa's I-Smile Program, those with ASDs were not less likely than those without ASD to have dental homes but were significantly less likely to utilize preventive dental care.
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