Evidence map›Paper›PMID 30382910›Full record

Trial reportBMC oral health2018

Factors associated with future dental care utilization among low-income smokers overdue for dental visits.

Paula R Blasi, Chloe Krakauer, Melissa L Anderson, Jennifer Nelson, Terry Bush, Sheryl L Catz, Jennifer B McClure

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC oral health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02347124 (Promoting Oral Health Among Tobacco Quitline Callers), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% 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.

NCT02347124 nacompletednot on this map

Promoting Oral Health Among Tobacco Quitline Callers

TypeinterventionalSponsorKaiser PermanenteRan2015 to 2017Enrolled718ConditionsOral Disease, SmokingArmsUsual Care Control, Enhanced Intervention
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Smoking a Dangerous Addiction: A Systematic Review on an Underrated Risk Factor for Oral Diseases.International journal of environmental research and public health · 2021
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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.

Paula R BlasiKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA. Paula.R.Blasi@kp.org.ORCID 0000-0002-7094-706X
Chloe KrakauerDepartment of Biostatistics, University of Washington, F-600, Health Sciences Building 1705 NE Pacific Street, Seattle, WA, 98195, USA.
Melissa L AndersonKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
Jennifer NelsonKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
Terry BushOptum Center for Wellbeing Research, 999 3rd Ave., Suite 2000, Seattle, Washington, 98104, USA.
Sheryl L CatzBetty Irene Moore School of Nursing, University of California-Davis, 2450 48th Street, Suite 2600, Sacramento, CA, 95817, USA.
Jennifer B McClureKaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1600, Seattle, WA, 98101, USA.
Kaiser Permanente Washington Health Research Institute · USOptum (United States) · USUC Davis Health · USUniversity of Washington · US

Funding

Oral Health 4 Life: Promoting Oral Health among Tobacco Quitline CallersU01DE024462 · NIDCR · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI MCCLURE, JENNIFER B · 2014 to 2017
$2.3M
NIDCR NIH HHS U01 DE024462
6 · The paper itself

Abstract

backgroundSmokers are at increased risk of oral disease. While routine dental care can help prevent and treat oral health problems, smokers have far lower rates of dental care utilization compared with non-smokers. We sought to better understand which factors may facilitate or hinder dental care utilization among low-income smokers participating in a randomized intervention trial in order to inform future intervention planning.

methodsThis is a secondary analysis of data collected between 2015 and 2017 as part of the OralHealth4Life trial. Participants were eligible callers to the Louisiana, Nebraska, and Oregon state tobacco quitlines who had no dental appointment in the prior or upcoming six months. We examined the association between participants' baseline characteristics and their receiving professional dental care between baseline and the 6-month follow-up survey.

resultsParticipants were racially diverse (42% non-White) and two-thirds had an annual household income under $20,000. Most (86.7%) had not had a dental cleaning in more than one year. Commonly cited barriers to dental care included cost (83.7%) and no dental insurance (78.1%). Those with dental insurance were more likely to see a dentist at follow-up (RR 1.66). Similarly, those reporting a dental insurance barrier to care were less likely to see a dentist at follow-up (RR 0.69); however, there was no significant utilization difference between those reporting a cost barrier vs. those who did not. After controlling for these financial factors, the following baseline characteristics were significantly associated with a higher likelihood of dental care utilization at 6 months: higher motivation (RR 2.16) and self-efficacy (RR 1.80) to visit the dentist, having a disability (RR 1.63), having a higher education level (RR 1.52), and having perceived gum disease (RR 1.49). Factors significantly associated with a lower likelihood of dental care utilization included being married (RR 0.68) and not having a last dental cleaning within the past year (RR 0.47).

conclusionsOur findings provide important insight into factors that may facilitate or deter use of professional dental care among low-income smokers. This information could inform the development of future interventions to promote dental care utilization.

trial registrationClinicalTrials.gov : NCT02347124 ; registered 27 January 2015.

Indexed as

Patient Acceptance of Health CarePovertySmokersAdultDental CareFemaleHumansLouisianaMaleMiddle AgedNebraskaOregonRisk FactorsAccess to dental careDental careDental care barriersDental insuranceMotivationOral healthOral health careSelf-efficacySmokingTobacco

Identifiers

PMID30382910
PMCPMC6211575
OpenAlexW2898644541

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.