Relationship between Safety-net Oral Health Care Practices and Income among American Indian/Alaska Native, Black, and Hispanic/Latino Dentists.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a951590

Jessica C Williams, Astha Singhal, Paul Gates, Matthew Jura, Elizabeth Mertz, Brenda Heaton

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引用次数: 0

Abstract

Background: American Indian/Alaska Native (AI/AN), Black (B), and Hispanic/Latino (H/L) people are underrepresented in dentistry, yet disproportionately constitute the safety-net dental workforce. We examined the relationship between serving as safety-net providers (SNPs) and self-reported income.

Methods: Using data from a 2012 national survey of AI/AN, B, and H/L dentists, we examined the relationship between being an SNP and income using linear regression, stratified by potential modifying factors.

Results: In 2011, AI/AN, B, and H/L SNPs earned 82% of non-SNP income, even after considering traditional predictors of practice choice and income (race and educational debt), as well as practice trends (practice ownership and busyness).

Discussion: Serving as a SNP may explain observed income differences between AI/AN, B, and H/L dentists and their non-SNP counterparts. Given that these dentists are more likely to practice in safety nets, practice choice may contribute to the observed racial income gap in dentistry.

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美国印第安人/阿拉斯加原住民、黑人和西班牙裔/拉丁裔牙医的安全网口腔保健实践与收入的关系

背景：美国印第安人/阿拉斯加原住民（AI/AN）、黑人(B)和西班牙裔/拉丁裔（H/L）在牙科领域的代表性不足，但不成比例地构成了牙科劳动力安全网。我们研究了作为安全网提供者（snp）和自我报告收入之间的关系。方法：利用2012年AI/AN、B和H/L牙医的全国调查数据，我们使用线性回归分析了SNP与收入之间的关系，并根据潜在的修正因素进行分层。结果：2011年，AI/AN， B和H/L snp获得了82%的非snp收入，即使考虑了传统的实践选择和收入预测因素（种族和教育债务），以及实践趋势（实践所有权和忙碌）。讨论：作为SNP可以解释AI/AN， B和H/L牙医与非SNP同行之间观察到的收入差异。考虑到这些牙医更有可能在安全网中执业，执业选择可能会导致观察到的牙科种族收入差距。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.