Caregiver Burdens and Preventive Dental Care for Children with Autism Spectrum Disorder, Developmental Disability and/or Mental Health Conditions: National Survey of CSHCN, 2009–2010

• Published in: Maternal and child health journal 2016-12, Vol.20 (12), p.2573-2580
• Main Authors: Wiener, R. Constance, Vohra, Rini, Sambamoorthi, Usha, Madhavan, S. Suresh
• Format: Article
• Language: English
• Subjects: Autism; Care and treatment; Caregivers; Children & youth; Complications and side effects; Demographic aspects; Dental care; Dental caries; Developmental disabilities; Disease control; Disease prevention; Employment; Expenditures; Families & family life; Gynecology; Health care; Hypotheses; Marital status; Maternal and Child Health; Medicaid; Medicine; Medicine & Public Health; Mental disorders; Mental health; Methods; Oral hygiene; Pediatrics; Pervasive developmental disorders; Population; Population Economics; Poverty; Public Health; Secondary schools; Services; Sociology; Variables
• ISSN: 1092-7875; 1573-6628
• DOI: 10.1007/s10995-016-2083-0

Objective The purpose of this study is to examine the burdens of caregivers on perception of the need and receipt of preventive dental care for a subset of children with special health care needs—children with Autism Spectrum disorder, developmental disability and/or mental health conditions (CASD/DD/MHC). Methods The authors used the 2009–2010 National Survey of CSHCN. The survey included questions addressing preventive dental care and caregivers’ financial, employment, and time-related burdens. The associations of these burdens on perceptions and receipt of preventive dental care use were analyzed with bivariate Chi square analyses and multinomial logistic regressions for CASD/DD/MHC (N = 16,323). Results Overall, 16.3 % of CASD/DD/MHC had an unmet preventive dental care need. There were 40.0 % of caregivers who reported financial burden, 20.3 % who reported employment burden, and 10.8 % who reported time burden. A higher percentage of caregivers with financial burden, employment burden, and time-related burden reported that their CASD/DD/MHC did not receive needed preventive dental care (14.1, 16.5, 17.7 % respectively) compared to caregivers without financial, employment, or time burdens (9.0, 9.6 %, 11.0 % respectively). Caregivers with financial burden (adjusted multinomial odds ratio, 1.38 [95 % CI 1.02, 1.86] and employment burden (adjusted multinomial odds ratio, 1.45 [95 % CI 1.02, 2.06] were more likely to report that their child did not receive preventive dental care despite perceived need compared to caregivers without financial or employment burdens. Conclusions for practice Unmet needs for preventive dental care were associated with employment and financial burdens of the caregivers of CASD/DD/MHC.