Evidence map›Paper›PMID 39698077›Full record

ArticleHeliyon2024

Impact of lack of transportation on access to dental care.

Jaewhan Kim, Indrakshi Roy, E Angeles Martinez-Mier, Anubhuti Shukla, Peter Weir

Abstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Jaewhan KimDepartment of Physical Therapy, University of Utah, 520 Wakara Way, Salt Lake City, UT, 84108, USA.
Indrakshi RoyDepartment of Epidemiology and Biostatistics, Indiana University School of Public Health, Bloomington, IN, 47405, USA.
E Angeles Martinez-MierDepartment of Dental Public Health and Dental Informatics, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA.
Anubhuti ShuklaDepartment of Dental Public Health and Dental Informatics, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA.
Peter WeirUniversity of Utah Medical Group Population Health, 50 North Medical Drive, Salt Lake City, UT, 84132, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Access to healthcare may be influenced by the availability of transportation. Nevertheless, the impact of transportation challenges on access to dental care has not been thoroughly examined. This study investigates the influence of transportation availability on dental care visits, dental cleanings, and exams. Methods: This is a retrospective observational study. The 2021 Medical Expenditure Panel Survey (MEPS), a national survey in the United States, was used for this study. Adults (≥18 years old) from the 2021 survey were included. The 2021 Full Year Consolidated File and the Dental Visits file were linked to identify the main independent variable and the outcomes.Weighted zero-inflated negative binomial regression and weighted logistic regression were employed to analyze the outcomes of dental care visits, and dental cleanings, and exams. Results: The study included a total of 204,704,044 adults, with an average age of 49 (SD: 18) years, and a 51 % female representation. Approximately 5.5 % (n=11,285,968) of the population reported facing transportation challenges. Subjects encountering transportation challenges exhibited a 26 % decrease in dental care visits compared to those without such challenges (Incidence Rate Ratio (IRR)=0.74, p < 0.01, 95 % CI: 0.64-0.87). Individuals lacking transportation had 39 % lower odds of receiving a dental cleaning (odds ratio (OR)=0.61, p < 0.01, 95 % CI: 0.48-0.77) and 29 % lower odds of undergoing a checkup or exam (OR=0.71, p < 0.01, 95 % CI: 0.56-0.90). Conclusions: The study's findings underscore the significant impact of transportation challenges on access to dental care. Limited access to dental care due to transportation issues could exacerbate disparities in oral health outcomes. Implementing targeted interventions to address transportation challenges could contribute to improved oral health outcomes.

Indexed as

Dental careDental cleaningMEPSTransportation

Identifiers

PMID39698077
PMCPMC11652834

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.