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Original Article
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.
DOI: https://doi.org/10.4040/jkan.2004.34.8.1460
Published online: March 28, 2017

1Senior Research Specialist, College of Nursing, University of Illinois at Chicago, USA.

2Associate Professor, Department of Sociology, University of Illinois at Chicago, USA.

ykim2@uic.edu, ykim1017@hotmail.com

Copyright © 2004 Korean Society of Nursing Science

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  • 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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    • 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

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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?
      Journal of Korean Academy of Nursing. 2004;34(8):1460-1467.   Published online March 28, 2017
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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?
    Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?

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