Dental-Related Use of Hospital Emergency Departments by Hispanics and Non-Hispanics in Florida

Am J Public Health. 2017 May;107(S1):S88-S93. doi: 10.2105/AJPH.2017.303746.

Abstract

Objectives: To examine differences between Hispanics and non-Hispanics in Florida in the dental-related use of hospital emergency departments (EDs).

Methods: We used ambulatory ED discharge records from 2013 to 2015 to compute rates of ED visits for dental complaints per 10 000 population, by region, age, gender, and the percentage distribution visits by primary payer, day of the week, and hour of arrival.

Results: There were 64 100 ED visits for dental complaints by Hispanics and 425 162 by non-Hispanics. Medicaid was the most common primary payer for Hispanics (42.2%) and for non-Hispanics (38.1%). Rates of ED utilization for dental problems per 10 000 population were 45.5 for Hispanics and 95.2 for non-Hispanics.

Conclusions: Rates of ED utilization for dental problems were different between Hispanics and non-Hispanics. Public Health Implications. Effective interventions need to be developed in the context of a social-ecological model to better understand factors such as health, economics, and education, among others. Understanding and intervening with the individual, communities, and policy could help to modify behaviors and improve access to dental care.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Dental Care*
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Florida
  • Health Services Accessibility*
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Medicaid / economics*
  • Middle Aged
  • United States
  • White People / statistics & numerical data*