Antenatal and intrapartum risk factors for use of emergency and restorative medicaid dental services for children

Juan F. Yepes, Heather M. Bush, Hsin Fang Li, Jeffrey Talbert, David A. Nash

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Purpose: To investigate the relationship between antenatal/intrapartum factors and Medicaid use. Methods: Three databases were used: (1) birth records; (2) Medicaid files; and (3) Medicaid dental claims. Results: Children of Caucasian mothers were 34 percent more likely to have more than one restorative claim versus children of African American mothers (odds ratio [OR] equals 134, 95 percent confidence interval [95% CI] equals 1.10 to 1.65, P<.005). Children born with low birth weight were 37 percent more likely to have emergency claims (OR equals 137, 95% CI equals 1.02 to 1.83, P=.03). The adjusted analysis found that Caucasian mothers had higher odds ratio of having a dental claim than African American mothers (P<.001): 33 percent for a restorative claim and 56 percent for an emergency claim. When race was analyzed, the odds of a restorative claim among African American mothers were 2.5 times higher in children delivered by C-section versus those vaginally delivered (OR equals 2.52, 95% CI equals 1.02-6.2, P<.001). Conclusions: This study found: an association between children of Caucasian mothers and the likelihood of experiencing claims; and a relationship between children born with low birth weight and C-section and the likelihood of use of Medicaid services.

Original languageEnglish (US)
Pages (from-to)405-410
Number of pages6
JournalPediatric dentistry
Volume36
Issue number5
StatePublished - Sep 1 2014

Keywords

  • C-section
  • Intrapartum
  • Medicaid
  • Vaginal birth

ASJC Scopus subject areas

  • Dentistry(all)

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