Dental Care Coverage and Use: Modeling Limitations and Opportunities
- 1 October 2014
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 104 (10), 2002-2009
- https://doi.org/10.2105/ajph.2013.301693
Abstract
Objectives. We examined why older US adults without dental care coverage and use would have lower use rates if offered coverage than do those who currently have coverage. Methods. We used data from the 2008 Health and Retirement Study to estimate a multinomial logistic model to analyze the influence of personal characteristics in the grouping of older US adults into those with and those without dental care coverage and dental care use. Results. Compared with persons with no coverage and no dental care use, users of dental care with coverage were more likely to be younger, female, wealthier, college graduates, married, in excellent or very good health, and not missing all their permanent teeth. Conclusions. Providing dental care coverage to uninsured older US adults without use will not necessarily result in use rates similar to those with prior coverage and use. We have offered a model using modifiable factors that may help policy planners facilitate programs to increase dental care coverage uptake and use.Keywords
This publication has 9 references indexed in Scilit:
- The Effect of Dental Insurance on Dental Care Use and Selection BiasMedical Care, 2012
- Dental care utilization and retirementJournal of Public Health Dentistry, 2010
- Planning for what? Challenging the assumptions of health human resources planningHealth Policy, 2009
- Dental care use: does dental insurance truly make a difference in the US?2007
- Integrating Social and Biologic Factors in Health Research: A Systems ViewAnnals of Epidemiology, 2007
- Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?Journal of Health and Social Behavior, 1995
- Insurance coverage and the demand for dental care: Results for non-aged white adultsJournal of Health Economics, 1988
- The demand for dental care: evidence from a randomized trial in health insuranceThe Journal of the American Dental Association, 1985
- The Demand for Dental CareThe Bell Journal of Economics, 1979