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2 "Low-income population"
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Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?
Young Ok Rhee Kim, Sharon Telleen
Journal of Korean Academy of Nursing 2004;34(8):1460-1467.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.8.1460
AbstractAbstract PDF
Purpose

This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider.

Methods

In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist.

Results

The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on weekends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist.

Conclusion

The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

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Nutritional Status and Risk Factors for Malnutrition in Low-income Urban Elders
Hye Sun Hyun, Insook Lee
J Korean Acad Nurs 2014;44(6):708-716.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.708
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the nutritional status of low-income urban elders by diversified ways, and to analyze the risk factors for malnutrition.

Methods

The participants in this study were 183 low-income elders registered at a visiting healthcare facility in a public health center. Data were collected using anthropometric measurements, and a questionnaire survey. For data analysis, descriptive statistics, χ2-test, t-test, Fisher's exact test, multiple logistic regression analysis were performed using SPSS 20.0.

Results

Regarding the nutritional status of low-income elders as measured by the Mini Nutritional Assessment (MNA), 10.4% of the elders were classified as malnourished; 57.4% as at high risk for malnutrition; and 32.2% as having normal nutrition levels. The main factors affecting malnutrition for low-income elders were loss of appetite (OR=3.34, 95% CI: 1.16~9.56) and difficulties in meal preparation (OR=2.35, 95% CI: 1.13~4.88).

Conclusion

In order to effectively improve nutrition in low-income urban elders, it is necessary to develop individual intervention strategies to manage factors that increase the risk of malnutrition and to use systematic approach strategies in local communities in terms of a nutrition support system.

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