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Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents
ABSTRACT BACKGROUND An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral h...
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| Published in: | The Journal of school health 2014-12, Vol.84 (12), p.802-809 |
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| cites | cdi_FETCH-LOGICAL-c6425-ec5ff01bddf8110a9763096f4c320398edadc85dc019928a9887976a27144a753 |
| container_end_page | 809 |
| container_issue | 12 |
| container_start_page | 802 |
| container_title | The Journal of school health |
| container_volume | 84 |
| creator | Dodd, Virginia J. Logan, Henrietta Brown, Cameron D. Calderon, Angela Catalanotto, Frank |
| description | ABSTRACT
BACKGROUND
An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral health perceptions and dental care behaviors among rural adolescents.
METHODS
Semistructured individual interviews with 100 rural, minority, low socioeconomic status adolescents revealed their current perceptions of oral health and dental care access. Respondents age ranged from 12 to 18 years. The sample was 80% black and 52% male.
RESULTS
Perceived threat from dental disease was low. Adolescents perceived regular brushing and flossing as superseding the need for preventive care. Esthetic reasons were most often cited as reasons to seek dental care. Difficulties accessing dental care include finances, transportation, fear, issues with Medicaid coverage and parental responsibility. In general, adolescents and their parents are in need of information regarding the importance of preventive dental care.
CONCLUSIONS
Findings illuminate barriers to dental care faced by low‐income rural adolescents and counter public perceptions of government‐sponsored dental care programs as being “free” or without cost. The importance of improved oral health knowledge, better access to care, and school‐based dental care is discussed. |
| doi_str_mv | 10.1111/josh.12215 |
| format | article |
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BACKGROUND
An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral health perceptions and dental care behaviors among rural adolescents.
METHODS
Semistructured individual interviews with 100 rural, minority, low socioeconomic status adolescents revealed their current perceptions of oral health and dental care access. Respondents age ranged from 12 to 18 years. The sample was 80% black and 52% male.
RESULTS
Perceived threat from dental disease was low. Adolescents perceived regular brushing and flossing as superseding the need for preventive care. Esthetic reasons were most often cited as reasons to seek dental care. Difficulties accessing dental care include finances, transportation, fear, issues with Medicaid coverage and parental responsibility. In general, adolescents and their parents are in need of information regarding the importance of preventive dental care.
CONCLUSIONS
Findings illuminate barriers to dental care faced by low‐income rural adolescents and counter public perceptions of government‐sponsored dental care programs as being “free” or without cost. The importance of improved oral health knowledge, better access to care, and school‐based dental care is discussed.</description><identifier>ISSN: 0022-4391</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.12215</identifier><identifier>PMID: 25388597</identifier><identifier>CODEN: JSHEA2</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Access to Health Care ; Adolescent ; Adolescent Behavior - psychology ; Adolescents ; Aesthetics ; African Americans ; At Risk Persons ; Attitude Measures ; Attitude to Health - ethnology ; Barriers ; Behavior ; Biological and medical sciences ; Black or African American ; Care and treatment ; care-seeking ; Child ; Dental care ; Dental care services ; Dental Health ; Dental Health Services - economics ; Dental Health Services - statistics & numerical data ; Dental Health Services - supply & distribution ; Dental hygiene ; Dental insurance ; Dentistry ; Diseases ; Female ; Florida ; Health aspects ; Health Behavior ; Health Insurance ; Health Status Disparities ; Humans ; Interviews as Topic ; Low Income Groups ; Male ; Medicaid - economics ; Medicaid - standards ; Medicaid - statistics & numerical data ; Medical sciences ; Medically Underserved Area ; Minority Group Children ; Minority Health ; Miscellaneous ; Mouth ; oral health ; Oral hygiene ; Parent Responsibility ; Parents ; Patient Acceptance of Health Care - ethnology ; Patient Acceptance of Health Care - psychology ; Perceptions ; Poverty Areas ; Prevention ; Prevention and actions ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Public opinion ; Qualitative Research ; rural ; Rural Areas ; Rural Health ; Rural youth ; Semi Structured Interviews ; Teenagers ; Tooth Diseases - economics ; Tooth Diseases - ethnology ; Tooth Diseases - prevention & control ; Transportation ; United States ; Utilization</subject><ispartof>The Journal of school health, 2014-12, Vol.84 (12), p.802-809</ispartof><rights>2014, American School Health Association</rights><rights>2015 INIST-CNRS</rights><rights>2014, American School Health Association.</rights><rights>2014, American School Health Association 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6425-ec5ff01bddf8110a9763096f4c320398edadc85dc019928a9887976a27144a753</citedby><cites>FETCH-LOGICAL-c6425-ec5ff01bddf8110a9763096f4c320398edadc85dc019928a9887976a27144a753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902,30976,31197</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1045465$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28962320$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25388597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dodd, Virginia J.</creatorcontrib><creatorcontrib>Logan, Henrietta</creatorcontrib><creatorcontrib>Brown, Cameron D.</creatorcontrib><creatorcontrib>Calderon, Angela</creatorcontrib><creatorcontrib>Catalanotto, Frank</creatorcontrib><title>Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents</title><title>The Journal of school health</title><addtitle>J School Health</addtitle><description>ABSTRACT
BACKGROUND
An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral health perceptions and dental care behaviors among rural adolescents.
METHODS
Semistructured individual interviews with 100 rural, minority, low socioeconomic status adolescents revealed their current perceptions of oral health and dental care access. Respondents age ranged from 12 to 18 years. The sample was 80% black and 52% male.
RESULTS
Perceived threat from dental disease was low. Adolescents perceived regular brushing and flossing as superseding the need for preventive care. Esthetic reasons were most often cited as reasons to seek dental care. Difficulties accessing dental care include finances, transportation, fear, issues with Medicaid coverage and parental responsibility. In general, adolescents and their parents are in need of information regarding the importance of preventive dental care.
CONCLUSIONS
Findings illuminate barriers to dental care faced by low‐income rural adolescents and counter public perceptions of government‐sponsored dental care programs as being “free” or without cost. The importance of improved oral health knowledge, better access to care, and school‐based dental care is discussed.</description><subject>Access to Health Care</subject><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Adolescents</subject><subject>Aesthetics</subject><subject>African Americans</subject><subject>At Risk Persons</subject><subject>Attitude Measures</subject><subject>Attitude to Health - ethnology</subject><subject>Barriers</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Care and treatment</subject><subject>care-seeking</subject><subject>Child</subject><subject>Dental care</subject><subject>Dental care services</subject><subject>Dental Health</subject><subject>Dental Health Services - economics</subject><subject>Dental Health Services - statistics & numerical data</subject><subject>Dental Health Services - supply & distribution</subject><subject>Dental hygiene</subject><subject>Dental insurance</subject><subject>Dentistry</subject><subject>Diseases</subject><subject>Female</subject><subject>Florida</subject><subject>Health aspects</subject><subject>Health Behavior</subject><subject>Health Insurance</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Low Income Groups</subject><subject>Male</subject><subject>Medicaid - economics</subject><subject>Medicaid - standards</subject><subject>Medicaid - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Medically Underserved Area</subject><subject>Minority Group Children</subject><subject>Minority Health</subject><subject>Miscellaneous</subject><subject>Mouth</subject><subject>oral health</subject><subject>Oral hygiene</subject><subject>Parent Responsibility</subject><subject>Parents</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Perceptions</subject><subject>Poverty Areas</subject><subject>Prevention</subject><subject>Prevention and actions</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Public opinion</subject><subject>Qualitative Research</subject><subject>rural</subject><subject>Rural Areas</subject><subject>Rural Health</subject><subject>Rural youth</subject><subject>Semi Structured Interviews</subject><subject>Teenagers</subject><subject>Tooth Diseases - economics</subject><subject>Tooth Diseases - ethnology</subject><subject>Tooth Diseases - prevention & control</subject><subject>Transportation</subject><subject>United States</subject><subject>Utilization</subject><issn>0022-4391</issn><issn>1746-1561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkt1v0zAUxSMEYl3hhXdQJISE0DL8nfgFqau2lmmi0zrEo-U5N627NC52Wth_j7N25eMBzS9JdH_3-N6TkySvMDrG8XxcuDA_xoRg_iTp4ZyJDHOBnyY9hAjJGJX4IDkMYYHiyWn-PDkgnBYFl3kvUZfgDaxa65qQuiqdeF2nY9B1Oz9KLz1soGntBtKh9nCU6qa8f8umALe2maUnMNcb63xIB0sXv6_WXf-gdDUEE1vDi-RZpesAL3fPfvL17PR6OM4uJqPPw8FFZgQjPAPDqwrhm7KsCoyRlrmgSIqKGUoQlQWUujQFLw3CUpJCy6LII6NJjhnTOaf95NNWd7W-WULZ3R0nUStvl9rfKaet-rvS2LmauY1iLCeMsyjwfifg3fc1hFYtbVyhrnUDbh0UFhwXNEeIPgJlUZVyLB-BEiYpLxCO6Nt_0IVb-yaa1lFCSkyEiFS2pWa6BmUb45oWfrbG1TXMQEVPhxM1YNGzKEu7tT5seeNdCB6qvSUYqS49qkuPuk9PhN_8aeIefYhLBN7tAB2MriuvG2PDb66QgnQ_rJ-83nLgrdmXT88xilaL7iK8rf-wNdz9ZyR1PpmOH4bbbW5D3Hjfo_2tEjHVXH37MlIjeX0lpzJXZ_QXyh3x4w</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Dodd, Virginia J.</creator><creator>Logan, Henrietta</creator><creator>Brown, Cameron D.</creator><creator>Calderon, Angela</creator><creator>Catalanotto, Frank</creator><general>Wiley Periodicals, Inc</general><general>Wiley-Blackwell</general><general>Wiley</general><general>American School Health Association</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>201412</creationdate><title>Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents</title><author>Dodd, Virginia J. ; Logan, Henrietta ; Brown, Cameron D. ; Calderon, Angela ; Catalanotto, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6425-ec5ff01bddf8110a9763096f4c320398edadc85dc019928a9887976a27144a753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Access to Health Care</topic><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Adolescents</topic><topic>Aesthetics</topic><topic>African Americans</topic><topic>At Risk Persons</topic><topic>Attitude Measures</topic><topic>Attitude to Health - ethnology</topic><topic>Barriers</topic><topic>Behavior</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Care and treatment</topic><topic>care-seeking</topic><topic>Child</topic><topic>Dental care</topic><topic>Dental care services</topic><topic>Dental Health</topic><topic>Dental Health Services - economics</topic><topic>Dental Health Services - statistics & numerical data</topic><topic>Dental Health Services - supply & distribution</topic><topic>Dental hygiene</topic><topic>Dental insurance</topic><topic>Dentistry</topic><topic>Diseases</topic><topic>Female</topic><topic>Florida</topic><topic>Health aspects</topic><topic>Health Behavior</topic><topic>Health Insurance</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Low Income Groups</topic><topic>Male</topic><topic>Medicaid - economics</topic><topic>Medicaid - standards</topic><topic>Medicaid - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Medically Underserved Area</topic><topic>Minority Group Children</topic><topic>Minority Health</topic><topic>Miscellaneous</topic><topic>Mouth</topic><topic>oral health</topic><topic>Oral hygiene</topic><topic>Parent Responsibility</topic><topic>Parents</topic><topic>Patient Acceptance of Health Care - ethnology</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Perceptions</topic><topic>Poverty Areas</topic><topic>Prevention</topic><topic>Prevention and actions</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Public opinion</topic><topic>Qualitative Research</topic><topic>rural</topic><topic>Rural Areas</topic><topic>Rural Health</topic><topic>Rural youth</topic><topic>Semi Structured Interviews</topic><topic>Teenagers</topic><topic>Tooth Diseases - economics</topic><topic>Tooth Diseases - ethnology</topic><topic>Tooth Diseases - prevention & control</topic><topic>Transportation</topic><topic>United States</topic><topic>Utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dodd, Virginia J.</creatorcontrib><creatorcontrib>Logan, Henrietta</creatorcontrib><creatorcontrib>Brown, Cameron D.</creatorcontrib><creatorcontrib>Calderon, Angela</creatorcontrib><creatorcontrib>Catalanotto, Frank</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of school health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dodd, Virginia J.</au><au>Logan, Henrietta</au><au>Brown, Cameron D.</au><au>Calderon, Angela</au><au>Catalanotto, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1045465</ericid><atitle>Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents</atitle><jtitle>The Journal of school health</jtitle><addtitle>J School Health</addtitle><date>2014-12</date><risdate>2014</risdate><volume>84</volume><issue>12</issue><spage>802</spage><epage>809</epage><pages>802-809</pages><issn>0022-4391</issn><eissn>1746-1561</eissn><coden>JSHEA2</coden><abstract>ABSTRACT
BACKGROUND
An asymmetrical oral disease burden is endured by certain population subgroups, particularly children and adolescents. Reducing oral health disparities requires understanding multiple oral health perspectives, including those of adolescents. This qualitative study explores oral health perceptions and dental care behaviors among rural adolescents.
METHODS
Semistructured individual interviews with 100 rural, minority, low socioeconomic status adolescents revealed their current perceptions of oral health and dental care access. Respondents age ranged from 12 to 18 years. The sample was 80% black and 52% male.
RESULTS
Perceived threat from dental disease was low. Adolescents perceived regular brushing and flossing as superseding the need for preventive care. Esthetic reasons were most often cited as reasons to seek dental care. Difficulties accessing dental care include finances, transportation, fear, issues with Medicaid coverage and parental responsibility. In general, adolescents and their parents are in need of information regarding the importance of preventive dental care.
CONCLUSIONS
Findings illuminate barriers to dental care faced by low‐income rural adolescents and counter public perceptions of government‐sponsored dental care programs as being “free” or without cost. The importance of improved oral health knowledge, better access to care, and school‐based dental care is discussed.</abstract><cop>Malden, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>25388597</pmid><doi>10.1111/josh.12215</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-4391 |
| ispartof | The Journal of school health, 2014-12, Vol.84 (12), p.802-809 |
| issn | 0022-4391 1746-1561 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4472454 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley; ERIC |
| subjects | Access to Health Care Adolescent Adolescent Behavior - psychology Adolescents Aesthetics African Americans At Risk Persons Attitude Measures Attitude to Health - ethnology Barriers Behavior Biological and medical sciences Black or African American Care and treatment care-seeking Child Dental care Dental care services Dental Health Dental Health Services - economics Dental Health Services - statistics & numerical data Dental Health Services - supply & distribution Dental hygiene Dental insurance Dentistry Diseases Female Florida Health aspects Health Behavior Health Insurance Health Status Disparities Humans Interviews as Topic Low Income Groups Male Medicaid - economics Medicaid - standards Medicaid - statistics & numerical data Medical sciences Medically Underserved Area Minority Group Children Minority Health Miscellaneous Mouth oral health Oral hygiene Parent Responsibility Parents Patient Acceptance of Health Care - ethnology Patient Acceptance of Health Care - psychology Perceptions Poverty Areas Prevention Prevention and actions Public health. Hygiene Public health. Hygiene-occupational medicine Public opinion Qualitative Research rural Rural Areas Rural Health Rural youth Semi Structured Interviews Teenagers Tooth Diseases - economics Tooth Diseases - ethnology Tooth Diseases - prevention & control Transportation United States Utilization |
| title | Perceptions of Oral Health, Preventive Care, and Care-Seeking Behaviors Among Rural Adolescents |
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