{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:17:10Z","timestamp":1740147430779,"version":"3.37.3"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,9]],"date-time":"2015-02-09T00:00:00Z","timestamp":1423440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100013527","name":"Dental Trade Alliance Foundation","doi-asserted-by":"crossref","award":["11_0018"],"award-info":[{"award-number":["11_0018"]}],"id":[{"id":"10.13039\/100013527","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Children's Hospital of Pittsburgh Research Advisory Committee"},{"name":"AHRQ CER T32","award":["HS019486"],"award-info":[{"award-number":["HS019486"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Examine dental utilization by Medicaid\u2010insured children living in a high\u2010resource area. Characterize distance and travel\u2010related variables to accessing care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010sectional data were collected on dental clinics in Pittsburgh, Pennsylvania, caring for Medicaid\u2010insured children \u22651 year. Shortest distances, drive times, and bus travel between dental clinics and high\u2010poverty census tracts were determined through geographical information systems analysis. Primary care clinic (<jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>) survey data were analyzed for children's dental use. Demographic characteristics and travel\u2010related variables were compared between children who had and had not been to a dentist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten dental clinics accepted Medicaid\u2010insured children \u22651 year. Mean distance between high\u2010poverty census tracts and their nearest clinic was 1.2 miles [standard deviation (SD) 0.2 miles], with mean bus travel time 15.6 minutes (SD 12.3 minutes). Overall, 46 percent of <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content> children reported a dental visit, and this was not significantly different between those who lived in a high\u2010poverty census tract versus those who did not (41 percent and 35 percent, respectively, <jats:italic>P<\/jats:italic>\u2009=\u20090.58). Children traveled a mean distance of 4.75 miles (SD 2.37 miles) to their dental clinic. Mean distance to their nearest dental clinic was 2.81 miles (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 2.12 miles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Dental clinics in a high\u2010resource area are in close proximity to where young Medicaid\u2010insured children live; and distances between children's homes and dental clinics are not significantly different between children who had and had not reported a dental visit, suggesting that barriers persist despite close proximity. Regardless, closer proximity may contribute to the higher utilization of services observed compared with national rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jphd.12086","type":"journal-article","created":{"date-parts":[[2015,2,9]],"date-time":"2015-02-09T11:46:28Z","timestamp":1423482388000},"page":"183-190","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric dental clinic location and utilization in a high\u2010resource setting"],"prefix":"10.1111","volume":"75","author":[{"given":"S. Amanda","family":"Dumas","sequence":"first","affiliation":[{"name":"Division of Ambulatory Pediatrics Louisiana State University Health Sciences Center  New Orleans LA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Polk","sequence":"additional","affiliation":[{"name":"School of Dental Medicine University of Pittsburgh  Pittsburgh PA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,2,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2009.08.006"},{"key":"e_1_2_6_3_1","first-page":"42","volume-title":"Early childhood oral health","author":"Edelstein BL","year":"2009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2577"},{"key":"e_1_2_6_5_1","first-page":"40","article-title":"Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies","volume":"30","author":"American Academy on Pediatric Dentistry","year":"2008","journal-title":"Pediatr Dent."},{"key":"e_1_2_6_6_1","unstructured":"US Government Accountability Office.Efforts Under Way to Improve Children's Access to Dental Services but Sustained Attention Needed to Address Ongoing Concerns. [Report to Congressional Commitees].2010[cited 2011 Apr 3]. Available from:http:\/\/www.gao.gov\/new.items\/d1196.pdf"},{"key":"e_1_2_6_7_1","unstructured":"BorchgrevinkA SnyderA GehshanS.The effects of Medicaid reimbursement rates on access to dental care. National Academy for State Health Policy. Washington D.C.; March2008."},{"key":"e_1_2_6_8_1","unstructured":"US Department of Health and Human Services Centers for Medicare and Medicaid Services.Improving Access to and Utilization of Oral Health Services for Children in Medicaid and CHIP Programs.2011[cited 2013 Jun 11]. Available from:http:\/\/www.medicaid.gov\/Medicaid\u2010CHIP\u2010Program\u2010Information\/By\u2010Topics\/Quality\u2010of\u2010Care\/Downloads\/CMS\u2010Oral\u2010Health\u2010Strategy.pdf"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6831-6-S1-S3"},{"key":"e_1_2_6_10_1","unstructured":"Kaiser Commission on Medicaid and the Uninsured.Children and Oral Health: Assessing Needs Coverage and Access.2012[cited 2013 Jun 11]. Available from:http:\/\/www.kff.org\/disparities\u2010policy\/issue\u2010brief\/children\u2010and\u2010oral\u2010health\u2010assessing\u2010needs\u2010coverage\/"},{"key":"e_1_2_6_11_1","unstructured":"United States Census Bureau.American FactFinder. [cited 2013 May 1]. Available from:http:\/\/www.factfinder2.census.gov\/faces\/nav\/jsf\/pages\/index.xhtml"},{"key":"e_1_2_6_12_1","unstructured":"US Census Bureau.Geography. [cited 2013 May 1]. Available from:http:\/\/www.census.gov\/geo\/maps\u2010data\/"},{"key":"e_1_2_6_13_1","unstructured":"StataCorp.2009.Stata Statistical Software: Release 11. College Station TSL editor."},{"key":"e_1_2_6_14_1","unstructured":"Pennsylvania Department of Health.2011 Pulse of Pennsylvania's Dental and Dental Hygienist Workforce: A Report on the 2011 Survey of Dentists and Dental Hygienists;2012. Bureau of Health Planning Division of Plan Development."},{"key":"e_1_2_6_15_1","unstructured":"NassehK AravamudhanK VujicicM GrauBDental care use among children varies widely across states and between Medicaid and commercial plans within a state. Health Policy Resources Center Research Brief;2013. American Dental Association. Health Policy Resources Center Research Brief [serial on the Internet]."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2002.0239"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2005.0241"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2001.tb03386.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0089"},{"key":"e_1_2_6_20_1","unstructured":"WallTPDental Medicaid\u20102012. Dental Health Policy Analysis Series. 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