Association between dental visits during pregnancy and setting for prenatal care
Objectives Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low‐income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non‐FQHC setting. Methods We analyze...
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| Veröffentlicht in: | Journal of public health dentistry 2024-03, Vol.84 (1), p.21-27 |
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| container_title | Journal of public health dentistry |
| container_volume | 84 |
| creator | Byrappagari, Divesh Cohn, Lisa Sailor, Lindsay Clark, Sarah |
| description | Objectives
Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low‐income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non‐FQHC setting.
Methods
We analyzed Michigan Medicaid administrative data for all live birth deliveries between April 2018 and December 2020. We used billing data to categorize the predominant setting for prenatal care as occurring at a FQHC or a non‐FQHC and claims data to identify dental visits during pregnancy (in the 9 months prior to delivery). We employed bivariate and multivariate analyses to explore the relationship between setting for prenatal care and dental visits during pregnancy.
Results
Women who received prenatal care at an FQHC versus non‐FQHC had a higher proportion of dental visits during pregnancy (31.85% vs. 19.37%, p |
| doi_str_mv | 10.1111/jphd.12596 |
| format | Article |
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Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low‐income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non‐FQHC setting.
Methods
We analyzed Michigan Medicaid administrative data for all live birth deliveries between April 2018 and December 2020. We used billing data to categorize the predominant setting for prenatal care as occurring at a FQHC or a non‐FQHC and claims data to identify dental visits during pregnancy (in the 9 months prior to delivery). We employed bivariate and multivariate analyses to explore the relationship between setting for prenatal care and dental visits during pregnancy.
Results
Women who received prenatal care at an FQHC versus non‐FQHC had a higher proportion of dental visits during pregnancy (31.85% vs. 19.37%, p < 0.0001). In multivariate analyses, the strongest predictors of having a dental visit during pregnancy were FQHC prenatal care setting, having a dental emergency visit, having ≥3 prenatal visits, and having Medicaid coverage throughout pregnancy. Hispanic or Black race/ethnicity and 2020 delivery year were predictors of a lower likelihood of a dental visit. These predictors were consistent for the overall population and for the subset who had no dental visits pre‐pregnancy.
Conclusion
Medicaid‐enrolled women who receive prenatal care at an FQHC are more likely to have a dental visit during pregnancy than their counterparts who receive prenatal care in a non‐FQHC setting.</description><identifier>ISSN: 0022-4006</identifier><identifier>EISSN: 1752-7325</identifier><identifier>DOI: 10.1111/jphd.12596</identifier><identifier>PMID: 38173182</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Community health care ; Dental care ; Dental insurance ; Ethnicity ; Female ; FQHC ; Health care access ; Health services utilization ; Health visiting ; Humans ; Low income groups ; Medicaid ; perinatal oral health ; Poverty ; Pregnancy ; Prenatal Care ; Socioeconomic factors ; United States ; Womens health</subject><ispartof>Journal of public health dentistry, 2024-03, Vol.84 (1), p.21-27</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC on behalf of American Association of Public Health Dentistry.</rights><rights>2024 The Authors. Journal of Public Health Dentistry published by Wiley Periodicals LLC on behalf of American Association of Public Health Dentistry.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3526-ad760144487361cd4ae0b070385786e3d73ab06114e46841a8587a6cb9c018f03</cites><orcidid>0000-0001-8699-3071 ; 0000-0002-8859-731X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjphd.12596$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjphd.12596$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38173182$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byrappagari, Divesh</creatorcontrib><creatorcontrib>Cohn, Lisa</creatorcontrib><creatorcontrib>Sailor, Lindsay</creatorcontrib><creatorcontrib>Clark, Sarah</creatorcontrib><title>Association between dental visits during pregnancy and setting for prenatal care</title><title>Journal of public health dentistry</title><addtitle>J Public Health Dent</addtitle><description>Objectives
Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low‐income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non‐FQHC setting.
Methods
We analyzed Michigan Medicaid administrative data for all live birth deliveries between April 2018 and December 2020. We used billing data to categorize the predominant setting for prenatal care as occurring at a FQHC or a non‐FQHC and claims data to identify dental visits during pregnancy (in the 9 months prior to delivery). We employed bivariate and multivariate analyses to explore the relationship between setting for prenatal care and dental visits during pregnancy.
Results
Women who received prenatal care at an FQHC versus non‐FQHC had a higher proportion of dental visits during pregnancy (31.85% vs. 19.37%, p < 0.0001). In multivariate analyses, the strongest predictors of having a dental visit during pregnancy were FQHC prenatal care setting, having a dental emergency visit, having ≥3 prenatal visits, and having Medicaid coverage throughout pregnancy. Hispanic or Black race/ethnicity and 2020 delivery year were predictors of a lower likelihood of a dental visit. These predictors were consistent for the overall population and for the subset who had no dental visits pre‐pregnancy.
Conclusion
Medicaid‐enrolled women who receive prenatal care at an FQHC are more likely to have a dental visit during pregnancy than their counterparts who receive prenatal care in a non‐FQHC setting.</description><subject>Community health care</subject><subject>Dental care</subject><subject>Dental insurance</subject><subject>Ethnicity</subject><subject>Female</subject><subject>FQHC</subject><subject>Health care access</subject><subject>Health services utilization</subject><subject>Health visiting</subject><subject>Humans</subject><subject>Low income groups</subject><subject>Medicaid</subject><subject>perinatal oral health</subject><subject>Poverty</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Socioeconomic factors</subject><subject>United States</subject><subject>Womens health</subject><issn>0022-4006</issn><issn>1752-7325</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp90E1LxDAQBuAgiq4fF3-AFLyIUJ1J2iQ9yvqNoAc9lzSdXbt00zVpXfbf27qrBw_mEkieeRlexo4RLrA_l7PFe3mBPM3kFhuhSnmsBE-32QiA8zgBkHtsP4QZgEDkuMv2hEYlUPMRe7kKobGVaavGRQW1SyIXleRaU0efVajaEJWdr9w0WniaOuPsKjKujAK17fA6afzw48wwYI2nQ7YzMXWgo819wN5ub17H9_HT893D-OoptiLlMjalkoBJkmglJNoyMQQFKBA6VVqSKJUwBUjEhBKpEzQ61cpIW2QWUE9AHLCzde7CNx8dhTafV8FSXRtHTRdyniFgloJSPT39Q2dN512_Xa-kzgAF1706XyvrmxA8TfKFr-bGr3KEfOg5H3rOv3vu8ckmsivmVP7Sn2J7gGuwrGpa_ROVP77cX69DvwBQ1YZe</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Byrappagari, Divesh</creator><creator>Cohn, Lisa</creator><creator>Sailor, Lindsay</creator><creator>Clark, Sarah</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8699-3071</orcidid><orcidid>https://orcid.org/0000-0002-8859-731X</orcidid></search><sort><creationdate>20240301</creationdate><title>Association between dental visits during pregnancy and setting for prenatal care</title><author>Byrappagari, Divesh ; Cohn, Lisa ; Sailor, Lindsay ; Clark, Sarah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3526-ad760144487361cd4ae0b070385786e3d73ab06114e46841a8587a6cb9c018f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Community health care</topic><topic>Dental care</topic><topic>Dental insurance</topic><topic>Ethnicity</topic><topic>Female</topic><topic>FQHC</topic><topic>Health care access</topic><topic>Health services utilization</topic><topic>Health visiting</topic><topic>Humans</topic><topic>Low income groups</topic><topic>Medicaid</topic><topic>perinatal oral health</topic><topic>Poverty</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Socioeconomic factors</topic><topic>United States</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Byrappagari, Divesh</creatorcontrib><creatorcontrib>Cohn, Lisa</creatorcontrib><creatorcontrib>Sailor, Lindsay</creatorcontrib><creatorcontrib>Clark, Sarah</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of public health dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Byrappagari, Divesh</au><au>Cohn, Lisa</au><au>Sailor, Lindsay</au><au>Clark, Sarah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between dental visits during pregnancy and setting for prenatal care</atitle><jtitle>Journal of public health dentistry</jtitle><addtitle>J Public Health Dent</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>84</volume><issue>1</issue><spage>21</spage><epage>27</epage><pages>21-27</pages><issn>0022-4006</issn><eissn>1752-7325</eissn><abstract>Objectives
Federally Qualified Health Centers (FQHCs) may be well positioned to facilitate dental visits during pregnancy for low‐income women. We sought to compare receipt of dental visits during pregnancy for women who received prenatal care at an FQHC versus a non‐FQHC setting.
Methods
We analyzed Michigan Medicaid administrative data for all live birth deliveries between April 2018 and December 2020. We used billing data to categorize the predominant setting for prenatal care as occurring at a FQHC or a non‐FQHC and claims data to identify dental visits during pregnancy (in the 9 months prior to delivery). We employed bivariate and multivariate analyses to explore the relationship between setting for prenatal care and dental visits during pregnancy.
Results
Women who received prenatal care at an FQHC versus non‐FQHC had a higher proportion of dental visits during pregnancy (31.85% vs. 19.37%, p < 0.0001). In multivariate analyses, the strongest predictors of having a dental visit during pregnancy were FQHC prenatal care setting, having a dental emergency visit, having ≥3 prenatal visits, and having Medicaid coverage throughout pregnancy. Hispanic or Black race/ethnicity and 2020 delivery year were predictors of a lower likelihood of a dental visit. These predictors were consistent for the overall population and for the subset who had no dental visits pre‐pregnancy.
Conclusion
Medicaid‐enrolled women who receive prenatal care at an FQHC are more likely to have a dental visit during pregnancy than their counterparts who receive prenatal care in a non‐FQHC setting.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38173182</pmid><doi>10.1111/jphd.12596</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8699-3071</orcidid><orcidid>https://orcid.org/0000-0002-8859-731X</orcidid><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Community health care Dental care Dental insurance Ethnicity Female FQHC Health care access Health services utilization Health visiting Humans Low income groups Medicaid perinatal oral health Poverty Pregnancy Prenatal Care Socioeconomic factors United States Womens health |
| title | Association between dental visits during pregnancy and setting for prenatal care |
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