Purpose: To explore the effect of the Affordable Care Act (ACA) on rural disparities in oral health services utilization based on disability status.
Methods: Comparing the 2011-2013 with the 2014-2016 Medical Expenditure Panel Survey, the study estimated the impacts of ACA on the likelihood of having preventive checkup and utilization of dental treatments in adults older than 18.
Findings: The sample consists of 216,184 noninstitutionalized adults with 14.5% living in rural areas. There was a slight improvement in the receipt of oral health services after ACA, but the improvement was not statistically significant. Disability remains a barrier to receiving preventive oral health checkups, and living in rural areas is a barrier for both utilization of preventive checkups and dental treatments.
Conclusions: Unmet needs for preventive checkups may result in unnecessary, costly dental treatments. More strategies are needed to reduce the disparities in oral health services.
Keywords: Affordable Care Act; health disparities; oral health; prevention; rural.
© 2020 National Rural Health Association.