Funding source: This study was supported by NIH Grant T32-DE014678, HRSA Grant D13-HP30026, and the Iowa Department of Human Services.
Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability
Version of Record online: 20 AUG 2009
© 2009 American Association of Public Health Dentistry
Journal of Public Health Dentistry
Volume 70, Issue 1, pages 35–44, Winter 2010
How to Cite
Chi, D. L., Momany, E. T., Kuthy, R. A., Chalmers, J. M. and Damiano, P. C. (2010), Preventive dental utilization for Medicaid-enrolled children in Iowa identified with intellectual and/or developmental disability. Journal of Public Health Dentistry, 70: 35–44. doi: 10.1111/j.1752-7325.2009.00141.x
Portions of this manuscript were presented at the 37th Annual American Association of Dental Research Conference in Dallas, TX (April 2008).
- Issue online: 2 MAR 2010
- Version of Record online: 20 AUG 2009
- Received: 07/11/2008; accepted for publication: 04/07/2009.
- dental health services;
- dental care for disabled;
- dental care for children;
- preventive dentistry;
- preventive health services;
- mental retardation;
- intellectual disability;
- developmental disability
Objectives: To compare preventive dental utilization for children with intellectual and/or developmental disability (IDD) and those without IDD and to identify factors associated with dental utilization.
Methods: We analyzed Iowa Medicaid dental claims submitted during calendar year (CY) 2005 for a cohort of children ages 3-17 who were eligible for Medicaid for at least 11 months in CY 2005 (n = 107,605). A protocol for identifying IDD children was developed by a group of dentists and physicians with clinical experience in treating children with disabilities. Utilization rates were compared for the two groups. Crude and covariate-adjusted odds ratios were estimated using conditional logistic regression modeling.
Results: A significantly higher proportion of non-IDD children received preventive care than those identified as IDD (48.6 percent versus 46.1 percent; P < 0.001). However, the final model revealed no statistically significant difference between the two groups. Factors such as older age, not residing in a dental Health Professional Shortage Area, interaction with the medical system, and family characteristics increased one's likelihood of receiving preventive dental care.
Conclusion: Although IDD children face additional barriers to receiving dental care and may be at greater risk for dental disease, they utilize preventive dental services at the same rate as non-IDD children. Clinical and policy efforts should focus on ensuring that all Medicaid-enrolled children receive need-appropriate levels of preventive dental care.