Original Investigation

School-Based Caries Prevention Programs and Recruitment of High-Risk Pediatric Medicaid Populations

JAMA Network Open 10.1001/jamanetworkopen.2026.5996

April 09, 2026 at 11:00 AM EDT

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Are children with prior dental care utilization more likely than those without prior utilization to participate in school-based caries prevention programs (SCPPs)?In this cross-sectional study of 63 217 children, having no prior dental visits was associated with a statistically significant 17% lower odds of SCPP participation compared with any prior visits. Having no emergency dental utilization was associated with a statistically significant 32% increased odds of SCPP participation compared with any emergency dental utilization.These findings suggest that children with high risk of unmet dental needs have a lower likelihood of participating in SCPPs; however, more evidence is needed to optimize strategies to recruit high-need children.

Corresponding Author: Shulamite S. Huang, PhD, Department of Epidemiology and Health Promotion, New York University College of Dentistry, 386 Park Ave S, Room 1612, New York, NY 10016 (shulamite.huang@nyu.edu).

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