Evidence map›Paper›PMID 32697007›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2021

Rural-Urban Differences in Dental Service Utilization and Dental Service Procedures Received Among US Adults: Results From the 2016 Medical Expenditure Panel Survey.

Huabin Luo, Qiang Wu, Ronny A Bell, Wanda Wright, Sara A Quandt, Rashmita Basu, Mark E Moss

Open access · greenAbstract read
In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

31 citing papers in PubMed, 41 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Huabin LuoDepartment of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina.ORCID 0000-0002-5144-3210
Qiang WuDepartment of Biostatistics, College of Allied Health, East Carolina University, Greenville, North Carolina.
Ronny A BellDepartment of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
Wanda WrightDepartment of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, North Carolina.ORCID 0000-0003-0514-7063
Sara A QuandtDepartment of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Rashmita BasuDepartment of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
Mark E MossDepartment of Foundational Sciences, School of Dental Medicine, East Carolina University, Greenville, North Carolina.
East Carolina University · USWake Forest University · US

Funding

Rural Urban Disparities and Determinants of Dental Services and Provider MixR03DE027436 · NIDCR · EAST CAROLINA UNIVERSITY · PI LUO, HUABIN · 2018 to 2019
$283k
NIDCR NIH HHS 1R03DE027436-01A1NIDCR NIH HHS R03 DE027436
6 · The paper itself

Abstract

purposeTo assess rural-urban differences in dental service use and procedures and to explore the interaction effects of individual- and county-level factors on having dental service use and procedures.

methodsData were from the 2016 Medical Expenditure Panel Survey (MEPS). We assessed rural-urban differences in 3 outcome variables: number of dental visits (1, 2, or 3+ visits), preventive care procedures (Yes/No), and treatment procedures (Yes/No). The study sample included 8,199 adults ≥ 18 years of age who reported at least 1 dental visit in the past year. Sampling weights embedded in MEPS were incorporated into all the analyses.

findingsA significant interaction between residential location and race/ethnicity (P = .030) suggested limited access to dental visits for minority groups, especially for blacks in the more rural areas. Adults from a more rural area were less likely to have received a preventive procedure (AOR = 0.55, 95% CI: 0.35-0.87) than those from an urban area. Adults of racial/ethnic minority groups, with lower SES, and without dental insurance were less likely to have received a preventive procedure (all P < .01) but were more likely to have received a treatment procedure (all P < .05).

conclusionsThe study showed rural adults were less likely to have received preventive dental procedures than their urban counterparts. Racial/ethnic minority groups living in a more rural area had even more limited access to dental services. Innovative service delivery models that integrate telehealth and community-based case management may contribute to addressing these gaps in rural communities.

Indexed as

Health ExpendituresRural PopulationAdultDental CareEthnicityHealth Services AccessibilityHumansMinority Groupsaccess to caredental proceduresdental usehealth disparitiesrural oral health

Identifiers

PMID32697007
PMCPMC7855605
OpenAlexW3045192810

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.