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The effect of rural residence on dental unmet need for children with special health care needs.
J Rural Health. 2006 Winter; 22(1):36-42.JR

Abstract

BACKGROUND

Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet dental needs.

OBJECTIVE

To examine the effects of rural residence on unmet dental need for CSHCN.

METHODS

We use the nationally representative National Survey of CSHCN Needs. We performed logistic regression to estimate the independent effects of rural residence on the likelihood of having an unmet dental need, using a measure of unmet need based on professional society recommendations and a measure based on parental report.

RESULTS

Using either of the measures, a substantial percentage of CSHCN do not receive all needed dental care. Rural CSHCN are more likely to forgo needed dental care than their urban counterparts. Our results suggest that rural CSHCN have unmet needs for dental care due to both difficulty accessing care and because their parents do not recognize a need.

CONCLUSION

Traditional access barriers for rural children, such as inadequate provider supply and lack of insurance, may increase unmet needs both directly and indirectly, through their effects on parents' perceptions of need. Reducing unmet needs for dental care in rural children with special needs will require addressing both access issues and parents' understanding of dental care need.

Authors+Show Affiliations

Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. asheley_skinner@unc.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16441334

Citation

Skinner, Asheley Cockrell, et al. "The Effect of Rural Residence On Dental Unmet Need for Children With Special Health Care Needs." The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, vol. 22, no. 1, 2006, pp. 36-42.
Skinner AC, Slifkin RT, Mayer ML. The effect of rural residence on dental unmet need for children with special health care needs. J Rural Health. 2006;22(1):36-42.
Skinner, A. C., Slifkin, R. T., & Mayer, M. L. (2006). The effect of rural residence on dental unmet need for children with special health care needs. The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association, 22(1), 36-42.
Skinner AC, Slifkin RT, Mayer ML. The Effect of Rural Residence On Dental Unmet Need for Children With Special Health Care Needs. J Rural Health. 2006;22(1):36-42. PubMed PMID: 16441334.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of rural residence on dental unmet need for children with special health care needs. AU - Skinner,Asheley Cockrell, AU - Slifkin,Rebecca T, AU - Mayer,Michelle L, PY - 2006/1/31/pubmed PY - 2006/3/24/medline PY - 2006/1/31/entrez SP - 36 EP - 42 JF - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association JO - J Rural Health VL - 22 IS - 1 N2 - BACKGROUND: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet dental needs. OBJECTIVE: To examine the effects of rural residence on unmet dental need for CSHCN. METHODS: We use the nationally representative National Survey of CSHCN Needs. We performed logistic regression to estimate the independent effects of rural residence on the likelihood of having an unmet dental need, using a measure of unmet need based on professional society recommendations and a measure based on parental report. RESULTS: Using either of the measures, a substantial percentage of CSHCN do not receive all needed dental care. Rural CSHCN are more likely to forgo needed dental care than their urban counterparts. Our results suggest that rural CSHCN have unmet needs for dental care due to both difficulty accessing care and because their parents do not recognize a need. CONCLUSION: Traditional access barriers for rural children, such as inadequate provider supply and lack of insurance, may increase unmet needs both directly and indirectly, through their effects on parents' perceptions of need. Reducing unmet needs for dental care in rural children with special needs will require addressing both access issues and parents' understanding of dental care need. SN - 0890-765X UR - https://www.unboundmedicine.com/medline/citation/16441334/The_effect_of_rural_residence_on_dental_unmet_need_for_children_with_special_health_care_needs_ L2 - https://doi.org/10.1111/j.1748-0361.2006.00008.x DB - PRIME DP - Unbound Medicine ER -