Table 3. Adjusted Prevalence Ratio Estimates for Factors Associated With Dental Care Use Among US Children and Adolescents Aged 2–17 Years (N = 128,141)a, by Income Levelb, Using Pooled Years of Data (2001−2005, 2006−2010, 2011−2016), Medical Expenditure Panel Survey, 2001 and 2016.
| Variable | Low Income, aPR (95% CI) | Middle Income, aPR (95% CI) | High Income, aPR (95% CI) |
|---|---|---|---|
| No. of observations used in analysis | 72,893 | 33,414 | 21,834 |
| Age, y | |||
| 2–4 | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| 5–11 | 1.70 (1.61–1.79)c | 2.12 (2.01–2.24)c | 1.97 (1.86–2.07)c |
| 12–17 | 1.59 (1.51–1.68)c | 2.06 (1.95–2.18)c | 1.98 (1.87–2.09)c |
| Sex | |||
| Male | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Female | 1.06 (1.03–1.08)c | 1.04 (1.02–1.07)c | 1.02 (1.00–1.05) |
| Race/ethnicity | |||
| Non-Hispanic white | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Non–Hispanic black | 0.84 (0.81–0.88)c | 0.79 (0.75–0.83)c | 0.80 (0.75–0.85)c |
| Hispanic | 0.98 (0.94–1.02) | 0.87 (0.84–0.91)c | 0.85 (0.81–0.89)c |
| Asian | 0.92 (0.83–1.02) | 0.79 (0.73–0.86)c | 0.82 (0.78–0.88)c |
| Parent or guardian’s education | |||
| <12th grade | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| 12th grade | 1.10 (1.05–1.14)c | 1.05 (0.97–1.14) | 1.02 (0.87–1.19) |
| >12th grade | 1.23 (1.17–1.29)c | 1.30 (1.21–1.40)c | 1.25 (1.07–1.45)c |
| Health insurance | |||
| Uninsured | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Any private | 2.23 (1.99–2.50)c | 1.68 (1.53–1.84)c | 1.29 (1.17–1.42)c |
| Public only | 2.20 (1.97–2.47)c | 1.53 (1.37–1.70)c | 1.15 (1.01–1.31)c |
| Data cycle | |||
| 2001–2005 | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| 2006–2010 | 1.08 (1.03–1.13)c | 1.00 (0.97–1.05) | 0.97 (0.94–1.01) |
| 2011–2016 | 1.18 (1.12–1.24)c | 1.02 (0.98–1.07) | 0.98 (0.94–1.01) |
Abbreviations: aPR, adjusted prevalence ratio.
Total study participants was 132,763; however, only 128,141 had data on parents’ education.
Income defined as percentage of federal poverty level: low income, <200%; middle income, 200%−399%; high income, ≥400% (1).
Indicates significant at P < .05.