Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults

Wei Chen Lee, Chih Ying Li, Hani Serag, Maryam Tabrizi, Yong Fang Kuo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Purpose: To explore the effect of the Affordable Care Act (ACA) on rural disparities in oral health services utilization based on disability status. Methods: Comparing the 2011-2013 with the 2014-2016 Medical Expenditure Panel Survey, the study estimated the impacts of ACA on the likelihood of having preventive checkup and utilization of dental treatments in adults older than 18. Findings: The sample consists of 216,184 noninstitutionalized adults with 14.5% living in rural areas. There was a slight improvement in the receipt of oral health services after ACA, but the improvement was not statistically significant. Disability remains a barrier to receiving preventive oral health checkups, and living in rural areas is a barrier for both utilization of preventive checkups and dental treatments. Conclusions: Unmet needs for preventive checkups may result in unnecessary, costly dental treatments. More strategies are needed to reduce the disparities in oral health services.

Original languageEnglish (US)
Pages (from-to)103-113
Number of pages11
JournalJournal of Rural Health
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2021

Keywords

  • Affordable Care Act
  • health disparities
  • oral health
  • prevention
  • rural

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Exploring the Impact of ACA on Rural-Urban Disparity in Oral Health Services Among US Noninstitutionalized Adults'. Together they form a unique fingerprint.

Cite this