Dental Utilization by Children in Hispanic Agricultural Worker Families in California

Details

• Personal Author:
  Finlayson TL ; Gansky SA ; Shain SG ; Weintraub JA
• Description:
  Background: Agricultural worker families encounter multiple barriers to accessing all needed dental care. This study investigated predisposing, enabling, and need factors associated with children's past year dental utilization among Hispanic agricultural worker families in central California. Methods: Oral health survey and clinical data were collected from families participating in a larger, population-based study in 2006-7. Generalized estimating equation logit regression assessed effects on a dental visit among children aged 0-17 (n=405). Analyses adjusted for clustering of children in the same household. Predisposing (sociodemographics), enabling (child's dental insurance, usual source of dental care, caregiver past year dental visit, acculturation level, income and education), and need (caregiver's oral health rating, perception of cavities, and clinically-determined treatment urgency) factors were examined. Results: Half (51%) the children had a past year dental visit, while 23% had never been to a dentist. In the final model, children were less likely to have a past year dental visit if they were foreign-born, male, had caregivers that thought they had cavities or were unsure, and if the dentist recommended treatment 'at earliest convenience'. Children aged 6-12, with a regular dental care source, and whose caregivers had a recent dentist visit were more likely to have a past year dental visit. Conclusions: Children were more likely to have a past year dental visit if they had a usual source of dental care (OR =4.78, CI=2.51-9.08), and if the caregiver had a past year dental visit (OR=1.88, CI=1.04-3.38). Emphasis should be placed on these two modifiable factors to increase children's dental utilization. [Description provided by NIOSH]
• Subjects:
  Agriculture Dental Offices Family Farmers Occupational Health Race Factors Safety Surveys And Questionnaires
• Keywords:
  Agricultural Industry Agricultural Workers Author Keywords: Cross-Sectional Studies/Utilization Children Dental Disorders Dental Health Dental Health Surveys/Utilization Dentistry Families Health Care Health Surveys Hispanic Americans Qualitative Analysis Racial Factors

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• ISSN:
  2325-095X
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  15-24
• Volume:
  2
• Issue:
  1
• NIOSHTIC Number:
  nn:20053893
• Citation:
  J Dent Oral Craniofac Epidemiol 2014 Jan; 2(1-2):15-24
• Contact Point Address:
  Tracy L. Finlayson, Graduate School of Public Health San Diego State University 5500 Campanile Drive San Diego CA 92182-4162
• Email:
  tfinlays@mail.sdsu.edu
• Federal Fiscal Year:
  2014
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of California - Davis
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  Journal of Dental, Oral and Craniofacial Epidemiology
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9b8999c3122b37015552b9c04da1e002aa4119d72584c4fc3454244bc612ae1d5b95f6af4442b3ef10d28ec7f789471b8059d61c2d7f5f7c4faac2c8c33fa4ed
• Download URL:
  https://stacks.cdc.gov/view/cdc/216567/cdc_216567_DS1.pdf
• File Type:
  [PDF - 187.18 KB ]