Effects of enrollment in Medicaid versus the state children's health insurance program on kindergarten children's untreated dental caries.

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Title: Effects of enrollment in Medicaid versus the state children's health insurance program on kindergarten children's untreated dental caries.
Authors: Brickhouse TH (AUTHOR), Rozier RG (AUTHOR), Slade GD (AUTHOR)
Source: American Journal of Public Health. May2008, Vol. 98 Issue 5, p876-881. 6p.
Subjects: Dental caries in children, Public health research, Medicaid, State Children's Health Insurance Program (U.S.), Dental surveys
Geographic Terms: North Carolina, United States
Abstract: OBJECTIVES: We compared levels of untreated dental caries in children enrolled in public insurance programs with those in nonenrolled children to determine the impact of public dental insurance and the type of plan (Medicaid vs State Children's Health Insurance Program [SCHIP]) on untreated dental caries in children. METHODS: Dental health outcomes were obtained through a calibrated oral screening of kindergarten children (enrolled in the 2000-2001 school year). We obtained eligibility and claims data for children enrolled in Medicaid and SCHIP who were eligible for dental services during 1999 to 2000. We developed logistic regression models to compare children's likelihood and extent of untreated dental caries according to enrollment. RESULTS: Children enrolled in Medicaid or SCHIP were 1.7 times (95% confidence interval [CI] = 1.65, 1.77) more likely to have untreated dental caries than were nonenrolled children. SCHIP-enrolled children were significantly less likely to have untreated dental caries than were Medicaid-enrolled children (odds ratio [OR]=0.74; 95% CI=0.67, 0.82). According to a 2-part regression model, children enrolled in Medicaid or SCHIP have 17% more untreated dental caries than do nonenrolled children, whereas those in SCHIP had 16% fewer untreated dental caries than did those in Medicaid. CONCLUSIONS: Untreated tooth decay continues to be a significant problem for children with public insurance coverage. Children who participated in a separate SCHIP program had fewer untreated dental caries than did children enrolled in Medicaid. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Effects of enrollment in Medicaid versus the state children's health insurance program on kindergarten children's untreated dental caries.
– Name: Author
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  Data: <searchLink fieldCode="AR" term="%22Brickhouse+TH%22">Brickhouse TH</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rozier+RG%22">Rozier RG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Slade+GD%22">Slade GD</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2008, Vol. 98 Issue 5, p876-881. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Dental+caries+in+children%22">Dental caries in children</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health+research%22">Public health research</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22State+Children's+Health+Insurance+Program+%28U%2ES%2E%29%22">State Children's Health Insurance Program (U.S.)</searchLink><br /><searchLink fieldCode="DE" term="%22Dental+surveys%22">Dental surveys</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22North+Carolina%22">North Carolina</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: We compared levels of untreated dental caries in children enrolled in public insurance programs with those in nonenrolled children to determine the impact of public dental insurance and the type of plan (Medicaid vs State Children's Health Insurance Program [SCHIP]) on untreated dental caries in children. METHODS: Dental health outcomes were obtained through a calibrated oral screening of kindergarten children (enrolled in the 2000-2001 school year). We obtained eligibility and claims data for children enrolled in Medicaid and SCHIP who were eligible for dental services during 1999 to 2000. We developed logistic regression models to compare children's likelihood and extent of untreated dental caries according to enrollment. RESULTS: Children enrolled in Medicaid or SCHIP were 1.7 times (95% confidence interval [CI] = 1.65, 1.77) more likely to have untreated dental caries than were nonenrolled children. SCHIP-enrolled children were significantly less likely to have untreated dental caries than were Medicaid-enrolled children (odds ratio [OR]=0.74; 95% CI=0.67, 0.82). According to a 2-part regression model, children enrolled in Medicaid or SCHIP have 17% more untreated dental caries than do nonenrolled children, whereas those in SCHIP had 16% fewer untreated dental caries than did those in Medicaid. CONCLUSIONS: Untreated tooth decay continues to be a significant problem for children with public insurance coverage. Children who participated in a separate SCHIP program had fewer untreated dental caries than did children enrolled in Medicaid. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2007.111468
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      – Code: eng
        Text: English
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      – SubjectFull: Dental caries in children
        Type: general
      – SubjectFull: Public health research
        Type: general
      – SubjectFull: Medicaid
        Type: general
      – SubjectFull: State Children's Health Insurance Program (U.S.)
        Type: general
      – SubjectFull: Dental surveys
        Type: general
      – SubjectFull: North Carolina
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      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Effects of enrollment in Medicaid versus the state children's health insurance program on kindergarten children's untreated dental caries.
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            NameFull: Brickhouse TH
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            NameFull: Rozier RG
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            NameFull: Slade GD
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            – D: 01
              M: 05
              Text: May2008
              Type: published
              Y: 2008
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