Evidence map›Paper›PMID 27716908›Full record

ArticleHealth services research2017

The Effects of Distance to Dentists and Dentist Supply on Children's Use of Dental Care.

George L Wehby, Dan M Shane, Adweta Joshi, Elizabeth Momany, Donald L Chi, Raymond A Kuthy, Peter C Damiano

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
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

19 citing papers in PubMed, 32 citations in OpenAlex.

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  17. Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
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  19. Influence of disabilities on state-level disparity in dental care utilization and tooth loss: Findings from the 2020 Behavioral Risk Factor Surveillance System.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
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

7 authors at 4 institutions in 1 country.

George L WehbyDepartment of Health Management and Policy, University of Iowa, Iowa City, IA.
Dan M ShaneDepartment of Health Management and Policy, University of Iowa, Iowa City, IA.
Adweta JoshiPublic Policy Center, University of Iowa, Iowa City, IA.
Elizabeth MomanyPublic Policy Center, University of Iowa, Iowa City, IA.
Donald L ChiDepartment of Oral Health Sciences, University of Washington, Seattle, WA.
Raymond A KuthyDepartment of Preventive and Community Dentistry, University of Iowa, Iowa City, IA.
Peter C DamianoDepartment of Preventive and Community Dentistry, University of Iowa, Iowa City, IA.
University of Iowa · USIowa Policy Project · USNational Bureau of Economic Research · USUniversity of Washington · US

Funding

First preventive dental visit: Disparities in needs, costs + behavioral insightsRC1DE020303 · NIDCR · UNIVERSITY OF IOWA · PI DAMIANO, PETER C · 2009 to 2010
$940k
NIDCR NIH HHS RC1 DE020303
6 · The paper itself

Abstract

objectiveTo examine the effects of distance to dentists and dentist supply on dental services use among children with Medicaid coverage in Iowa. DATA SOURCE: Iowa Medicaid claims for enrolled children between 2000 and 2009. STUDY

designThe study sample included 41,554 children (providing 158,942 child-year observations) who were born in Iowa between 2000 and 2006 and enrolled from birth in the Iowa Medicaid program. Children were followed through 2009. We used logistic regression to simultaneously examine the effects of distance (miles to nearest dentist) and county-level dentist supply on a broad range of dental services controlling for key confounders. Additional models only used within-child variation over time to remove unobservable time-invariant confounders. PRINCIPAL

findingsDistance was related to lower utilization of comprehensive dental exams (2 percent lower odds per 1 mile increase in distance), an effect that also held in models using within-child variation only. Dentist supply was positively related to comprehensive exams and other preventive services and negatively related to major dental treatments; however, these associations became smaller and insignificant when examining within-child changes except for other preventive services.

conclusionsLonger distance to dentists is a barrier for use of comprehensive dental exams, conditional on dentist supply.

Indexed as

Child, PreschoolDental Care for ChildrenDentistsFemaleHealth Services AccessibilityHumansInfantIowaMaleMedicaidUnited StatesDental caredental workforcedentist supplyMedicaidoral healthprevention

Identifiers

PMID27716908
PMCPMC5583306
OpenAlexW2518103922

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.