: This study will monitor utilization of dental care in Michigan children, in order to evaluate the effectiveness of recent and future SCHIP (State Children?s Health Insurance Program) and Medicaid initiatives in reducing disparities in access to and utilization of dental care. Evidence from many sources demonstrates a wide disparity in utilization of dental care that is associated with the socioeconomic status of children. Disparities exist as measured by both visits for care as well as untreated oral disease. Dental insurance claims data will be used to demonstrate historical patterns of utilization and the disparities between privately insured and Medicaid-eligible children. Future data from both the privately-insured child in Michigan and from the newly-implemented private-insurance based SCHIP and Medicaid programs in Michigan will then be monitored for the next several years to assess the ability of these methods of payment and administration to reduce the historical disparities in dental care utilization. Specific null hypotheses to be tested are: 1) Payment for dental care at market rates will result in no difference in the percent of children with at least one dental visit per year, between children with Medicaid, SCHIP, or private insurance coverage, 2) Payment for dental care at market rates will result in no difference in the mix of services received, between children with Medicaid, SCHIP, or private insurance coverage, and 3) Payment for dental care at market rates will result in no difference in the distance traveled to receive care, between children with Medicaid, SCHIP, or private insurance coverage.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54DE014261-04
Application #
6927320
Study Section
Special Emphasis Panel (ZDE1)
Project Start
2004-08-01
Project End
2008-07-31
Budget Start
2004-08-01
Budget End
2005-07-31
Support Year
4
Fiscal Year
2004
Total Cost
$78,448
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Type
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
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Lim, Sungwoo; Tellez, Marisol; Ismail, Amid I (2015) Dental caries development among African American children: results from a 4-year longitudinal study. Community Dent Oral Epidemiol 43:200-7
Heima, Masahiro; Milgrom, Peter (2015) Soda Consumption May Increase Risk of Dental Caries in Primary Teeth of Low-income African Americans. J Evid Based Dent Pract 15:200-1
Ismail, Amid I; Lim, Sungwoo; Tellez, Marisol (2015) Tooth Surface Level Caries Progression in the Primary Dentition among Preschool Children. Caries Res 49:442-8
Ismail, Amid I; Ondersma, Steven; Jedele, Jenefer M Willem et al. (2011) Evaluation of a brief tailored motivational intervention to prevent early childhood caries. Community Dent Oral Epidemiol 39:433-48
Lim, Sungwoo; Zoellner, Jamie M; Ajrouch, Kristine J et al. (2011) Overweight in childhood: the role of resilient parenting in African-American households. Am J Prev Med 40:329-33
Ismail, Amid I; Lim, Sungwoo; Sohn, Woosung (2011) A transition scoring system of caries increment with adjustment of reversals in longitudinal study: evaluation using primary tooth surface data. Community Dent Oral Epidemiol 39:61-8
Lee, Joyce M; Lim, Sungwoo; Zoellner, Jamie et al. (2010) Don't children grow out of their obesity? Weight transitions in early childhood. Clin Pediatr (Phila) 49:466-9
Ajrouch, Kristine J; Reisine, Susan; Lim, Sungwoo et al. (2010) Situational stressors among African-American women living in low-income urban areas: the role of social support. Women Health 50:159-75
Ajrouch, Kristine J; Reisine, Susan; Lim, Sungwoo et al. (2010) Perceived everyday discrimination and psychological distress: does social support matter? Ethn Health 15:417-34

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