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Original Articles
- 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
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Abstract
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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Citations
Citations to this article as recorded by
- Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9–12 Months Old
Ieva Eskytė, Kara A. Gray-Burrows, Jenny Owen, Bianca Sykes-Muskett, Sue H. Pavitt, Robert West, Zoe Marshman, Peter F. Day
Frontiers in Public Health.2021;[Epub] CrossRef - Exploring the Views of Dentists and Dental Support Staff Regarding Multiple Caries in Children
Wayne Richards, Teresa Filipponi, Anne-Marie Coll, Jamal Ameen
Oral.2021; 1(3): 199. CrossRef - Knowledge, attitudes and behaviour regarding the infant oral health visit: are dentists in Ireland aware of the recommendation for a first visit to the dentist by age 1 year?
J. Djokic, A. Bowen, J. Singh Dooa, R. Kahatab, T. Kumagai, K. McKee, C. Tan, K. FitzGerald, B. Duane, D. Sagheri
European Archives of Paediatric Dentistry.2019; 20(2): 65. CrossRef - Barriers Facing by Parents During Clubfoot Treatment of Children with Clubfoot Deformity
Monoarul Haque
MOJ Orthopedics & Rheumatology.2014;[Epub] CrossRef - Influences on Children's Oral Health: A Conceptual Model
Susan A. Fisher-Owens, Stuart A. Gansky, Larry J. Platt, Jane A. Weintraub, Mah-J Soobader, Matthew D. Bramlett, Paul W. Newacheck
Pediatrics.2007; 120(3): e510. CrossRef
- Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9–12 Months Old
- 160 View
- 1 Download
- 5 Crossref
- 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
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Abstract
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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Citations
Citations to this article as recorded by- The longitudinal reciprocal relationship between food insecurity and depressive symptoms among Korean elderly who live in poverty: application of auto-regressive cross-lagged model
Jayoung Cho
Asia Pacific Journal of Social Work and Development.2023; 33(2): 86. CrossRef - Determinants of nutritional status among old age population in eastern Ethiopia: a general linear model approach
Liyu Derbie, Abdu Oumer, Ketema Ayele, Anteneh Berhane
Journal of Nutritional Science.2022;[Epub] CrossRef - Aging and nutrition. Paving the way to better health
Emilio Molina-Molina, Gabriella Garruti, Harshitha Shanmugam, Domenica Maria Di Palo, Ignazio Grattagliano, Tecla Mastronuzzi, Piero Portincasa
Romanian Journal of Internal Medicine.2020; 58(2): 55. CrossRef - Nutrition as a Health Determinant in Elderly Patients
Tecla Mastronuzzi, Ignazio Grattagliano
Current Medicinal Chemistry.2019; 26(19): 3652. CrossRef - Prevalence of malnutrition and associated factors among community-dwelling older persons in Sri Lanka: a cross-sectional study
H. D. W. T. Damayanthi, F. M. Moy, K. L. Abdullah, S. D. Dharmaratne
BMC Geriatrics.2018;[Epub] CrossRef - Identifying Latent Classes of Risk Factors for Coronary Artery Disease
Eunsil Ju, JiSun Choi
Journal of Korean Academy of Nursing.2017; 47(6): 817. CrossRef - Association of Family Composition and Metabolic Syndrome in Korean Adults Aged over 45 Years Old
Young-Ju Kim
Asian Nursing Research.2015; 9(4): 349. CrossRef - Factors Associated With Food Insecurity Among the Korean Elderly: Using Ordered Logistic Regression Analysis
조자영
Health and Social Welfare Review.2015; 35(4): 375. CrossRef
- The longitudinal reciprocal relationship between food insecurity and depressive symptoms among Korean elderly who live in poverty: application of auto-regressive cross-lagged model
- 235 View
- 5 Download
- 8 Crossref
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