Neighborhood Contexts and Oral Health Outcomes in a Pediatric Population: An Exploratory Study
Abstract
:1. Introduction
2. Methodology
2.1. Ethics Approval
2.2. Screening of Patient Records
- (a)
- Presence of key patient attendance metrics including, treatments, age, date of treatment, ODA treatment code, FSA code;
- (b)
- Presence of at least one additional treatment code within a 180-day period, intended to avoid skew or bias, in keeping with the protocol set by the DQA [14];
- (c)
- At least 20 patients in each FSA code to ensure adequate weight for the neighborhood-level data.
2.3. Measurement of Dental Quality Outcomes
2.4. Data Coding, Analyses, and Mapping
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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FSA Code | Number of Patients | Oral Evaluation (OEV-CH-A) (%) | Topical Fluoride Application (TFL-CH-A) (%) | Treatment Utilization (TRT-CH-A) (%) | Average Cost Per Patient ($) |
---|---|---|---|---|---|
N5H | 32 | 94 | 6 | 78 | 200 |
N5P | 28 | 87 | 7 | 53 | 110 |
N5R | 21 | 93 | 57 | 64 | 124 |
N5V | 31 | 65 | 32 | 55 | 113 |
N5W | 24 | 95 | 26 | 74 | 194 |
N5X | 64 | 70 | 27 | 63 | 142 |
N5Y | 77 | 70 | 34 | 61 | 123 |
N5Z | 49 | 61 | 20 | 53 | 104 |
N6A | 21 | 100 | 40 | 80 | 84 |
N6B | 22 | 100 | 80 | 80 | 163 |
N6C | 43 | 72 | 33 | 63 | 152 |
N6E | 55 | 65 | 20 | 65 | 114 |
N6G | 179 | 67 | 27 | 55 | 129 |
N6H | 74 | 65 | 16 | 65 | 155 |
N6J | 56 | 73 | 25 | 61 | 135 |
N6K | 44 | 65 | 33 | 50 | 168 |
N6L | 22 | 89 | 78 | 67 | 179 |
Dependent Variable | Unstandardized Coefficients * | Standardized Coefficients * | t | Sig. | ||
---|---|---|---|---|---|---|
B | Std. Error | Beta | ||||
Cost of Treatment (ODA Fee) | TRT-CH-A | 1.477 | 1.522 | 0.044 | 0.971 | 0.332 |
OEV-CH-A | −5.712 | 2.580 | −0.110 | −2.214 | 0.027 ** | |
TFL-CH-A | −4.714 | 1.362 | −0.177 | −3.461 | 0.001 ** | |
Cost of Treatment (Subsidized Fee) | TRT-CH-A | 1.638 | 1.498 | 0.049 | 1.093 | 0.275 |
OEV-CH-A | −4.235 | 2.396 | −0.095 | −1.951 | 0.035 ** | |
TFL-CH-A | −4.086 | 1.213 | −0.154 | −3.368 | 0.001 ** |
Access to Dental Care (OEV-CH) (n = 842) | Therapeutic Needs (TRT-CH) (n = 842) | Preventative Care (TFL-CH) (n = 842) | |||||
---|---|---|---|---|---|---|---|
B * | Sig. | Sig. | B * | B * | Sig. | ||
Neighborhood-Level Variables a | Median Household Income | 0.320 | 0.358 | −0.609 | 0.012 ** | 0.646 | 0.017 ** |
% of Non-official First Language (English/French) Speakers | −0.318 | 0.499 | 0.660 | 0.002 ** | −0.627 | 0.029 ** | |
% of Population with less than Secondary School Education | −0.514 | 0.170 | 0.397 | 0.153 | −0.426 | 0.229 | |
% of Population who were recent immigrants to Canada | 0.580 | 0.218 | 0.294 | 0.345 | −0.286 | 0.457 | |
% of Population who are visible Minorities | −1.070 | 0.070 | −0.310 | 0.446 | 0.036 | 0.945 | |
Constant (model validity) | 1.890 | 0.000 | −0.482 | 0.000 | 1.467 | 0.000 |
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Podskalniy, V.A.; Pani, S.C.; Lee, J.; Vieira, L.A.C.; Perinpanayagam, H. Neighborhood Contexts and Oral Health Outcomes in a Pediatric Population: An Exploratory Study. Children 2021, 8, 653. https://doi.org/10.3390/children8080653
Podskalniy VA, Pani SC, Lee J, Vieira LAC, Perinpanayagam H. Neighborhood Contexts and Oral Health Outcomes in a Pediatric Population: An Exploratory Study. Children. 2021; 8(8):653. https://doi.org/10.3390/children8080653
Chicago/Turabian StylePodskalniy, Vladyslav A., Sharat Chandra Pani, Jinhyung Lee, Liliani Aires Candido Vieira, and Hiran Perinpanayagam. 2021. "Neighborhood Contexts and Oral Health Outcomes in a Pediatric Population: An Exploratory Study" Children 8, no. 8: 653. https://doi.org/10.3390/children8080653