Dataset Information

Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.

ABSTRACT:

Introduction

We aimed to examine racial/ethnic differences in receipt of dental cleanings during pregnancy, overall and by health insurance type, using 2016-2018 Pregnancy Risk Assessment Monitoring System survey data from 39 states and New York City.

Methods

We used a weighted linear probability model to estimate receipt of a dental cleaning during pregnancy. Key explanatory variables included race/ethnicity (Hispanic, White, Black, Asian and Pacific Islander (API), and other racial groups) and health insurance type (Medicaid, private, and other).

Results

Among a weighted sample of 5,301,753 individuals, 45.9% received a dental cleaning during pregnancy. Regression-adjusted predicted rates of dental cleanings were significantly higher among White than non-White individuals, with the lowest rates observed among Black (43.2%; 95% confidence interval [CI], 40.6%-45.9%) and API individuals (30.6%; 95% CI, 28.5%-32.7%). When comparing rates by health insurance type, adjusted rates were highest among privately insured White individuals (57.4%; 95% CI, 56.1%-58.7%) and lowest among Medicaid-enrolled API individuals (25.4%; 95% CI, 21.5%-29.2%).

Conclusions

Fewer than one-half of pregnant individuals received dental cleanings, with the lowest rates observed for non-White individuals and Medicaid-enrolled individuals. Efforts are needed to increase dental visits among publicly insured, Black, Hispanic, and API pregnant individuals.

SUBMITTER: Kranz AM

PROVIDER: S-EPMC9722532 | biostudies-literature | 2022 Nov-Dec

REPOSITORIES: biostudies-literature

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Publications

Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.

Kranz Ashley M AM Estrada-Darley Ingrid I

Women's health issues : official publication of the Jacobs Institute of Women's Health 20220730 6

<h4>Introduction</h4>We aimed to examine racial/ethnic differences in receipt of dental cleanings during pregnancy, overall and by health insurance type, using 2016-2018 Pregnancy Risk Assessment Monitoring System survey data from 39 states and New York City.<h4>Methods</h4>We used a weighted linear probability model to estimate receipt of a dental cleaning during pregnancy. Key explanatory variables included race/ethnicity (Hispanic, White, Black, Asian and Pacific Islander (API), and other rac ...[more]

PMID: 35918241

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Project description:ImportanceNonpharmacologic treatments are important for managing chronic pain among persons with opioid use disorder (OUD), for whom opioid and other pharmacologic therapies may be particularly harmful. Racial and ethnic minority individuals with chronic pain and OUD are vulnerable to suboptimal pain management due to systemic inequities and structural racism, highlighting the need to understand their receipt of guideline-recommended nonpharmacologic pain therapies, including physical therapy (PT) and chiropractic care.ObjectiveTo assess differences across racial and ethnic groups in receipt of PT or chiropractic care for chronic low back pain (CLBP) among persons with comorbid OUD.Design, setting, and participantsThis retrospective cohort study used a 20% random sample of national Medicare administrative data from January 1, 2016, to December 31, 2018, to identify fee-for-service community-dwelling beneficiaries with a new episode of CLBP and comorbid OUD. Data were analyzed from March 1, 2022, to July 30, 2023.ExposuresRace and ethnicity as a social construct, categorized as American Indian or Alaska Native, Asian or Pacific Islander, Black or African American, Hispanic, non-Hispanic White, and unknown or other.Main outcomes and measuresThe main outcomes were receipt of PT or chiropractic care within 3 months of CLBP diagnosis. The time (in days) to receiving these treatments was also assessed.ResultsAmong 69 362 Medicare beneficiaries analyzed, the median age was 60.0 years (IQR, 51.5-68.7 years) and 42 042 (60.6%) were female. A total of 745 beneficiaries (1.1%) were American Indian or Alaska Native; 444 (0.6%), Asian or Pacific Islander; 9822 (14.2%), Black or African American; 4124 (5.9%), Hispanic; 53 377 (77.0%); non-Hispanic White; and 850 (1.2%), other or unknown race. Of all beneficiaries, 7104 (10.2%) received any PT or chiropractic care 3 months after a new CLBP episode. After adjustment, Black or African American (adjusted odds ratio, 0.46; 95% CI, 0.39-0.55) and Hispanic (adjusted odds ratio, 0.54; 95% CI, 0.43-0.67) persons had lower odds of receiving chiropractic care within 3 months of CLBP diagnosis compared with non-Hispanic White persons. Median time to chiropractic care was longest for American Indian or Alaska Native (median, 8.5 days [IQR, 0-44.0 days]) and Black or African American (median, 7.0 days [IQR, 0-42.0 days]) persons and shortest for Asian or Pacific Islander persons (median, 0 days [IQR, 0-6.0 days]). No significant racial and ethnic differences were observed for PT.Conclusions and relevanceIn this retrospective cohort study of Medicare beneficiaries with comorbid CLBP and OUD, receipt of PT and chiropractic care was low overall and lower across most racial and ethnic minority groups compared with non-Hispanic White persons. The findings underscore the need to address inequities in guideline-concordant pain management, particularly among Black or African American and Hispanic persons with OUD.

Dataset Information

Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.

Introduction

Methods

Results

Conclusions

Publications

Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.

Similar Datasets

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