The Economic Toll of Inequitable Dental Care Access: A Welfare Analysis of Racial and Ethnic Disparities
Published online on July 31, 2026
Abstract
["Health Services Research, Volume 61, Issue 4, August 2026. ", "\nABSTRACT\n\nObjective\nTo conduct a formal welfare analysis quantifying the economic costs of racial and ethnic disparities in dental care access among Hispanic and non‐Hispanic Black, Asian, and multiracial adults relative to non‐Hispanic White individuals in the United States.\n\n\nStudy Setting and Design\nCross‐sectional, observational study using pooled nationally representative data from the 2014 to 2023 Medical Expenditure Panel Survey (MEPS). Two‐part models were employed: generalized linear model (GLM) with log link for the probability of any dental visit and generalized linear gamma regression models with log link for modeling visit frequency, total annual expenditures, and expenditure per visit among users.\n\n\nData Sources\nMEPS Full‐Year Consolidated Data Files, 2014–2023. The final pooled cross‐sectional analytic sample included 205,894 respondents aged 18 and older, representing a survey‐weighted annual population of 251,029,718 US adults. Dollar figures are in constant 2023 US dollars.\n\n\nPrincipal Findings\nAll examined minority groups experienced lower dental care access and higher expenditure per visit compared with White individuals. Estimated aggregate annual welfare losses ranged from $8.23 to $12.93 billion for Hispanics, $6.44 to $9.84 billion for non‐Hispanic Blacks, $2.82 to $4.30 billion for Asians, and $1.57 to $2.57 billion for individuals of other or multiple racial identities (total $19.06–$29.64 billion).\n\n\nConclusions\nDental care disparities persist after adjusting for socioeconomic, demographic, and health characteristics, generating large aggregate welfare losses for minority communities. Addressing provider diversity, cultural competency, and structural barriers is essential to reducing these inequities.\n\n"]