VTechWorks staff will be away for the winter holidays starting Tuesday, December 24, 2024, through Wednesday, January 1, 2025, and will not be replying to requests during this time. Thank you for your patience, and happy holidays!
 

Navigating Disparities in Dental Health—A Transit-Based Investigation of Access to Dental Care in Virginia

Simple item page
dc.contributor.authorKim, Junghwanen
dc.contributor.authorKarki, Shashanken
dc.contributor.authorBrickhouse, Tegwynen
dc.contributor.authorVujicic, Markoen
dc.contributor.authorNasseh, Kamyaren
dc.contributor.authorWang, Changzhenen
dc.contributor.authorZhang, Mengxien
dc.coverage.countryUnited Statesen
dc.coverage.stateVirginiaen
dc.date.accessioned2024-10-30T19:09:02Zen
dc.date.available2024-10-30T19:09:02Zen
dc.date.issued2024-10-30en
dc.description.abstractObjective: To identify vulnerable areas and populations with limited access to dental care in Virginia, the study aimed (1) to calculate travel time and accessibility scores to dental care in Virginia using a transit-based accessibility model for all dental clinics and dental clinics participating in the Medicaid dental program and (2) to estimate factors associated with accessibility to dental clinics participating in the Medicaid dental program in Virginia. Methods: The study used building footprints as origins of transit trips to dental care services (or destinations). The study then computed transit-based origin–destination travel time matrices based on the detailed trip information, including in-vehicle and out-of- vehicle travel time. Accessibility scores were calculated by counting the number of dental clinics that can be reached within 60 min. Regression analysis was used to measure factors associated with accessibility scores to dental clinics participating in Medicaid. Results: Residents in smaller regions spent longer travel time to dental clinics by public transit compared with those who resided in larger regions. Medicaid participants also faced longer travel time compared with the general population. Residents spent more than three-fourths of the time waiting for public transit and walking to clinics regardless of where they live and what type of insurance they have. Associations between sociodemographic factors and accessibility scores to dental clinics participating in the Medicaid dental program varied across regions. Conclusions: Disparities in dental care accessibility exist depending on the size of regions and Medicaid participation in Virginia. The disparities in transit-based access to dental clinics and a disproportionate amount of time spent waiting for public transit and walking to dental clinics could be improved through tailored interventions taking into account the sociodemographic and geographic characteristics of each region.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1111/cdoe.13015en
dc.identifier.orcidKim, Junghwan [0000-0002-7275-769X]en
dc.identifier.urihttps://hdl.handle.net/10919/121511en
dc.language.isoenen
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectDental healthen
dc.subjectHealth care accessen
dc.subjectVirginiaen
dc.titleNavigating Disparities in Dental Health—A Transit-Based Investigation of Access to Dental Care in Virginiaen
dc.title.serialCommunity Dentistry and Oral Epidemiologyen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Natural Resources & Environmenten
pubs.organisational-groupVirginia Tech/Natural Resources & Environment/Geographyen
pubs.organisational-groupVirginia Tech/Natural Resources & Environment/Geography/Geography T&R facultyen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/Natural Resources & Environment/CNRE T&R Facultyen

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Comm Dent Oral Epid - 2024 - Kim - Navigating Disparities in Dental Health A Transit‐Based Investigation of Access to.pdf
Size:
1.13 MB
Format:
Adobe Portable Document Format
Description:
Published version
Download
License bundle
Now showing 1 - 1 of 1
Name:
license.txt
Size:
1.5 KB
Format:
Plain Text
Description:
Download

Collections

All Faculty Deposits
Scholarly Works, Geography
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)