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Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study.

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  • Additional Information
    • Affiliation:
      Graduate dental hygiene candidate of the Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI
      Clinical assistant professor, Department of Primary Dental Care Division of Dental Hygiene, University of Minnesota School of Dentistry, Minneapolis, MN
      Clinical assistant professor and Director of the Graduate Dental Hygiene Program, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI
    • Subject Terms:
      Veterans -- Psychosocial Factors ; Oral Health ; Health Services Accessibility ; Healthcare Disparities ; Dental Care
    • Subject Terms:
      Michigan; Human; Cross Sectional Studies; Descriptive Statistics; Health Status; Health Care Costs; Toothache; Adolescence; Middle Age; Aged; Adult; Data Analysis Software; Insurance, Dental; Insurance Coverage
    • Abstract:
      Purpose: Strict eligibility criteria exclude a majority of the veteran population from receiving oral healthcare benefits through the Veterans' Administration Dental Care program (VADC). The purpose of this study was to examine perceptions of oral health status, and access/barriers to dental care of veterans who are ineligible for VADC benefits. Methods: This cross-sectional study was conducted using a 24-item paper survey, disseminated in person to 227 veterans across the state of Michigan over a period of two months. Items included socio-demographic information, questions regarding perceptions of oral health, access to dental care, and perceived barriers. Descriptive statistics were collected to provide an overview of the data. Results: A response rate of 80% (n=182) was achieved. Veterans who perceived themselves as having a poor oral health status were less likely to have a dental home (p=.000) or receive dental care (p=.001). Respondents were more likely to report cost as a barrier (p=.000), and to report having had a toothache during the past 12-months (p=.000). Conclusion: Results from this study indicate that while veterans in general value the importance of oral healthcare, cost and time are significant barriers to accessing dental care for individual's ineligible for VADC benefits. Veterans who perceive themselves as having poor oral health are more likely to report oral health disparities. Further research is needed to impact Veterans Administration policy and decrease oral health disparities.
    • Journal Subset:
      Allied Health; Peer Reviewed; USA
    • ISSN:
      1043-254X
    • MEDLINE Info:
      NLM UID: 8902616
    • Publication Date:
      20190909
    • Publication Date:
      20190918
    • Accession Number:
      138463952
  • Citations
    • ABNT:
      NIETO, V.; ARNETT, M.; FURGESON, D. Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study. Journal of Dental Hygiene, [s. l.], v. 93, n. 4, p. 6–13, 2019. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952. Acesso em: 27 set. 2020.
    • AMA:
      Nieto V, Arnett M, Furgeson D. Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study. Journal of Dental Hygiene. 2019;93(4):6-13. Accessed September 27, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952
    • APA:
      Nieto, V., Arnett, M., & Furgeson, D. (2019). Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study. Journal of Dental Hygiene, 93(4), 6–13.
    • Chicago/Turabian: Author-Date:
      Nieto, Valerie, Michelle Arnett, and Danielle Furgeson. 2019. “Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A Cross-Sectional Study.” Journal of Dental Hygiene 93 (4): 6–13. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952.
    • Harvard:
      Nieto, V., Arnett, M. and Furgeson, D. (2019) ‘Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study’, Journal of Dental Hygiene, 93(4), pp. 6–13. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952 (Accessed: 27 September 2020).
    • Harvard: Australian:
      Nieto, V, Arnett, M & Furgeson, D 2019, ‘Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study’, Journal of Dental Hygiene, vol. 93, no. 4, pp. 6–13, viewed 27 September 2020, .
    • MLA:
      Nieto, Valerie, et al. “Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A Cross-Sectional Study.” Journal of Dental Hygiene, vol. 93, no. 4, Aug. 2019, pp. 6–13. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952.
    • Chicago/Turabian: Humanities:
      Nieto, Valerie, Michelle Arnett, and Danielle Furgeson. “Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A Cross-Sectional Study.” Journal of Dental Hygiene 93, no. 4 (August 2019): 6–13. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952.
    • Vancouver/ICMJE:
      Nieto V, Arnett M, Furgeson D. Attitudes and Access Patterns of Michigan Veterans Ineligible for Oral Healthcare Benefits: A cross-sectional study. Journal of Dental Hygiene [Internet]. 2019 Aug [cited 2020 Sep 27];93(4):6–13. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=138463952