Table 1 Characteristics of Medicaid-enrolled youth with mental illness, overall and by 2015 dental visit status. Based on health plan enrollment data and medical, pharmacy, and dental claims data with service dates between September 2014 and December 2015 (n = 6564 for sociodemographic variables; n = 5805 for health condition and prospective risk score variables)
Enrollee Characteristics | Overall n (%) or mean (SD) | One or more dental visits during the year n (%) or mean (SD) | No dental visits during the year n (%) or mean (SD) | p-value |
|---|---|---|---|---|
Sex | ||||
 Female | 3301 (50.29) | 1011 (53.10) | 2290 (49.14) | 0.004 |
 Male | 3263 (49.71) | 893 (46.90) | 2370 (50.86) | |
Age Group | ||||
 7–10 | 630 (9.60) | 247 (12.97) | 383 (8.22) | < 0.001 |
 11–14 | 1540 (23.46) | 503 (26.42) | 1037 (22.25) | |
 15–18 | 3277 (49.92) | 939 (49.32) | 2338 (50.17) | |
 19–20 | 1117 (17.02) | 215 (11.29) | 902 (19.36) | |
Race/Ethnicity | ||||
 White | 1881 (28.66) | 510 (26.79) | 1371 (29.42) | 0.001 |
 Black / African American | 1826 (27.82) | 496 (26.05) | 1330 (28.54) | |
 Hispanic | 1379 (21.01) | 448 (23.53) | 931 (19.98) | |
 Other | 182 (2.77) | 52 (2.73) | 130 (2.79) | |
 Not Provided | 1296 (19.74) | 398 (20.90) | 898 (19.27) | |
Language | ||||
 English | 5858 (89.24) | 16.51 (86.71) | 4207 (90.28) | < 0.001 |
 Not English | 706 (10.76) | 253 (13.29) | 453 (9.72) | |
Education Levels in County | ||||
 15% + of adults have HS degree | 4650 (70.84) | 1397 (73.37) | 3253 (69.81) | 0.014 |
  < 15% of adults have HS degree | 1914 (29.16) | 507 (26.63) | 1407 (30.19) | |
Medicaid Eligibility Group | ||||
 SSI | 1830 (27.88) | 540 (28.36) | 1290 (27.68) | 0.754 |
 TANF | 4552 (69.35) | 1310 (68.80) | 3242 (69.57) | |
 Other | 182 (2.77) | 54 (2.84) |  | |
NCHS Urban-Rural Category | ||||
 Large Central Metro (Most Urban) | 2922 (44.52) | 836 (43.91) | 2086 (44.76) | 0.114 |
 Large Fringe Metro | 1680 (25.59) | 532 (27.94) | 1148 (24.64) | |
 Medium Metro | 1571 (23.93) | 419 (22.01) | 1152 (24.72) | |
 Small Metro | 178 (2.71) | 52 (2.73) | 126 (2.70) | |
 Non- Metro (Most Rural) | 213 (3.24) | 65 (3.41) | 148 (3.18) | |
County is PCP HPSA | ||||
 No | 6465 (98.49) | 1884 (98.95) | 4581 (98.30) | 0.167 |
 Yes | 99 (1.51) | 20 (1.05) | 79 (1.70) | |
County is MH HPSA | ||||
 No | 5804 (88.42) | 1686 (88.55) | 4118 (88.37) | 0.743 |
 Yes | 760 (11.58) | 218 (11.45) | 542 (11.63) | |
Did Member Have any Non-Dental Claims? | ||||
 No | 759 (11.56) | 96 (5.04) | 663 (14.230 | < 0.001 |
 Yes | 5805 (88.44) | 1808 (94.96) | 3997 (85.77) | |
ADHD | ||||
 No | 4085 (70.37) | 1164 (64.38) | 2921 (73.08) | < 0.001 |
 Yes | 1720 (29.63) | 644 (35.62) | 1076 (26.92) | |
Depression | ||||
 No | 4437 (76.73) | 1359 (75.17) | 3078 (77.01) | 0.117 |
 Yes | 1368 (23.57) | 449 (24.83) | 919 (22.99) | |
Bipolar | ||||
 No | 4771 (82.191) | 1480 (81.86) | 3291 (82.34) | 0.544 |
 Yes | 1034 (17.81) | 328 (18.14) | 706 (17.66) | |
Schizophrenia | ||||
 No | 5489 (94.56) | 1725 (95.41) | 3764 (94.17) | 0.063 |
Yes | 316 (5.44) | 83 (4.59) | 233 (5.83) | |
PTSD | ||||
 No | 5570 (95.95) | 1717 (94.97) | 3853 (96.40) | 0.010 |
 Yes | 235 (4.05) | 91 (5.03) | 144 (3.60) | |
Anxiety, no PTSD | ||||
 No | 4927 (84.88) | 1510 (83.52) | 3417 (85.49) | 0.052 |
 Yes | 878 (15.12) | 298 (16.48) | 580 (14.91) | |
Asthma | ||||
 No | 4687(80.74) | 1419 (78.48) | 3268 (81.76) | 0.004 |
 Yes | 1118 (19.26) | 381(21.52) | 729 (18.24) | |
Diabetes | ||||
 No | 5698 (98.16) | 1772 (98.01) | 3926 (98.22) | 0.599 |
 Yes | 107 (1.84) | 36 (1.99) | 71 (1.78) | |
Hypertension | ||||
 No | 4862 (83.76) | 1460 (80.75) | 3402 (85.11) | < 0.001 |
 Yes | 943 (16.24) | 348 (19.25) | 595 (14.89) | |
Pregnancy | ||||
 No | 5515 (95.0) | 1746 (96.57) | 3769 (94.30) | < 0.001 |
 Yes | 290 (5.0) | 62 (3.43) | 228 (5.70) | |
Prospective Risk Score | ||||
 (Continuous) | 1.09 (1.25) | 1.16 (1.24) | 1.06 (1.25) | 0.004 |
Substance Use Disorder | ||||
 No | 5055 (87.08) | 1602 (88.61) | 3453 (86.39) | 0.026 |
 Yes | 750 (12.92) | 206 (11.39) | 544 (13.61) | |