Evidence map›Paper›PMID 30032444›Full record

ArticleMaternal and child health journal2019

Impact of Medicaid Policy on the Oral Health of Publicly Insured Children.

Ashley M Kranz, Erin Duffy, Andrew W Dick, Mark Sorbero, Richard Gary Rozier, Bradley D Stein

Abstract read
In one paragraph

Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Disparities in Access to Oral Health Care.Annual review of public health · 2020
    Review
  9. Article
  10. Article
  11. 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
    Article
  12. Observational
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

6 authors.

Ashley M KranzRAND, 1200 S. Hayes Street, Arlington, VA, 22202, USA. akranz@rand.org.
Erin DuffyPardee RAND Graduate School, 1776 Main Street, Santa Monica, CA, 90401, USA.
Andrew W DickRAND, 20 Park Plaza, 9th Floor, Suite 920, Boston, MA, 02116, USA.
Mark SorberoRAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA, 15213, USA.
Richard Gary RozierUniversity of North Carolina Gillings School of Global Public Health, 135 Dauer Drive, Chapel Hill, NC, 27599, USA.
Bradley D SteinRAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA, 15213, USA.

Funding

Role of Non-Dental Providers in Reducing Disparities in Early Childhood Oral Health: Impact of State Medicaid PoliciesR01DE026136 · NIDCR · RAND CORPORATION · PI STEIN, BRADLEY D · 2016 to 2018
$1.6M
National Institute of Dental and Craniofacial Research DE026136-01NIDCR NIH HHS R01 DE026136
6 · The paper itself

Abstract

Objective Fluoride varnish (FV) applications among non-dentist primary care providers has increased due to state Medicaid policies. In this study we examine the impact of FV policies on the oral health of publicly insured children aged 2-6 years old. Methods Using three waves of the National Survey of Children's Health (2003, 2007, 2011/12), we used a logistic regression model with state and year fixed effects, adjusting for relevant child characteristics, to examine the association between years since a state implemented a FV policy and the odds of a publicly insured child having very good or excellent teeth. We compared children with public insurance in states with FV policies to children with public insurance in states without FV policies, controlling for the same difference among children with private insurance who were unlikely to be affected by Medicaid FV policies. Results Among 68,890 children aged 2-6 years, 38% had public insurance. Compared to privately insured children, publicly insured children had significantly lower odds of having very good or excellent teeth [odds ratio (OR) 0.70, 95% CI 0.62-0.81]. Publicly insured children in states with FV policies implemented for four or more years had significantly greater odds of having very good or excellent teeth (OR 1.28, 95% CI 1.03-1.60) compared to publicly insured children in states without FV policies. Conclusions for Practice State policies supporting non-dental primary care providers application of FV were associated with improvements in oral health for young children with public insurance.

Indexed as

Health PolicyChildChild, PreschoolFemaleFluoridesHealth Services AccessibilityHumansInsurance CoverageMaleMedicaidOral HealthSocioeconomic FactorsUnited StatesFluoridesAccess to careEarly childhoodMedicaidOral health

Identifiers

PMID30032444
PMCPMC6324972

What OpenQuestion holds

Textmetadata
LicenceTDM
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.