The extent and nature of dental anxiety in Australians experiencing homelessness

Yokota, Kumiko; Yu, Sheng Wey; Tan, Tara; Anderson, J.; Stormon, Nicole

doi:10.1111/hsc.13056

Cited by 3 publications

(3 citation statements)

References 23 publications

(57 reference statements)

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“…Moreover, a study conducted in Australia found that homeless people have low access to dental care because they have dental anxiety, particularly those living on the streets or in emergency accommodation (Yokota et al., 2020). Therefore, policy interventions should be strengthened, and the first step of such interventions is to urgently provide intensive care for homeless people at the community level using various approaches.…”

Section: Discussionmentioning

confidence: 99%

Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Che¹,

Sohn

Moon³

et al. 2021

Health Social Care Comm

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This study identifies the key factors underlying the unmet dental care needs of South Korean homeless adults that obstructed their dental service access. We analysed data from 551 Korea Homeless Survey respondents (17 years and older) who reported having an oral disease in the previous 12 months. We conducted multiple logistic regression analyses to examine the factors associated with homeless individuals’ unmet dental care needs, using weights to make the data nationally representative. Approximately 43% of the homeless people reported having unmet dental care needs. Housing type (living in the street) was significantly associated with an increased odds ratio of unmet dental care needs. However, when social protection programs (housing benefits and Medical Aid [MA]) were included in the model, the statistical significance of the housing type disappeared. Homeless MA recipients were less likely to have unmet needs than those not covered by MA. On the other hand, homeless people who received housing benefits were more likely to receive dental care than people who do not receive these benefits. Consequently, policy makers should develop social protection programs influencing homeless individuals’ access to dental care and ensure the sustainable implementation of integrated community‐based dental services for homeless adults.

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Section: Discussionmentioning

confidence: 99%

Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Che¹,

Sohn

Moon³

et al. 2021

Health Social Care Comm

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“…43 Homeless populations experience significantly more embarrassment or shame related to their oral health compared with the general population and feel acutely stigmatized by both their homelessness and their visibly unhealthy mouths. 42,44 Poor oral health coupled with addiction and mental illness can lead to experiences of dentists blaming and criticizing patients and people who are Black are more likely to be provided with extractions compared with restorative care. 45,46 Further, stigma and discrimination may present an advantageous tool for dental professionals to keep at bay patients whose stigmatized identities are 'bad for business'.…”

Section: Intersectionalitymentioning

confidence: 99%

“…To illustrate this point, people who identify as transgender experience up to five‐fold greater shame related to oral health compared with cis‐gender controls 43 . Homeless populations experience significantly more embarrassment or shame related to their oral health compared with the general population and feel acutely stigmatized by both their homelessness and their visibly unhealthy mouths 42,44 . Poor oral health coupled with addiction and mental illness can lead to experiences of dentists blaming and criticizing patients and people who are Black are more likely to be provided with extractions compared with restorative care 45,46 .…”

Section: Oral Health‐related Stigma: a Working Definitionmentioning

confidence: 99%

Oral health‐related stigma: Describing and defining a ubiquitous phenomenon

Doughty

Macdonald

Muirhead

et al. 2023

Comm Dent Oral Epid

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This paper is the fourth of a series of narrative reviews to critically rethink underexplored concepts in oral health research. The series commenced with an initial commissioned framework of Inclusion Oral Health, which spawned further exploration into the social forces that undergird social exclusion and othering. The second review challenged unidimensional interpretations of the causes of inequality by bringing intersectionality theory to oral health. The third exposed how language, specifically labels, can perpetuate and (re)produce vulnerability by eclipsing the agency and power of vulnerabilised populations. In this fourth review, we revisit othering, depicted in the concept of stigma. We specifically define and conceptualize oral health‐related stigma, bringing together prior work on stigma to advance the robustness and utility of this theory for oral health research.

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Child Dental Benefits Schedule Subsidised Existing Utilisation of Dental Care over Addressing Unmet Needs

Stormon

Sowa

2023

Health & Social Care in the Community

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Priority Populations in oral health are defined as people from remote areas of Australia, low-income households, specialised medical needs, and Indigenous people. Children in these groups have irregular dental visiting patterns and a higher proportion have never accessed services. The Child Dental Benefits Schedule (CDBS) is a means-tested policy which provides financial support for eligible children to access dental services. This study aimed to explore how the introduction of CDBS affected dental visiting behaviours of Priority Populations. The outcomes of interest were the use of CDBS and its monetary benefit in the four-year period post-CDBS implementation based on a sample from the Longitudinal Study of Australian Children. Binary logit and linear models with interaction terms were used to estimate the effect of priority status and previous reported dental visiting behaviours on the probability of use and the value of subsidy claimed from CDBS. Of the children with no previous access to dental services, 33.7% were CDBS users, compared to 29.9%, 41.1%, and 44.1% who reported historically accessing services once, twice, and thrice, respectively. After adjustment for confounders, there were no significant interactions between Priority Populations and previously reported visiting behaviours; however, the pattern of lower utilisation by those with no previously reported access was evident. The state of Western Australia had a significantly lower proportion of estimated utilisation compared to all other states and territories. Children from low-income families benefitted relatively more from CDBS compared to other income groups; however, only a small proportion of the program was used to subsidise new utilisation of dental care. Children with unfavourable past dental visiting behaviours are likely to have higher unmet need, face barriers to access, and the oral health benefit is likely to be the highest. Policymakers should consider how this and similar programs can better target populations with difficulty accessing services, which will also contribute to reducing inequalities in oral health outcomes.

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The extent and nature of dental anxiety in Australians experiencing homelessness

Cited by 3 publications

References 23 publications

Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Unmet dental care needs of homeless adults in South Korea: Findings from a national survey

Oral health‐related stigma: Describing and defining a ubiquitous phenomenon

Child Dental Benefits Schedule Subsidised Existing Utilisation of Dental Care over Addressing Unmet Needs

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