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dc.contributor.authorSimon, Lisa
dc.date.accessioned2020-09-11T15:42:42Z
dash.embargo.terms2021-05-01
dc.date.created2020-05
dc.date.issued2020-09-11
dc.date.submitted2020
dc.identifier.citationSimon, Lisa. 2020. Association of Income Inequality With Orthodontic Use. Doctoral dissertation, Harvard Medical School.
dc.identifier.urihttps://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37364914*
dc.description.abstractBackground: Income inequality has also been associated with worse oral health outcomes and reduced dental utilization. It is unknown whether income inequality may motivate individuals to seek orthodontic treatment. Methods: This was a logistic mixed-effects model of deidentified claims from a private insurer in the United States with members having at least one orthodontic visit in the calendar year as the dependent variable. Total number of dental visits, age, and gender were individual-level covariates. Median household income, GINI coefficient, female population proportion, number of practicing dentists and orthodontists, population size, and population density were ZIP code- level covariates. Results: 1,860,709 individuals had at least one orthodontic claim. Adjusting for population demographics, Gini index was significantly positively associated with orthodontic utilization for children but not for adults (OR 1.69 for children, p<0.0001). Female gender was the strongest predictor of orthodontic utilization for adults and was also a significant predictor of utilization for children (OR 1.50 and 1.45, respectively, p<0.0001). Conclusions: Gini index is associated with orthodontic utilization in children in a privately insured population. Individual characteristics are more predictive of orthodontic utilization among privately insured adults.
dc.description.sponsorshipScholarly Project
dc.format.mimetypeapplication/pdf
dc.language.isoen
dash.licenseLAA
dc.subjectOral health
dc.subjectincome inequality
dc.subjectorthodontic care
dc.subjectoral health care
dc.subjecthealth care utilization
dc.titleAssociation of Income Inequality With Orthodontic Use
dc.typeThesis or Dissertation
dash.depositing.authorSimon, Lisa
dash.embargo.until2021-05-01
dc.date.available2020-09-11T15:42:42Z
thesis.degree.date2020
thesis.degree.grantorHarvard Medical School
thesis.degree.grantorHarvard Medical School
thesis.degree.levelDoctoral
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Medicine
thesis.degree.nameDoctor of Medicine
dc.type.materialtext
dash.identifier.vireo
dash.author.emaillisa.emily.simon@gmail.com


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