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Author: Tung Le Nguyen Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Existing literature surrounding pediatric refugee oral health is limited. Further understanding of dental utilization in this population is necessary for driving policy and resources to support pediatric refugee oral health. This study compares dental utilization between pediatric refugees resettled in Washington (WA) State and Medicaid eligible pediatric non-refugee residents. This retrospective longitudinal study utilized a dataset generated from a collaborative effort between the Washington State Health Care Authority, the Department of Health, and the Department of Social and Health Services. The 1,125 pediatric refugees were matched based on sex, age, and Medicaid enrollment date in an approximate ratio of 1:3 with 3,462 pediatric non-refugees. Both groups were followed over 36 months from 2015-2018. Medicaid data including demographics, disability status, dental claims dates and codes were analyzed using descriptive statistics and ANOVA. Of the 1,125 pediatric refugees settled in WA State in 2015 most refugee children were non-disabled, reported White race, and were between 0-6 years of age. From 2015-2018, 90% of pediatric refugees utilized dental services compared to 81% of pediatric non-refugees. Over the 36 months, refugee children had 1.4 times more overall mean claims, 1.3 times more diagnostic mean claims, 1.9 times more surgery mean claims and 2.4 times more restorative mean claims than non-refugee children. In Year One, pediatric refugees showed higher overall mean claims and mean claims by individual categories than pediatric non-refugees except for orthodontics and miscellaneous. There was a year over year decrease for pediatric refugees in overall mean claims and mean claims in all individual categories except for orthodontics which showed an increase. From 2015-2018 newly resettled pediatric refugees utilized dental care at a higher rate than non-refugees and consumed more dental services. Pediatric refugees initially had greater acute dental needs than pediatric non-refugees and consumed more restorative and surgical services. This trended lower year by year and was ultimately comparable to levels observed in pediatric non-refugees by Year Three.
Author: Tung Le Nguyen Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Existing literature surrounding pediatric refugee oral health is limited. Further understanding of dental utilization in this population is necessary for driving policy and resources to support pediatric refugee oral health. This study compares dental utilization between pediatric refugees resettled in Washington (WA) State and Medicaid eligible pediatric non-refugee residents. This retrospective longitudinal study utilized a dataset generated from a collaborative effort between the Washington State Health Care Authority, the Department of Health, and the Department of Social and Health Services. The 1,125 pediatric refugees were matched based on sex, age, and Medicaid enrollment date in an approximate ratio of 1:3 with 3,462 pediatric non-refugees. Both groups were followed over 36 months from 2015-2018. Medicaid data including demographics, disability status, dental claims dates and codes were analyzed using descriptive statistics and ANOVA. Of the 1,125 pediatric refugees settled in WA State in 2015 most refugee children were non-disabled, reported White race, and were between 0-6 years of age. From 2015-2018, 90% of pediatric refugees utilized dental services compared to 81% of pediatric non-refugees. Over the 36 months, refugee children had 1.4 times more overall mean claims, 1.3 times more diagnostic mean claims, 1.9 times more surgery mean claims and 2.4 times more restorative mean claims than non-refugee children. In Year One, pediatric refugees showed higher overall mean claims and mean claims by individual categories than pediatric non-refugees except for orthodontics and miscellaneous. There was a year over year decrease for pediatric refugees in overall mean claims and mean claims in all individual categories except for orthodontics which showed an increase. From 2015-2018 newly resettled pediatric refugees utilized dental care at a higher rate than non-refugees and consumed more dental services. Pediatric refugees initially had greater acute dental needs than pediatric non-refugees and consumed more restorative and surgical services. This trended lower year by year and was ultimately comparable to levels observed in pediatric non-refugees by Year Three.
Author: Luke-Hieu Quang Nguyen Publisher: ISBN: Category : Languages : en Pages : 16
Book Description
Purpose: Investigate characteristics of refugee children who received oral health care and determine factors associated with dental utilization. Our population included refugees (≤ 21 years old) resettled in WA in 2015. We analyzed Medicaid data collected by three State Agencies including demographics (age, sex, country of origin, races, language spoken), disabled status, dates of dental encounter, dental visits (with relevant Medicaid dental codes). Descriptive analyses and ANOVA were performed to summarize different dental services utilized and to check if utilization differed across groups respectively with critical values at 5%. Of 1114 children, 870 received dental care. Majority were males (55.57%) with 13 to 20 years (37.34%) being the largest group. About a third was white (33.12%), black (18.85%), Pacific Islander (6.91%), Asian (2.78%), and other (15.8%). Only 1.44% of the children had disabled status. Children of 7-12 years of age had most dental utilization overall (p = 0.0144) but younger children had more preventative (p
Author: Maureen H. Craig Publisher: ISBN: Category : Languages : en Pages : 40
Book Description
Objectives: To identify potential disparities affecting young children with special health care needs (CSHCN) within public dental programs by evaluating preventive dental care utilization rates in Washington State's Access to Baby and Child Dentistry (ABCD) Program. Methods: This is a cross-sectional analysis of 2012 Medicaid data from Washington state. The data was obtained from the Washington State Health Care Authority and included children under age six who were enrolled in the Medicaid program in 2012 for 11-12 months (N=206,488). Medical diagnosis codes (from hospital, inpatient, and outpatient data) and Medicaid eligibility files were used to determine each child's special needs status. The outcome was utilization of preventive dental services, as determined by Current Dental Terminology (CDT) codes. Modified Poisson regression was used to estimate both crude and adjusted prevalence rate ratios with 95% confidence intervals (CI). All analyses were conducted using Stata 13 for Windows (StataCorp LP, College Station, Texas, USA). Results: There were 58,511 children determined to have SHCN (28.3%). A total of 114,570 children had at least one preventive dental visit in 2012 (55.5%). Age, SHCN status, Ethnicity, Race, and county Health Professional Shortage Area (HPSA) were statistical confounders and included in the adjusted Modified Poisson regression analysis. The adjusted analysis revealed CSHCN were 1.04 times more likely to utilize preventive dental care than their typically developing peers (95% CI: 1.03, 1.05, p
Author: National Research Council and Institute of Medicine Publisher: National Academies Press ISBN: 0309065615 Category : Social Science Languages : en Pages : 335
Book Description
Immigrant children and youth are the fastest growing segment of the U.S. population, and so their prospects bear heavily on the well-being of the country. However, relevant public policy is shaped less by informed discussion than by politicized contention over welfare reform and immigration limits. From Generation to Generation explores what we know about the development of white, black, Hispanic, and Asian children and youth from numerous countries of origin. Describing the status of immigrant children and youth as "severely understudied," the committee both draws on and supplements existing research to characterize the current status and outlook of immigrant children. The book discusses the many factorsâ€"family size, fluency in English, parent employment, acculturation, delivery of health and social services, and public policiesâ€"that shape the outlook for the lives of these children and youth. The committee makes recommendations for improved research and data collection designed to advance knowledge about these children and, as a result, their visibility in current policy debates.
Author: Tung Le Nguyen
Author: Tung Le Nguyen
Author: Luke-Hieu Quang Nguyen
Author: Maureen H. Craig
Author: James F. Heidenreich
Author: Jane McLaughlin
Author: American Public Health Association
Author: 
Author: Sana Loue
Author: 
Author: National Research Council and Institute of Medicine