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Journal of Community Health
Published in: Journal of Community Health 1/2015

01-02-2015 | Original Paper

Dental Care Access for Low-Income and Immigrant Cancer Patients in New York City

Authors: Jocelyn R. Howard, Julia Ramirez, Yuelin Li, Francesca Gany

Published in: Journal of Community Health | Issue 1/2015

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Abstract

This exploratory study assesses the dental care needs and access of low-income, mostly immigrant cancer patients enrolled in New York City’s Integrated Cancer Care Action Network (ICCAN). A nested cohort of patients from ICCAN responded to a dental needs assessment that surveyed current dental health as well as access to, and use of, dental services. 373 patients participated. Self-report of having a dentist to visit, current dental problems, income, and insurance most significantly predicted a dentist visit in the past year. Discussing treatment-related oral side effects with the oncologist greatly increased the likelihood of seeing a dentist, but few patients reported having had this conversation. There is a lack of oral care information flowing from oncologists to low income patients. We found a high number of reported dental problems: concerning because of potential treatment interference and risk for infection. Finally, ability to pay largely determined dental care access in our study participants.
Literature
1.
Dye, B. A. T. S., et al. (2007). Trends in oral health status. Vital and Health Statistics, 11, 248.
2.
Manski, R., Brown, E. (2007). United States. Agency for Healthcare Research and Quality. Dental use, expenses, dental coverage, and changes, 1996 and 2004. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.
3.
4.
5.
Shavers, V. L. B. M. (2002). Racial and ethnic disparities in the receipt of cancer treatment. Journal of the National Cancer Institute, 94, 334–357.PubMedCrossRef
6.
Novello, A. C. (2005). New York State oral health plan. New York: NY Department of Health.
7.
Kuthy, R. A., Strayer, M. S., & Caswell, R. J. (1996). Determinants of dental user groups among an elderly, low-income population. Health Services Research, 30(6), 809–825.PubMedCentralPubMed
8.
Manski, R. J., Moeller, J. F., Chen, H., St Clair, P. A., Schimmel, J., & Pepper, J. V. (2012). Wealth effect and dental care utilization in the United States. Journal of public health dentistry, 72(3), 179–189.PubMedCentralPubMedCrossRef
9.
10.
Gany, F., Ramirez, J., Nierodzick, M. L., McNish, T., Lobach, I., & Leng, J. (2011). Cancer portal project: A multidisciplinary approach to cancer care among Hispanic patients. Journal of oncology practice/American Society of Clinical Oncology, 7(1), 31–38.PubMedCentralPubMedCrossRef
11.
Shelley, D., Russell, S., Parikh, N. S., & Fahs, M. (2011). Ethnic disparities in self-reported oral health status and access to care among older adults in NYC. Journal of urban health: bulletin of the New York Academy of Medicine, 88(4), 651–662.CrossRef
12.
O’Neil, E., & Mertz, E. (2002). The growing challenge of providing oral health care services to all Americans. Health Affairs, 21(5), 65–77.PubMedCrossRef
13.
Lucas, J., Rombach, D., Goldwein, J. (2001). Effects of radiotherapy on the oral cavity.
14.
Sandow, P. (2009). Dental prophylaxis and care: Functional preservation and quality of life in head and neck radiotherapy. In PM Harari, Connor NP, Grau C (Eds.), (pp 269–276). Springer: Berlin, Heidelberg.
15.
NIH (2010). Chemotherapy and your mouth: National Institutes of Health, 16.
16.
Davies, A. N., Brailsford, S. R., Beighton, D., Shorthose, K., & Stevens, V. C. (2008). Oral candidosis in community-based patients with advanced cancer. Journal of Pain and Symptom Management, 35(5), 508–514.PubMedCrossRef
17.
Studer, G., Glanzmann, C., Studer, S. P., et al. (2011). Risk-adapted dental care prior to intensity-modulated radiotherapy (IMRT). Schweizer Monatsschrift fur Zahnmedizin, 121(3), 216–229.PubMed
18.
Djuric, M., Hillier-Kolarov, V., Belic, A., & Jankovic, L. (2006). Mucositis prevention by improved dental care in acute leukemia patients. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer, 14(2), 137–146.CrossRef
19.
Sinada, G. Oral care protocol: For the head and neck cancer patient. Baltimore, Maryland: Johns Hopkins Medical Center.
20.
Breiman, L. (1984). Classification and regression trees. Belmont, Calif: Wadsworth International Group.
21.
Pitkin Deros, K., Escarce, J., & Lurie, N. (2007). Immigrants and health care: Sources of vulnerability. Health Affairs, 26(5), 1258–1268.CrossRef
Metadata
Title
Dental Care Access for Low-Income and Immigrant Cancer Patients in New York City
Authors
Jocelyn R. Howard
Julia Ramirez
Yuelin Li
Francesca Gany
Publication date
01-02-2015
Publisher
Springer US
Published in
Journal of Community Health / Issue 1/2015
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-014-9904-0

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