|
|
|
|
STATISTICAL BRIEF #537:
Trends in the Number and Percentage of the Population
with Any Dental or Medical Visits, 2003-2018
|
| October 2021 |
Richard Manski, DDS, MBA, PhD, Frederick Rohde, MA, and Timothy Ricks, DMD, MPH, FICD
|
-
About 37 percent of Americans (121.2 million in 2018) visited a
dentist and a physician at least once a year, and another 9 percent
(28.2 million in 2018) visited only a dentist.
-
The percentage visiting both a physician and a dentist in 2018 was
higher among persons who are non-Hispanic White (43.7 percent)
compared to those who are Hispanic (26.2 percent) or non-Hispanic
Black (25.8 percent).
-
Persons who are non-Hispanic White, non-Hispanic other, male, aged
6 to 64, and living in the West and Midwest are more likely to visit a
dentist only.
|
Introduction
In 2000, the first-ever Surgeon General's Report on oral health was
released. Oral Health in America provided numerous examples of the
connection between oral health and overall health, concluding that "oral
health means much more than healthy teeth" and "is essential to the general
health and well-being of all Americans."[1] Since the publication of that report,
there has been a concerted effort to better integrate oral health and overall
health across the country. Full integration is multidirectional, incorporating
oral health into different aspects of overall health (medical care, behavioral
health, pharmacy care, etc.) and incorporating overall health concepts into
dental practices. For example, the American Dental Association, the nation's
largest dentist organization, has estimated that healthcare costs in the
United States could be reduced by over $100 million each year through
screening for chronic diseases in dental offices.[2]
To provide a foundation for multidirectional integration of oral health and
overall health, we examined the number and percentage of persons with any
dental and medical visits using 2003 to 2018 data from the Medical
Expenditure Panel Survey-Household Component. A dental visit included any
reported visit in the year to any type of dental provider, including general
dentists, specialists, hygienists, and technicians. A medical visit included any
reported visit in the year to any type of physician or nonphysician provider in
an office-based, inpatient, outpatient, emergency room, or home health
setting.
|
Findings
All differences between estimates discussed in the text are statistically
significant at the 0.05 level or better unless otherwise noted.
U.S. medical and dental visits (tables 1-2, figure 1)
As shown in table 1 and figure 1, 121.2 million Americans had both a
medical and dental visit in 2018, an 18 percent increase from 2003. Though
this increase was driven mostly by population growth, more Americans than
ever before reported visiting only a dental provider in the past year (28.2
million, up 11 percent from 2003) or having neither visited a medical nor a
dental provider in the past year (64.7 million, up 18 percent from 2003).
As seen in table 2 and figure 1, the percentage of Americans exclusively
visiting medical providers and not dental providers decreased in 2018 to its
lowest point in two decades, with only 34.4 percent (down from 37.0 percent
in 2003) visiting just a medical provider in 2018. The percentage of people
with just a dental visit did not change significantly from 2003 to 2018,
however, at around 8.6 percent. But the overall percentage of Americans
with a dental visit, including those with a medical visit, rose from 44.0
percent in 2003 to 45.7 percent in 2018.
Medical and dental visits by race/ethnicity (table 2, figure 2)
As seen in table 2 and figure 2, significant disparities exist between
racial/ethnic groups in healthcare utilization. Among persons who are non-Hispanic White, 43.7 percent visited both a medical and dental provider in
2018, compared to just 26.2 percent of those who are Hispanic and 25.8
percent of those who are non-Hispanic Black. Similarly, more Hispanics
(31.0 percent) had neither a dental nor medical visit in 2018, compared to
non-Hispanic Blacks (25.3 percent) and non-Hispanic Whites (14.6 percent).
More non-Hispanic Blacks (40.7 percent) had only a medical visit in 2018,
compared to Hispanics (34.5 percent) and non-Hispanic Whites (33.1
percent).
Medical and dental visits by age (tables 1-2, figure 2)
Healthcare visits by children and adolescents ages 0 to 5 and ages 6 to 17
years increased from 2003 to 2018. The percentage with visits to both a
medical and dental provider increased from 20.1 percent to 29.0 percent
and from 42.2 percent to 46.3 percent for the two age groups, respectively.
The percentage with only medical visits dropped from 66.1 percent in 2003
to 54.6 percent in 2018 for children ages 0 to 5.
Among adults 65 years and older, 27.9 million had a dental visit in 2018, up
from 15.4 million in 2003. The overall percentage of Americans 65 years of
age and older with a dental visit increased from 42.0 percent in 2003 to 51.0
percent in 2018, while the percentage of those having a dental visit only but
not a medical visit remained steady at 1.6 percent.
Medical and dental visits by region (table 2, figure 2)
Disparities in dental utilization were also based on geographic location. Only
41.5 percent of Americans in the South had a dental visit in 2018, compared
to 47.5 percent in the Northeast, 49.9 percent in the Midwest, and 47.8
percent in the West. However, people living in the West (10.2 percent) were
most likely to have had a dental visit but not a medical visit compared to
those in the Northeast (7.6 percent). People living in the South (21.9
percent) and West (21.7 percent) were most likely to have neither a medical
nor a dental visit in 2018 compared to those in the Northeast (17.2 percent)
and Midwest (16.0 percent).
|
Data Source
This Statistical Brief uses data from the following public use data files:
| Data Files |
2003 |
2006 |
2009 |
2012 |
2015 |
2018 |
| Full-Year Consolidated |
HC-79 |
HC-105 |
HC-129 |
HC-155 |
HC-181 |
HC-209 |
| Dental events |
HC-77B |
HC-102B |
HC-126B |
HC-152B |
HC-178B |
HC-206B |
| Inpatient events |
HC-77D |
HC-102D |
HC-126D |
HC-152D |
HC-178D |
HC-206D |
| Emergency room events |
HC-77E |
HC-102E |
HC-126E |
HC-152E |
HC-178E |
HC-206E |
| Outpatient events |
HC-77F |
HC-102F |
HC-126F |
HC-152F |
HC-178F |
HC-206F |
| Office-based events |
HC-77G |
HC-102G |
HC-126G |
HC-152G |
HC-178G |
HC-206G |
| Home health events |
HC-77H |
HC-102H |
HC-126H |
HC-152H |
HC-178H |
HC-206H |
|
Definitions
Dental visits
A dental visit is an in-person visit to any type of dental provider, including
general dentists and specialists such as periodontists, as well as non-dentists
such as hygienists and technicians.
Medical visits
A medical visit is an in-person visit to any type of medical provider, including
physicians (medical doctors) and non-physicians (e.g., nurses, technicians)
in an office-based, inpatient, outpatient, emergency room, or home health
setting.
Race/ethnicity
Classification by race/ethnicity was based on information reported for each
family member. First, respondents were asked if the person's main national
origin or ancestry was Puerto Rican; Cuban; Mexican, Mexican American, or
Chicano; other Latin American; or other Spanish. All persons whose main
national origin or ancestry was reported in one of these Hispanic groups,
regardless of racial background, were classified as Hispanic. All other
persons were classified according to their reported race. For this analysis,
the following classification by race and ethnicity was used: Hispanic, non-Hispanic Black, non-Hispanic White, and non-Hispanic other. The other
category includes American Indian, Alaska Native, Asian or Pacific Islander,
other race, and multiple races.
Age
The age variable is based on the sample person's age as of the end of the
year. If data were not collected during a round because the sample person
was out of scope (e.g., deceased or institutionalized), then age at the time
of the previous round was used.
Census region
The Census region variable is based on the location of the household at the
end of the year. If missing, the most recent location available is used.
| Region |
Included States |
| Northeast |
Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New
York, Pennsylvania, Rhode Island, and Vermont |
| Midwest |
Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska,
North Dakota, Ohio, South Dakota, and Wisconsin |
| South |
Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia,
Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma,
South Carolina, Tennessee, Texas, Virginia, West Virginia |
| West |
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada,
New Mexico, Oregon, Utah, Washington, and Wyoming |
|
About MEPS-HC
The Medical Expenditure Panel Survey Household Component
(MEPS-HC) collects nationally representative data on healthcare
use, expenditures, sources of payment, and insurance coverage
for the U.S. civilian noninstitutionalized population. The
MEPS-HC is cosponsored by the Agency for Healthcare Research
and Quality (AHRQ) and the National Center for Health
Statistics (NCHS). More information about the MEPS-HC can be found
on the Medical Expenditure Panel Survey (MEPS) website at
https://www.meps.ahrq.gov/.
|
References
American Dental Association, Health Policy Institute. Screening for Chronic
Diseases in the Dental Office. 2018. Accessed August 16, 2021, at
https://www.ada.org/~/media/ADA/Science percent20and
percent20Research/HPI/Files/ADA_HPI_DentalOfcScreening.pdf?la=en
U.S. Department of Health and Human Services. Oral Health in America: A
Report of the Surgeon General. 2000. U.S. Department of Health and Human
Services, National Institute of Dental and Craniofacial Research, National
Institutes of Health, Rockville, MD.
|
Suggested Citation
Manski, R., Rohde, F., and Ricks, T. Trends in the Number and Percentage of
the Population with Any Dental or Medical Visits, 2003-2018. Statistical Brief
#537. October 2021. Agency for Healthcare Research and Quality, Rockville, MD.
https://meps.ahrq.gov/data_files/publications/st537/stat537.shtml
* * *
AHRQ welcomes questions and comments from readers of this
publication who are interested in obtaining more information
about access, cost, use, financing, and quality of healthcare
in the United States. We also invite you to tell us how you are
using this Statistical Brief and other MEPS data and tools and
to share suggestions on how MEPS products might be enhanced to
further meet your needs. Please email us at
MEPSProjectDirector@ahrq.hhs.gov
or send a letter to the address below:
Joel W. Cohen, PhD, Director
Center for Financing, Access and Cost Trends
Agency for Healthcare Research and Quality
5600 Fishers Lane, Mailstop 07W41A
Rockville, MD 20857
|
Table 1. Population with any dental or medical visits
| Visit category^ |
2003 |
2006 |
2009 |
2012 |
2015 |
2018 |
| All persons |
| Dental and medical |
102.6
(2.6) |
102.8
(3.0) |
104.5
(2.9) |
104.7
(3.1) |
109.6
(3.4) |
121.2
(3.5) |
| Dental only |
25.4
(0.9) |
26.2
(0.9) |
24.9
(0.9) |
25.2
(0.9) |
28.2
(1.1) |
28.2
(1.0) |
| Medical only |
107.6
(2.5) |
110.0
(2.8) |
114.4
(2.7) |
119.5
(2.6) |
119.3
(3.1) |
112.3
(2.7) |
| Neither dental nor medical |
55.0
(1.7) |
60.2
(2.0) |
62.9
(1.9) |
64.1
(1.9) |
64.3
(2.0) |
64.7
(1.9) |
| Race/ethnicity |
| Hispanic, any race |
| Dental and medical |
8.1
(0.5) |
8.7
(0.5) |
10.2
(0.7) |
11.8
(0.8) |
14.0
(0.9) |
15.8
(0.9) |
| Dental only |
3.0
(0.2) |
3.3
(0.2) |
3.5
(0.2) |
4.2
(0.3) |
4.9
(0.3) |
5.0
(0.4) |
| Medical only |
16.2
(0.9) |
18.0
(1.0) |
19.2
(1.3) |
21.1
(1.5) |
21.3
(1.3) |
20.8
(1.2) |
| Neither dental nor medical |
13.4
(0.8) |
15.2
(1.0) |
16.2
(1.2) |
16.3
(1.1) |
16.8
(1.3) |
18.7
(1.1) |
| Non-Hispanic White |
| Dental and medical |
81.3
(2.4) |
79.9
(2.6) |
79.6
(2.7) |
77.4
(2.9) |
77.2
(2.9) |
85.1
(3.0) |
| Dental only |
18.1
(0.8) |
18.0
(0.7) |
16.3
(0.7) |
15.9
(0.8) |
17.2
(1.0) |
16.7
(0.8) |
| Medical only |
69.1
(1.9) |
69.1
(2.0) |
71.6
(2.2) |
73.2
(2.2) |
69.4
(2.3) |
64.5
(2.1) |
| Neither dental nor medical |
27.7
(1.0) |
30.0
(1.1) |
31.4
(1.2) |
31.4
(1.3) |
30.2
(1.4) |
28.4
(1.3) |
| Non-Hispanic Black |
| Dental and medical |
7.7
(0.5) |
8.2
(0.5) |
8.5
(0.5) |
8.7
(0.5) |
9.0
(0.5) |
10.3
(0.7) |
| Dental only |
2.4
(0.2) |
2.9
(0.3) |
2.6
(0.3) |
2.7
(0.2) |
2.9
(0.2) |
3.3
(0.3) |
| Medical only |
15.9
(0.8) |
15.7
(0.9) |
15.8
(0.9) |
16.5
(1.0) |
17.2
(1.0) |
16.3
(0.9) |
| Neither dental nor medical |
9.2
(0.6) |
9.4
(0.6) |
9.9
(0.7) |
10.0
(0.6) |
10.4
(0.6) |
10.1
(0.6) |
| Non-Hispanic other |
| Dental and medical |
5.4
(0.4) |
6.0
(0.5) |
6.1
(0.6) |
6.8
(0.5) |
9.3
(0.8) |
10.0
(0.7) |
| Dental only |
1.9
(0.2) |
2.0
(0.3) |
2.5
(0.2) |
2.3
(0.2) |
3.2
(0.3) |
3.2
(0.3) |
| Medical only |
6.4
(0.5) |
7.2
(0.6) |
7.7
(0.6) |
8.7
(0.7) |
11.4
(1.0) |
10.6
(0.6) |
| Neither dental nor medical |
4.7
(0.4) |
5.5
(0.6) |
5.4
(0.4) |
6.3
(0.6) |
6.8
(0.6) |
7.5
(0.5) |
| Sex |
| Male |
| Dental and medical |
43.0
(1.2) |
43.9
(1.4) |
44.4
(1.3) |
44.9
(1.6) |
47.6
(1.7) |
53.2
(1.6) |
| Dental only |
14.4
(0.6) |
14.8
(0.6) |
13.9
(0.5) |
13.9
(0.6) |
15.3
(0.7) |
15.4
(0.7) |
| Medical only |
50.0
(1.3) |
51.3
(1.4) |
53.5
(1.4) |
55.3
(1.3) |
55.4
(1.5) |
52.7
(1.4) |
| Neither dental nor medical |
34.9
(1.1) |
37.0
(1.3) |
38.7
(1.2) |
39.1
(1.2) |
38.9
(1.2) |
38.4
(1.2) |
| Female |
| Dental and medical |
59.6
(1.5) |
58.9
(1.8) |
60.0
(1.8) |
59.8
(1.7) |
62.0
(1.9) |
68.0
(2.1) |
| Dental only |
11.0
(0.5) |
11.5
(0.5) |
11.0
(0.5) |
11.3
(0.5) |
13.0
(0.6) |
12.8
(0.5) |
| Medical only |
57.6
(1.4) |
58.7
(1.6) |
60.8
(1.5) |
64.2
(1.6) |
63.9
(1.8) |
59.6
(1.5) |
| Neither dental nor medical |
20.1
(0.8) |
23.2
(0.9) |
24.2
(0.8) |
25.0
(0.8) |
25.4
(1.0) |
26.2
(0.9) |
| Age group |
| 0-5 |
| Dental and medical |
4.6
(0.3) |
5.3
(0.4) |
5.9
(0.4) |
5.2
(0.3) |
6.3
(0.4) |
6.8
(0.4) |
| Dental only |
0.8
(0.1) |
0.8
(0.1) |
0.7
(0.1) |
1.0
(0.1) |
0.7
(0.1) |
1.1
(0.2) |
| Medical only |
15.3
(0.6) |
15.1
(0.6) |
15.7
(0.6) |
14.9
(0.6) |
14.4
(0.7) |
12.9
(0.6) |
| Neither dental nor medical |
2.4
(0.2) |
3.1
(0.2) |
3.5
(0.2) |
3.0
(0.2) |
2.6
(0.2) |
2.7
(0.2) |
| 6-17 |
| Dental and medical |
21.0
(0.8) |
20.2
(0.8) |
20.7
(0.9) |
21.5
(1.0) |
21.2
(1.0) |
23.2
(1.0) |
| Dental only |
7.2
(0.4) |
8.2
(0.4) |
6.5
(0.4) |
7.4
(0.4) |
8.4
(0.5) |
7.0
(0.4) |
| Medical only |
12.4
(0.5) |
11.4
(0.5) |
12.4
(0.5) |
12.0
(0.6) |
11.8
(0.5) |
11.5
(0.7) |
| Neither dental nor medical |
9.2
(0.5) |
9.8
(0.5) |
9.3
(0.4) |
9.0
(0.5) |
8.7
(0.5) |
8.4
(0.4) |
| 18-64 |
| Dental and medical |
62.1
(1.7) |
61.3
(1.9) |
60.7
(1.9) |
58.8
(1.9) |
60.0
(2.1) |
64.2
(2.1) |
| Dental only |
16.8
(0.6) |
16.5
(0.6) |
16.9
(0.6) |
16.0
(0.6) |
18.1
(0.8) |
19.2
(0.8) |
| Medical only |
60.9
(1.6) |
64.3
(1.7) |
66.5
(1.8) |
70.3
(1.7) |
69.7
(1.9) |
64.6
(1.7) |
| Neither dental nor medical |
41.1
(1.2) |
45.0
(1.5) |
47.3
(1.5) |
49.2
(1.5) |
49.9
(1.6) |
50.1
(1.5) |
| 65+ |
| Dental and medical |
14.8
(0.8) |
15.9
(0.7) |
17.1
(0.8) |
19.2
(1.0) |
22.1
(1.0) |
27.0
(0.9) |
| Dental only |
0.6
(0.1) |
0.7
(0.1) |
0.8
(0.1) |
0.8
(0.1) |
1.1
(0.1) |
0.9
(0.1) |
| Medical only |
18.9
(0.7) |
19.2
(0.7) |
19.7
(0.7) |
22.3
(0.8) |
23.3
(0.9) |
23.3
(0.8) |
| Neither dental nor medical |
2.4
(0.2) |
2.3
(0.2) |
2.8
(0.2) |
3.0
(0.2) |
3.1
(0.3) |
3.5
(0.2) |
| Region |
| Northeast |
| Dental and medical |
22.1
(1.1) |
21.8
(1.3) |
21.3
(1.6) |
20.4
(1.4) |
21.5
(1.6) |
22.2
(1.6) |
| Dental only |
4.0
(0.4) |
4.5
(0.3) |
3.5
(0.3) |
3.5
(0.3) |
4.2
(0.4) |
4.2
(0.4) |
| Medical only |
19.5
(1.0) |
19.9
(1.1) |
20.6
(1.1) |
21.5
(1.1) |
20.7
(1.0) |
19.6
(1.1) |
| Neither dental nor medical |
8.4
(0.5) |
8.5
(0.6) |
9.8
(0.7) |
10.3
(0.6) |
10.1
(0.7) |
9.6
(0.8) |
| Midwest |
| Dental and medical |
25.6
(1.5) |
25.3
(1.5) |
25.3
(1.3) |
25.7
(1.6) |
26.0
(1.8) |
27.8
(1.2) |
| Dental only |
6.2
(0.4) |
6.2
(0.5) |
6.1
(0.4) |
6.0
(0.4) |
6.3
(0.5) |
6.2
(0.4) |
| Medical only |
23.0
(1.2) |
23.4
(1.3) |
23.6
(0.9) |
24.3
(0.9) |
23.7
(1.2) |
23.3
(1.2) |
| Neither dental nor medical |
10.6
(0.7) |
11.0
(0.8) |
12.0
(0.8) |
10.9
(0.7) |
11.8
(0.6) |
10.9
(0.7) |
| South |
| Dental and medical |
32.3
(1.3) |
33.2
(1.7) |
34.6
(1.4) |
34.6
(1.8) |
36.2
(1.7) |
41.9
(1.9) |
| Dental only |
8.1
(0.5) |
8.2
(0.5) |
8.0
(0.5) |
8.2
(0.5) |
9.3
(0.6) |
9.9
(0.5) |
| Medical only |
42.2
(1.5) |
43.4
(1.8) |
45.6
(1.6) |
48.6
(1.6) |
49.1
(2.2) |
45.5
(1.7) |
| Neither dental nor medical |
21.7
(1.1) |
24.2
(1.4) |
24.7
(1.1) |
25.6
(1.1) |
26.4
(1.4) |
27.3
(1.1) |
| West |
| Dental and medical |
22.5
(1.2) |
22.4
(1.4) |
23.3
(1.2) |
24.0
(1.1) |
25.9
(1.3) |
29.3
(2.1) |
| Dental only |
7.1
(0.5) |
7.3
(0.5) |
7.4
(0.5) |
7.5
(0.4) |
8.4
(0.7) |
7.9
(0.7) |
| Medical only |
22.8
(1.3) |
23.3
(1.3) |
24.6
(1.3) |
25.1
(1.0) |
25.8
(1.2) |
23.8
(1.3) |
| Neither dental nor medical |
14.3
(1.0) |
16.5
(1.0) |
16.4
(0.8) |
17.3
(1.0) |
16.0
(1.0) |
16.9
(1.0) |
* Standard errors for estimates appear in parentheses.
^ Dental includes any visit to any type of dental provider. Medical includes any visit to any
office-based, outpatient, inpatient, emergency room or home health provider.
Source: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost
Trends, Medical Expenditure Panel Survey, Household Component, 2003-2018.
|
Table 2. Percentage of population with any dental or medical visits
| Visit category^ |
2003 |
2006 |
2009 |
2012 |
2015 |
2018 |
| All persons |
| Dental and medical |
35.3
(0.5) |
34.3
(0.5) |
34.1
(0.6) |
33.4
(0.6) |
34.1
(0.6) |
37.1
(0.6) |
| Dental only |
8.7
(0.2) |
8.8
(0.2) |
8.1
(0.2) |
8.0
(0.2) |
8.8
(0.3) |
8.6
(0.2) |
| Medical only |
37.0
(0.4) |
36.8
(0.4) |
37.3
(0.4) |
38.1
(0.5) |
37.1
(0.5) |
34.4
(0.4) |
| Neither dental nor medical |
18.9
(0.4) |
20.1
(0.4) |
20.5
(0.4) |
20.4
(0.4) |
20.0
(0.4) |
19.8
(0.4) |
| Race/ethnicity |
| Hispanic, any race |
| Dental and medical |
20.0
(0.8) |
19.2
(0.7) |
20.7
(0.7) |
22.1
(0.7) |
24.6
(0.8) |
26.2
(0.9) |
| Dental only |
7.3
(0.4) |
7.3
(0.4) |
7.1
(0.4) |
7.9
(0.4) |
8.6
(0.4) |
8.3
(0.5) |
| Medical only |
39.8
(0.9) |
39.8
(0.8) |
39.1
(0.8) |
39.4
(0.7) |
37.4
(0.7) |
34.5
(0.9) |
| Neither dental nor medical |
33.0
(0.9) |
33.8
(0.9) |
33.0
(0.9) |
30.5
(0.8) |
29.5
(0.9) |
31.0
(0.8) |
| Non-Hispanic White |
| Dental and medical |
41.4
(0.7) |
40.5
(0.6) |
40.0
(0.7) |
39.1
(0.7) |
39.8
(0.8) |
43.7
(0.8) |
| Dental only |
9.2
(0.3) |
9.1
(0.3) |
8.2
(0.3) |
8.0
(0.3) |
8.9
(0.4) |
8.6
(0.3) |
| Medical only |
35.2
(0.6) |
35.1
(0.5) |
36.0
(0.6) |
37.0
(0.6) |
35.8
(0.7) |
33.1
(0.6) |
| Neither dental nor medical |
14.1
(0.4) |
15.2
(0.3) |
15.8
(0.5) |
15.9
(0.5) |
15.6
(0.5) |
14.6
(0.5) |
| Non-Hispanic Black |
| Dental and medical |
21.9
(0.9) |
22.7
(0.8) |
23.0
(0.9) |
23.0
(0.9) |
22.8
(0.8) |
25.8
(1.0) |
| Dental only |
6.9
(0.5) |
8.0
(0.6) |
7.1
(0.5) |
7.2
(0.4) |
7.4
(0.4) |
8.3
(0.7) |
| Medical only |
45.0
(0.8) |
43.3
(0.9) |
42.9
(0.8) |
43.5
(1.0) |
43.4
(0.8) |
40.7
(1.2) |
| Neither dental nor medical |
26.2
(1.0) |
26.0
(0.8) |
26.9
(0.8) |
26.3
(0.8) |
26.4
(0.9) |
25.3
(1.1) |
| Non-Hispanic other |
| Dental and medical |
29.4
(1.5) |
28.9
(1.4) |
28.4
(1.3) |
28.2
(1.4) |
30.2
(1.2) |
31.9
(1.5) |
| Dental only |
10.4
(0.9) |
9.6
(1.0) |
11.5
(0.8) |
9.7
(0.8) |
10.5
(0.7) |
10.2
(0.7) |
| Medical only |
34.7
(1.4) |
34.9
(1.6) |
35.4
(1.3) |
35.8
(1.2) |
37.1
(1.1) |
33.9
(1.5) |
| Neither dental nor medical |
25.4
(1.3) |
26.6
(1.8) |
24.7
(1.2) |
26.3
(1.3) |
22.2
(1.1) |
23.9
(1.1) |
| Sex |
| Male |
| Dental and medical |
30.2
(0.6) |
29.9
(0.5) |
29.5
(0.6) |
29.3
(0.7) |
30.3
(0.7) |
33.3
(0.6) |
| Dental only |
10.1
(0.3) |
10.0
(0.3) |
9.3
(0.3) |
9.1
(0.3) |
9.7
(0.3) |
9.6
(0.4) |
| Medical only |
35.1
(0.5) |
34.9
(0.5) |
35.6
(0.5) |
36.1
(0.6) |
35.3
(0.6) |
33.0
(0.5) |
| Neither dental nor medical |
24.5
(0.5) |
25.2
(0.5) |
25.7
(0.5) |
25.5
(0.5) |
24.8
(0.5) |
24.1
(0.5) |
| Female |
| Dental and medical |
40.2
(0.6) |
38.7
(0.6) |
38.5
(0.7) |
37.3
(0.6) |
37.8
(0.7) |
40.8
(0.7) |
| Dental only |
7.4
(0.3) |
7.5
(0.3) |
7.1
(0.3) |
7.0
(0.3) |
7.9
(0.3) |
7.7
(0.3) |
| Medical only |
38.8
(0.5) |
38.5
(0.5) |
39.0
(0.6) |
40.1
(0.6) |
38.9
(0.6) |
35.7
(0.6) |
| Neither dental nor medical |
13.6
(0.4) |
15.2
(0.4) |
15.5
(0.4) |
15.6
(0.4) |
15.5
(0.5) |
15.8
(0.4) |
| Age group |
| 0-5 |
| Dental and medical |
20.1
(1.0) |
21.9
(1.1) |
23.0
(1.1) |
21.5
(1.1) |
26.1
(1.4) |
29.0
(1.3) |
| Dental only |
3.5
(0.4) |
3.5
(0.5) |
2.9
(0.4) |
4.1
(0.5) |
3.0
(0.4) |
4.8
(0.7) |
| Medical only |
66.1
(1.1) |
61.8
(1.3) |
60.7
(1.2) |
62.1
(1.2) |
60.1
(1.5) |
54.6
(1.2) |
| Neither dental nor medical |
10.3
(0.7) |
12.8
(0.8) |
13.4
(0.8) |
12.3
(0.9) |
10.8
(0.9) |
11.5
(0.9) |
| 6-17 |
| Dental and medical |
42.2
(0.9) |
40.7
(1.1) |
42.3
(1.1) |
43.2
(1.1) |
42.3
(1.1) |
46.3
(1.3) |
| Dental only |
14.4
(0.6) |
16.5
(0.6) |
13.3
(0.7) |
14.8
(0.6) |
16.8
(0.8) |
14.0
(0.8) |
| Medical only |
24.9
(0.8) |
23.0
(0.7) |
25.3
(0.9) |
24.0
(0.9) |
23.6
(1.0) |
22.9
(1.0) |
| Neither dental nor medical |
18.5
(0.7) |
19.7
(0.7) |
19.1
(0.7) |
18.0
(0.9) |
17.3
(0.8) |
16.8
(0.7) |
| 18-64 |
| Dental and medical |
34.3
(0.6) |
32.8
(0.6) |
31.7
(0.7) |
30.3
(0.6) |
30.4
(0.7) |
32.4
(0.6) |
| Dental only |
9.3
(0.3) |
8.8
(0.3) |
8.8
(0.3) |
8.2
(0.3) |
9.1
(0.3) |
9.7
(0.3) |
| Medical only |
33.7
(0.5) |
34.4
(0.5) |
34.7
(0.5) |
36.2
(0.5) |
35.2
(0.5) |
32.6
(0.5) |
| Neither dental nor medical |
22.7
(0.4) |
24.1
(0.5) |
24.7
(0.5) |
25.3
(0.5) |
25.3
(0.6) |
25.3
(0.5) |
| 65+ |
| Dental and medical |
40.3
(1.3) |
41.8
(1.1) |
42.3
(1.1) |
42.3
(1.3) |
44.6
(1.2) |
49.4
(1.0) |
| Dental only |
1.7
(0.2) |
1.8
(0.3) |
1.9
(0.3) |
1.8
(0.3) |
2.2
(0.3) |
1.6
(0.2) |
| Medical only |
51.5
(1.1) |
50.5
(1.1) |
49.0
(1.0) |
49.2
(1.2) |
47.1
(1.2) |
42.7
(0.9) |
| Neither dental nor medical |
6.5
(0.5) |
6.0
(0.4) |
6.9
(0.5) |
6.7
(0.5) |
6.2
(0.5) |
6.4
(0.4) |
| Region |
| Northeast |
| Dental and medical |
41.0
(1.4) |
39.9
(1.2) |
38.6
(1.7) |
36.7
(1.5) |
38.1
(1.4) |
39.9
(1.3) |
| Dental only |
7.5
(0.6) |
8.2
(0.5) |
6.3
(0.5) |
6.2
(0.4) |
7.4
(0.7) |
7.6
(0.5) |
| Medical only |
36.1
(1.2) |
36.4
(1.2) |
37.3
(1.2) |
38.6
(1.1) |
36.6
(1.1) |
35.3
(1.0) |
| Neither dental nor medical |
15.5
(0.7) |
15.4
(0.8) |
17.8
(1.0) |
18.5
(0.9) |
17.9
(1.0) |
17.2
(0.8) |
| Midwest |
| Dental and medical |
39.1
(1.1) |
38.4
(0.9) |
37.8
(1.3) |
38.4
(1.3) |
38.3
(1.5) |
40.8
(1.1) |
| Dental only |
9.4
(0.4) |
9.4
(0.4) |
9.0
(0.5) |
9.0
(0.5) |
9.3
(0.6) |
9.1
(0.5) |
| Medical only |
35.2
(0.9) |
35.5
(0.9) |
35.3
(0.9) |
36.4
(1.0) |
35.0
(1.2) |
34.2
(1.0) |
| Neither dental nor medical |
16.2
(0.8) |
16.7
(0.6) |
17.9
(0.9) |
16.3
(0.8) |
17.5
(0.7) |
16.0
(0.7) |
| South |
| Dental and medical |
31.0
(0.8) |
30.4
(0.9) |
30.7
(0.8) |
29.6
(0.9) |
29.9
(0.8) |
33.6
(1.0) |
| Dental only |
7.8
(0.4) |
7.6
(0.3) |
7.1
(0.4) |
7.0
(0.4) |
7.7
(0.4) |
7.9
(0.4) |
| Medical only |
40.4
(0.7) |
39.8
(0.8) |
40.4
(0.7) |
41.6
(0.8) |
40.6
(0.6) |
36.5
(0.7) |
| Neither dental nor medical |
20.8
(0.7) |
22.2
(0.7) |
21.9
(0.6) |
21.8
(0.7) |
21.8
(0.8) |
21.9
(0.7) |
| West |
| Dental and medical |
33.7
(0.9) |
32.3
(1.0) |
32.5
(1.0) |
32.5
(0.9) |
34.0
(1.2) |
37.6
(1.3) |
| Dental only |
10.6
(0.6) |
10.5
(0.5) |
10.4
(0.5) |
10.1
(0.4) |
11.1
(0.6) |
10.2
(0.5) |
| Medical only |
34.2
(0.8) |
33.5
(0.7) |
34.3
(0.9) |
33.9
(0.7) |
33.9
(1.1) |
30.5
(0.8) |
| Neither dental nor medical |
21.4
(0.7) |
23.8
(0.9) |
22.9
(0.6) |
23.5
(0.9) |
21.0
(0.7) |
21.7
(1.0) |
* Standard errors for estimates appear in parentheses.
^ Dental includes any visit to any type of dental provider. Medical includes any visit to any
office-based, outpatient, inpatient, emergency room or home health provider.
Source: Agency for Healthcare Research and Quality, Center for Financing, Access and Cost
Trends, Medical Expenditure Panel Survey, Household Component, 2003-2018.
|
|
|
Figure 1. Population with any dental and medical visits
| Provider Visit Category |
2003 |
2006 |
2009 |
2012 |
2015 |
2018 |
| In Millions |
| Dental and medical |
102.6 |
102.8 |
104.5 |
104.7 |
109.6 |
121.2 |
| Dental only |
25.4 |
26.2 |
24.9 |
25.2 |
28.2 |
28.2 |
| Medical only |
107.6 |
110.0 |
114.4 |
119.5 |
119.3 |
112.3 |
| Neither dental nor medical |
55.0 |
60.2 |
62.9 |
64.1 |
64.3 |
64.7 |
| Percentages |
| Dental and medical |
35.3 |
34.3 |
34.1 |
33.4 |
34.1 |
37.1 |
| Dental only |
8.7 |
8.8 |
8.1 |
8.0 |
8.8 |
8.6 |
| Medical only |
37.0 |
36.8 |
37.3 |
38.1 |
37.1 |
34.4 |
| Neither dental nor medical |
18.9 |
20.1 |
20.5 |
20.4 |
20.0 |
19.8 |
Source: Agency for Healthcare Research and Quality, Center
for Financing, Access and Cost Trends, Medical Expenditure
Panel Survey, Household Component, 2003 and 2018.
|
|
|
Figure 2. Percentage with only dental visits by demographic
| Demographic |
2003 |
2006 |
2009 |
2012 |
2015 |
2018 |
| Race/ethnicity |
| Hispanic, any race |
7.3 |
7.3 |
7.1 |
7.9 |
8.6 |
8.3 |
| Non-Hispanic White |
9.2 |
9.1 |
8.2 |
8.0 |
8.9 |
8.6 |
| Non-Hispanic Black |
6.9 |
8.0 |
7.1 |
7.2 |
7.4 |
8.3 |
| Non-Hispanic other |
10.4 |
9.6 |
11.5 |
9.7 |
10.5 |
10.2 |
| Sex |
| Male |
10.1 |
10.0 |
9.3 |
9.1 |
9.7 |
9.6 |
| Female |
7.4 |
7.5 |
7.1 |
7.0 |
7.9 |
7.7 |
| Age group |
| 0-5 |
3.5 |
3.5 |
2.9 |
4.1 |
3.0 |
4.8 |
| 6-17 |
14.4 |
16.5 |
13.3 |
14.8 |
16.8 |
14.0 |
| 18-64 |
9.3 |
8.8 |
8.8 |
8.2 |
9.1 |
9.7 |
| 65+ |
1.7 |
1.8 |
1.9 |
1.8 |
2.2 |
1.6 |
| Region |
| Northeast |
7.5 |
8.2 |
6.3 |
6.2 |
7.4 |
7.6 |
| Midwest |
9.4 |
9.4 |
9.0 |
9.0 |
9.3 |
9.1 |
| South |
7.8 |
7.6 |
7.1 |
7.0 |
7.7 |
7.9 |
| West |
10.6 |
10.5 |
10.4 |
10.1 |
11.1 |
10.2 |
Source: Agency for Healthcare Research and Quality, Center
for Financing, Access and Cost Trends, Medical Expenditure
Panel Survey, Household Component, 2003 and 2018.
|
|