Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample.
OBJECTIVE: Unmet dental need in children with autism spectrum disorder (ASD) is common. We tested hypotheses that lacking a medical home or having characteristics of more severe ASD is positively associated with having unmet dental need among children with ASD. METHODS: Using data from the 2009 to 2...
| Published in: | Academic Pediatrics Vol. 14; no. 6; pp. 624 - 632 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Elsevier B.V.
Nov/Dec2014
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107838337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107838337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Nov/Dec2014 vid: 14 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 107838337 99437474 99437474 10.1016/j.acap.2014.06.023 NLM25439161 107838337 ppf: 624 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample. aug: au: McKinney, Christy M. Nelson, Travis Scott, JoAnna M. Heaton, Lisa J. Vaughn, Matthew G. Lewis, Charlotte W. affil: Departments of Oral Health Sciences, University of Washington, Seattle, Wash sug: subj: Autism Spectrum Disorder Dental Care Needs Assessment Human Academic Medical Centers Washington Surveys Child, Preschool Child Adolescence Odds Ratio Confidence Intervals Severity of Illness Home Health Care Outcomes Research Male Female Descriptive Statistics Funding Source Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: OBJECTIVE: Unmet dental need in children with autism spectrum disorder (ASD) is common. We tested hypotheses that lacking a medical home or having characteristics of more severe ASD is positively associated with having unmet dental need among children with ASD. METHODS: Using data from the 2009 to 2010 National Survey of Children with Special Health Care Needs, we analyzed 2772 children 5 to 17 years old with ASD. We theorized that unmet dental need would be positively associated with not having a medical home and having characteristics of more severe ASD (eg, parent reported severe ASD, an intellectual disability, communication, or behavior difficulties). Prevalence of unmet dental need was estimated, and unadjusted and adjusted odds ratios, 95% confidence intervals, and P values were computed using survey methods for logistic regression. RESULTS: Nationally, 15.1% of children with ASD had unmet dental need. Among children with ASD, those without a medical home were more apt to have unmet dental need than those with a medical home (adjusted odds ratio, 4.46; 95% confidence interval, 2.59-7.69). Children with ASD with intellectual disability or greater communication or behavioral difficulties had greater odds of unmet dental need than those with ASD without these characteristics. Parent-reported ASD severity was not associated with unmet dental need. CONCLUSIONS: Children with ASD without a medical home and with characteristics suggestive of increased ASD-related difficulties were more apt to have unmet dental need. Pediatricians might use these findings to aid in identifying children with ASD who might not receive all needed dental care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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