Abstract
Purpose A Head Start program located in Paterson, New Jersey considered establishing a school-based dental clinic to address unmet oral health needs such as access to care and the need for restorative treatment. The purpose of this study was to establish the oral health status of Head Start children, their treatment needs, and parents’ interest and willingness to utilize a school-based dental clinic. Description School-based dental care has been used to address access to care issues, particularly among children who live in underserved areas. A 21 item survey was used to correlate the results of an oral exam performed on the Head Start children and the parents’ preferences, beliefs and access patterns. Fisher’s exact test and Chi squared test were used to study the association among variable with significance levels set at 0.05. Assessment The oral exam revealed a high caries rate amongst all of the children. Parental responses indicated strong support for the establishment of a school-based clinic and identified the need for further parental education. Having a regular source of care was found to be unrelated to treatment needs. Conclusion Further education of the parents regarding the child’s oral health is critical to the success and viability of this school-based clinic.
References
American Dental Association. (2010). Statement on early childhood caries. http://www.ada.org/en/about-the-ada/ada-positions-policies-and-statements/statement-on-early-childhood-caries.
Concerned Parents for Head Start Community Assessment 2002–2003 (2006). Patterson, NJ.
Oral Health in America: A Report of the Surgeon General. (2000). Rockville, MD: U.S Department of Health and Human Services, National Institutes of Health, National Institute of Dental and Craniofacial Research. http://www.nidcr.nih.gov/DataStatistics/SurgeonGeneral/Documents/hck1ocv.@www.surgeon.fullrpt.pdf.
Vargas, C. M., Isman, R. E., & Crall, J. J. (2002). Comparison of children’s medical and dental insurance coverage by sociodemographic characteristics, United States, 1995. Journal of Public Health Dentistry, 62(1), 38–44.
Lewis, C., Mouradian, W., Slayton, R., & Williams, A. (2007). Dental insurance and its impact on preventive dental care visits for U.S. children. Journal of the American Dental Association, 138(3), 369–380.
Morbidity and Mortality Weekly Report. (2011). Washington, DC: Centers for Disease Control and Prevention. http://www.cdc.gov/mmwr/pdf/other/su6001.pdf.
Mouradian, W. E., Wehr, E., & Crall, J. J. (2000). Disparities in children’s oral health and access to dental care. Journal of the American Medical Association, 284(20), 2625–2631.
The State of Children’s Dental; Health: Making Coverage Matter. (2011). Washington, DC: The Pew Charitable Trusts, Research & Analysis. http://www.pewtrusts.org/en/research-and-analysis/reports/2011/05/23/the-state-of-childrens-dental-health-making-coverage-matter.
Strozer, J., Juszazak, L., & Ammerman, A. (2010). A 2007–2008 National School based health care census. Washington, DC: National Assembly on School-Based Health Care.
Simoyan, O., & Badner, V. (2002). Implementing a school-based dental health program: The Montefiore model. Joural of School Health, 72(6), 262–263.
Mofidi, M., Rozier, R. G., & King, R. S. (2002). Problems with access to dental care for Medicaid-insured children: wHat caregivers think. American Journal of Public Health, 92, 53–58.
Tickle, M., Milsom, K. M., Humphries, G. M., & Blinkhorn, A. S. (2003). Parental attitudes to the care of the carious primary dentition. British Dental Journal, 195, 451–455.
Frazier, P. J., Jenny, J., Bagramain, R. A., Robinson, E., & Proshek, J. M. (1997). Provider expectations and consumer perceptions of the importance and value of dental care. American Journal of Public Health, 67, 37–43.
Lannon, C., Brack, V., Stuart, J., et al. (1995). What mothers say about why poor children fall behind on immunizations: a summary of focus groups in North Carolina. Archives of Pediatrics and Adolescent Medicine, 149, 1070–1075.
Milgrom, P., Mancl, L., King, B., Weinstein, P., Wells, N., & Jeffcott, E. (1998). An explanatory model of the dental care utilization of low-income children. Medical Care, 36, 554–566.
Edelstein, B. L. (2000). Access to dental care for head start enrollees. Journal of Public Health Dentistry, 60(3), 211–219.
York, J. A., & Holtzman, J. M. (2004). Designing and implementing a school-based dental program for students with developmental disabilities. Special Care in Dentistry, 24(6), 308–312.
Siegal, M. D., Yeager, M. S., & Davis, A. M. (2004). Oral health status and access to dental care for Ohio head start children. Pediatric Dentistry, 26(6), 519–525.
Vargas, C. M., Monajemy, N., Khurana, P., & Tinanoff, N. (2000). Oral health status of preschool children attending Head Start in Maryland. Pediatric Dentistry, 24(3), 257–263.
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Reed, R., York, J., Dady, N. et al. Head Start Oral Health Assessment. Matern Child Health J 20, 962–967 (2016). https://doi.org/10.1007/s10995-016-1938-8
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DOI: https://doi.org/10.1007/s10995-016-1938-8