1. Exploring the Intersection between Social Determinants of Health and Unmet Dental Care Needs Using Deep Learning
- Author
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Man Hung, Weicong Su, Evelyn Lauren, Frank W. Licari, Joseph Cheever, Julie Xu, Bianca Ruiz-Negrón, David Prince, Eric S. Hon, Jungweon Park, and Ryan Moffat
- Subjects
Male ,medicine.medical_specialty ,Social Determinants of Health ,Health, Toxicology and Mutagenesis ,Population ,lcsh:Medicine ,unmet dental care need ,precision dentistry ,Article ,Health Services Accessibility ,03 medical and health sciences ,0302 clinical medicine ,stomatognathic system ,oral health outcomes ,Intervention (counseling) ,Humans ,Medicine ,Social determinants of health ,Dental Care ,education ,health care economics and organizations ,Health Services Needs and Demand ,education.field_of_study ,030505 public health ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,deep learning ,030206 dentistry ,artificial intelligence ,Individual level ,Dental care ,United States ,Test (assessment) ,stomatognathic diseases ,machine learning ,Family medicine ,Female ,data science ,0305 other medical science ,business ,Risk assessment ,Medical Expenditure Panel Survey - Abstract
The goals of this study were to develop a risk prediction model in unmet dental care needs and to explore the intersection between social determinants of health and unmet dental care needs in the United States. Data from the 2016 Medical Expenditure Panel Survey were used for this study. A chi-squared test was used to examine the difference in social determinants of health between those with and without unmet dental needs. Machine learning was used to determine top predictors of unmet dental care needs and to build a risk prediction model to identify those with unmet dental care needs. Age was the most important predictor of unmet dental care needs. Other important predictors included income, family size, educational level, unmet medical needs, and emergency room visit charges. The risk prediction model of unmet dental care needs attained an accuracy of 82.6%, sensitivity of 77.8%, specificity of 87.4%, precision of 82.9%, and area under the curve of 0.918. Social determinants of health have a strong relationship with unmet dental care needs. The application of deep learning in artificial intelligence represents a significant innovation in dentistry and enables a major advancement in our understanding of unmet dental care needs on an individual level that has never been done before. This study presents promising findings and the results are expected to be useful in risk assessment of unmet dental care needs and can guide targeted intervention in the general population of the United States.
- Published
- 2020
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