Anxiety and anger of homeless people coping with dental care

Mago, Anjali; MacEntee, Michael I.; Brondani, Mario; Frankish, James

doi:10.1111/cdoe.12363

Cited by 21 publications

(19 citation statements)

References 27 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is possible that the participants from this study did not have a dental visit within the last year due to these difficulties and competing priorities. The most significant predictor in multivariate analysis was anxiety, a well‐known factor preventing people from seeking dental care regardless of age, race, or socio‐economic status .…”

Section: Discussionmentioning

confidence: 99%

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

Jessani

Aleksejūnienė

Donnelly

et al. 2019

J Public Health Dent

Self Cite

View full text Add to dashboard Cite

Objectives To identify the predisposing, enabling, and need factors of the Andersen and Newman (A&N) model and their associations with the pattern of dental service utilization in a sample of people living with HIV (PLHIV) in British Columbia. Methods Participants responded anonymously to a 40‐item online questionnaire to explore the patterns of dental service utilization. Following the descriptive statistics, the associations between A&N model factors and main outcome variables (having a dental visit in the last year and reasons for the dental visit) were evaluated using simple and multiple logistic regression analyses. Results Out of 600 potential PLHIV participants, 210 responded to the survey and 186 met the inclusion criteria. The experience of being discriminated against by dental professionals (P = 0.005), having dental anxiety (P < 0.001), not having dental insurance (P = 0.001), and having living condition difficulties (P = 0.004) were significantly associated with nonemergency dental visits. In multiple logistic regression analysis, dental anxiety (OR = 0.1; 95 percent CI 0.0; 0.4), having a regular dentist (OR = 3.7; 95 percent CI 1.1; 12.6), and visiting a dental office in the last year (OR = 21.6; 95 percent CI 6.1; 76.5) were the strongest predictors of dental service utilization in this study. Conclusions Several predisposing, enabling, and need factors from the A&N model were associated with dental service utilization by PLHIV. In addition to various psychosocial barriers, a significant number of respondents reported experiencing stigma and discrimination from their oral care providers.

show abstract

Section: Discussionmentioning

confidence: 99%

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

Jessani

Aleksejūnienė

Donnelly

et al. 2019

J Public Health Dent

Self Cite

View full text Add to dashboard Cite

show abstract

“…Several studies have reported unmet dental treatment needs amongst PLHIV . Hence, it is believed that low levels of dental service utilization among PLHIV exist due to accessibility, affordability and other compounding factors, similarly to other vulnerable groups, including pregnant women, indigenous people, and the homeless . Various psychosocial disparities such as lack of financial affordability, not having dental insurance and experiencing discrimination by dental professionals leads to higher unmet dental treatment needs of PLHIV .…”

Section: Introductionmentioning

confidence: 99%

What are the self‐reported unmet dental treatment needs of people living with HIV in British Columbia? A case of minority subpopulation in Canada

Jessani

Aleksejūnienė

Donnelly

et al. 2020

J Public Health Dent

Self Cite

View full text Add to dashboard Cite

Objectives To identify associations of Andersen and Newman's (A&N) predisposing, enabling, and need factors with self‐reported oral health status and self‐reported unmet dental treatment needs in a sample of people living with HIV (PLHIV) in British Columbia (BC), Canada. Methods Participants responded anonymously to a 41‐item online questionnaire with the following inclusion criteria: a) be at least 19 years old; b) self‐identify as HIV‐positive; c) be able to provide consent and be willing to voluntarily participate in the study; d) be residing in British Columbia; and e) be able to proficiently respond to the questions in English. Following the descriptive statistics, associations between A&N model factors and the main outcome variables (self‐reported oral health status and self‐reported dental treatment needs) were evaluated using bivariate inferential analyses. Results A total of 186 participants met the inclusion criteria. Approximately 40% (n = 74) of participants rated the health of their mouth as fair/poor and more than half (n = 112; 60.2%) reported having bleeding gums, tooth decay or tooth sensitivity. The bivariate analysis for the self‐reported oral status as the outcome variable showed “having fair/poor general health” (P = 0.001), “unemployment” (P = 0.019), “avoiding dental treatment due to cost” (P = 0.005), and “not visiting a dental professional within the last year” (P < 0.001) as the strongest predictors. For the second outcome variable unmet dental treatment needs, the strongest predictors were “experience of being discriminated by dental professionals” (P = 0.001), “having fair/poor general health” (P = 0.006), and “suffering from past and current medical conditions due to HIV” (P < 0.001). Conclusions Several predisposing, enabling and need factors from the A&N model were associated with self‐reported oral health status and unmet dental treatment needs of PLHIV. Results from this study highlight the needs of improving access to affordable dental care to address the unmet oral health needs of PLHIV.

show abstract

“…Meanwhile, postintervention findings from the qualitative survey also reported students’ perception of having more positive attitudes and empathy towards patients, especially the underprivileged. Such attitudes are important in removing discrimination and barriers to professional care, as reported previously by some groups of underserved population, including those with infectious diseases and social deprivation 24,25 . Besides this, having positive attitudes is integral to improving access to dental services that have been associated with dentists’ lack of professionalism, particularly in managing patients with special health care needs 26 …”

Section: Discussionmentioning

confidence: 88%

“…Such attitudes are important in removing discrimination and barriers to professional care, as reported previously by some groups of underserved population, including those with infectious diseases and social deprivation. 24,25 Besides this, having positive attitudes is integral to improving access to dental services that have been associated with dentists' lack of professionalism, particularly in managing patients with special health care needs. 26 Students' appreciation towards exposure to various scenarios depicted in the photographs, as well as how they are linked to clinical care, together indicate an opportunity for teaching and learning that supports the concept of comprehensive patient management.…”

Section: Discussionmentioning

confidence: 99%

Photodentistry – an innovative approach to improving students’ empathy and learning experiences in comprehensive patient care

Ahmad

Radhi

Rusle

et al. 2020

Journal of Dental Education

View full text Add to dashboard Cite

Preparing future dental school graduates to provide comprehensive patient care with empathy requires the completion of adequate training in such practice. This study was undertaken to investigate the effectiveness of the Photodentistry learning activity, which uses visual arts, in improving dental students' empathy and learning experience in comprehensive patient care. Methods: All fourth-year undergraduate dental students (n = 69, response rate = 100%) participated in the Photodentistry learning activity developed by specialists from the areas of dentistry, arts, education, and psychology. A survey using the Toronto Empathy Questionnaire (TEQ) was conducted both pretest and posttest, followed by an open-ended written survey of their reflection towards the learning activity. Quantitative data were analyzed via paired t-test (P < 0.05), while qualitative data were analyzed using thematic analysis. Results: There was a significant increase in both students' total mean empathy score and the individual scores for 8 (out of 16) items of the TEQ after the learning activity. Students stated that they had an improved understanding of managing patients in a comprehensive manner (e.g., managing medically compromised patients, performing treatment planning, communication with patients who have special health care needs). Students also reported the development of skills (e.g., observation, critical thinking) and positive attitudes (e.g., empathy, responsibility) towards patients. Conclusion: Photodentistry is an effective learning approach for improving dental students' empathy and learning experience in comprehensive patient care. K E Y W O R D S comprehensive patient care, dental education, empathy 1 INTRODUCTION The current concept of health care practice seeks to promote a comprehensive approach to patient care, aimed at improving patients' total well-being and quality of life. 1 Such an approach involves addressing the various factors that may have an effect on patients' health outcomes, including those related to physiological, physical,

show abstract

Anxiety and anger of homeless people coping with dental care

Cited by 21 publications

References 27 publications

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

Dental care utilization: patterns and predictors in persons living with HIV in British Columbia, Canada

What are the self‐reported unmet dental treatment needs of people living with HIV in British Columbia? A case of minority subpopulation in Canada

Photodentistry – an innovative approach to improving students’ empathy and learning experiences in comprehensive patient care

Contact Info

Product

Resources

About