June 2018

Volume 35, Issue 2

Child, caregiver, and family factors associated with child dental utilization among Mexican migrant families in California

Authors: Tracy L. Finlayson Padideh Asgari Erin Dougherty Bekana K. Tadese Nannette Stamm Arcela Nunez-Alvarez
doi: 10.1922/CDH_4201Finlayson06


Objective: To identify associations between child, caregiver, and family-level factors and child dental utilization. Research design: Cross sectional oral health survey. Participants: Caregivers and one study child (ages 0-17) from Mexican migrant families in northern San Diego county, CA (n=142). Methods: Caregivers reported on child’s dental care utilization history and related factors, including: child (age, gender, dental insurance, source of care, believed to have cavities), caregiver (marital status, income, education, acculturation level, depressive symptoms), and family cohesion. Descriptive and logistic regression models identified predisposing, enabling, and need factors associated with child dental utilization during the past year. Results: Most (76%) children had visited the dentist in the past year, while 8.6% had never been. Child factors (gender, insurance), caregiver factors (education, depressive symptoms), and family cohesion were each associated with child dental utilization in the bivariate analyses. In the final adjusted model, uninsured children were less likely to have a past year dental visit compared to insured children (Odds Ratio (OR) = 0.23, 95% Confidence Interval (CI) = 0.06-0.96). Children whose caregivers visited the dentist were 4.29 times more likely to visit the dentist in the past year (CI=1.36-13.61). Higher caregiver education was positively associated with child dental utilization (OR=4.50, CI=1.50-13.55). Conclusion: Child age and dental insurance, and caregiver education and dental utilization history were associated with whether or not a child had a past year dental visit. Ensuring child dental coverage and caregiver access to dental care may promote regular dental utilization by children. Key words: Child oral health, dental insurance, dental utilization


Other articles in this issue

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The Brussels statement on the future needs for caries epidemiology and surveillance in Europe 66-66 Download
Readying community water fluoridation advocates through training, surveillance, and empowerment 67-70 Download
Challenges associated with implementation of a school-based tooth-brushing and fluoride varnish programme in a diverse and transient urban population 71-74 Download
Social gradient in intermediary determinants of oral health at school level in Finland 75-80 Download
Community-based nutrition intervention to promote oral health and restore healthy body weight in refugee children: A scoping review 81-88 Download
Child, caregiver, and family factors associated with child dental utilization among Mexican migrant families in California 89-94 Download
Factors associated with Brazilian adolescents’ satisfaction with oral health 95-101 Download
Chronic Intra Oral Pain and Depressive Symptoms in Japanese Community-Dwelling Elderly: A Longitudinal Study 102-108 Download
Use and misuse of mixed methods in population oral health research: A scoping review 109-118 Download
Adaptation and validation of a Nepali version of the Child-Oral Impacts on Daily Performances Index (C-OIDP) 119-126 Download


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