Racial and ethnic disparities in children's oral health The National Survey of Children's Health

被引:34
作者
Dietrich, Thomas [1 ,2 ]
Culler, Corinna [1 ]
Garcia, Raul I. [1 ]
Henshaw, Michelle M. [1 ]
机构
[1] Boston Univ, Goldman Sch Dent Med, Dept Hlth Policy & Hlth Serv Res, Boston, MA 02118 USA
[2] Univ Birmingham, Sch Dent, Dept Oral Surg, Birmingham B15 2TT, W Midlands, England
基金
美国国家卫生研究院;
关键词
Disparities; health services research;
D O I
10.14219/jada.archive.2008.0077
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background. The authors evaluated racial/ethnic differences and their socioeconomic determinants in the oral health status of U.S. children, as reported by parents. Methods. The authors used interview data from the 2003 National Survey of Children's Health, a large representative survey of U.S. children. They calculated weighted, nationally representative prevalence estimates for non-Hispanic whites, non-Hispanic blacks and Hispanics, and they used logistic regression to explore the association between parents' reports of fair or poor oral health and various socioeconomic determinants of oral health. Results. The results showed significant racial/ethnic differences in parental reports of fair or poor oral health, with prevalences of 6.5 percent for non-Hispanic whites, 12.0 percent for non-Hispanic blacks and 23.4 percent for Hispanics. Although adjustments for family socioeconomic status (poverty level and education) partially explained these racial/ethnic disparities, Hispanics still were twice as likely as non-Hispanic whites to report their children's oral health as fair or poor, independent of socioeconomic status. The authors did find differences in preventive-care attitudes among groups. However, in multivariate models, such differences did not explain the disparities. Conclusions. Significant racial/ethnic disparities exist in parental reports of their children's oral health, with Hispanics being the most disadvantaged group. Disparities appear to exist independent of preventivecare attitudes and socioeconomic status.
引用
收藏
页码:1507 / 1517
页数:11
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