scholarly journals Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study

2021 ◽  
Vol 18 (21) ◽  
pp. 11559
Author(s):  
Yonas Kidane ◽  
Sandra Ziegler ◽  
Verena Keck ◽  
Janine Benson-Martin ◽  
Albrecht Jahn ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Dental Care ◽  
Asylum Seekers ◽  
Dental Treatment ◽  
Healthcare Services ◽  
Oral Health Care ◽  
Structured Interviews ◽  
Refugees And Asylum Seekers

Oral health concerns in Eritrean refugees have been an overlooked subject. This qualitative study explored the access of Eritrean refugees and asylum-seekers (ERNRAS) to oral health care services in Heidelberg, Germany, as well as their perceptions and attitudes towards oral health care. It involved 25 participants. We employed online semi-structured interviews (n = 15) and focus group discussions (n = 2). The data was recorded, transcribed, and analysed, using thematic analysis. The study found out that most of the participants have a relatively realistic perception and understanding of oral health. However, they have poor dental care practices, whilst a few have certain misconceptions of the conventional oral hygiene tools. Along with the majority’s concerns regarding psychosocial attributes of poor oral health, some participants are routinely consuming Berbere (a traditional spice-blended pepper) to prevent bad breath. Structural or supply-side barriers to oral healthcare services included: communication hurdles; difficulty in identifying and navigating the German health system; gaps in transculturally, professionally, and communicationally competent oral health professionals; cost of dental treatment; entitlement issues (asylum-seekers); and appointment mechanisms. Individual or demand-side barriers comprised: lack of self-sufficiency; issue related to dental care beliefs, trust, and expectation from dentists; negligence and lack of adherence to dental treatment follow-up; and fear or apprehension of dental treatment. To address the oral health burdens of ERNRAS, it is advised to consider oral health education, language-specific, inclusive, and culturally and professionally appropriate healthcare services.

scholarly journals Oral health problems facing refugees in Europe: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eiad Zinah ◽  
Heba M. Al-Ibrahim
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Scoping Review ◽  
Asylum Seekers ◽  
Critical Appraisal ◽  
Oral Health Care ◽  
Health Problems ◽  
Host Countries ◽  
Refugees And Asylum Seekers

Abstract Introduction Europe has been experiencing a flow of refugees and asylum seekers driven by conflicts or poverty. Their oral health is often neglected despite its clear impact on quality of life. Objective To explore the status of oral health among refugees and asylum seekers groups by examining the available literature and to determine which evidence exists regarding the problems they face in terms of oral health. Methods The current paper followed PRISMA guidelines. A scoping review methodology was followed to retrieve 2911 records from five databases and grey literature. Twelve articles met the following inclusion criteria: experimental research concentrated on the oral and dental health of refugees and/or asylum seekers between 1995 and 2020 in English. Analysis was both descriptive and thematic, whilst a critical appraisal was applied using the Critical Appraisal Skills Program (CASP). Results Seven studies (58,3%) were quantitative, while five studies (41,6%) were qualitative. In general, the quality of most of the studies (83.3%) was good. Limited access to oral health care services was shown with a higher prevalence of oral diseases compared to the native populations of the host countries. Approaches to improve oral health have been implemented in some studies and have shown positive outcomes. Conclusions Oral health care strategies should consider the oral health problems facing refugees in Europe, and oral health promotion campaigns are essential to give adequate guidance on how to access oral health care in the host countries.

Barriers to Oral health care in patients with special needs-A Cross-sectional study

2021 ◽  
pp. 2167-2171
Author(s):  
Nandhini Subramaniam ◽  
Arvind Muthukrishnan
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Special Needs ◽  
Dental Care ◽  
Dental Treatment ◽  
Oral Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients With Special Needs

Aim- This cross-sectional study aimed to identify the barriers to receive oral care among patients with special health care needs. Materials and methods: This cross-sectional study was conducted among 50 patients seeking dental treatment in the special care unit of Oral medicine department. A self-administered questionnaire was employed for data collection. Results: It was found that nearly 56% of respondents listed fear towards dental treatment as an important barrier which in turn prevents them from gaining access to dental care. Around 52% of patients considered their underlying medical problem as a reason for not seeking dental care as their comorbid condition would increase their fear of dental treatment, 43% of patients considered physical barriers or in need of caretakers as a barrier to Dental care. 10% of the population stated that they do not have barriers to access Dental care. Conclusion: The major barriers to oral health care utilization among patients with special needs were fear-related and hence these patients need attention towards fear alleviation and make dental care painless and simple.

scholarly journals Oral health care quality as viewed by leading dentists and their superiors – a qualitative study

2021 ◽  
pp. 1-6
Author(s):  
Pekka Salkinoja ◽  
Tiina Tuononen ◽  
Anna Liisa Suominen ◽  
Johanna Lammintakanen ◽  
Eero Raittio
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Health Care Quality ◽  
Oral Health Care ◽  
Care Quality

Programs and Policies Targeted to Improve Access to Dental Care for Low Income Adults and Children in the US: An Integrative Literature Review

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Davis AL ◽  
◽  
Zare H ◽  
Kanwar O ◽  
McCleary R ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Literature Review ◽  
Low Income ◽  
Dental Care ◽  
Oral Health Care ◽  
Oral Health Literacy ◽  
The Us ◽  
Access To Dental Care

Objective: The authors conducted an integrative literature review of recent studies that explored the impact of interventions implemented in the U.S. that focused on improving access to dental care for low-income and vulnerable populations. Methods: The authors conducted an integrative literature review of studies published between 2012-2018 that addressed six oral health policy spheres. 1) Community-based dental access programs; (2) Medicaid reimbursement and expansion; (3) Student loan support; (4) Oral health services in non-traditional settings and dental residency programs; (5) Programs to improve oral health literacy; and (6) Use of dental therapists. Results: The authors included 39 articles for qualitative synthesis. Numerous public health initiatives and programs exist in the US aimed at increasing access to quality oral health care. Medicaid expansion, increased Medicaid fee-for-service reimbursement rates, and state loan repayment programs have demonstrated some success in improving access among underserved populations. A diversified dental workforce, with community dental health workers and mid-level providers like dental therapists, as well as interprofessional training of nurses and primary-care physicians in oral health have also shown positive impacts in advancing health equity. Further studies are needed to understand how oral health literacy programs can affect access and utilization of dental services. Conclusions: Improvements to the oral health care safety net will require a holistic and multifaceted approach in order to reduce oral health disparities. Policy levers should work, not in isolation, but rather in complementary fashion to one another.

scholarly journals The Effect of Physician Oral Health Services on Dental Use and Expenditures under General Anesthesia

2019 ◽  
Vol 5 (2) ◽  
pp. 146-155 ◽  
Author(s):  
B.D. Meyer ◽  
R. Wang ◽  
M.J. Steiner ◽  
J.S. Preisser
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Health Services ◽  
General Anesthesia ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Oral Health Care ◽  
Oral Health Services ◽  
The Impact

Background: Despite early evidence touting the effectiveness of physician-provided oral health services (POHS), recent evidence suggests these services might have little impact on caries-related outcomes in children. General anesthesia (GA) is often used to treat early childhood caries and may be considered the most extreme utilization outcome. We sought to assess the impact of POHS utilization on dental GA utilization and expenditures. Methods: We used the Medicaid claims of a birth cohort of children born in 2008 in North Carolina ( N = 32,558) to determine the impact of POHS on dental utilization and expenditures under GA for individual children. Children were followed until their eighth birthday. We analyzed the association of the number of prior POHS visits with visit-specific outcomes of dental treatment under GA using population-averaged models fit with generalized estimating equations with exchangeable working correlation structure. Results: Children with 2 or more previous POHS visits had reduced odds of GA (odds ratio [OR] = 0.93; confidence interval [CI], 0.87–0.99; P = 0.029) and expenditures ($114; CI,−$152.61 to −$75.19; P < 0.001) compared to those without physician-provided oral health visits, adjusting for age, sex, race/ethnicity, and geographic residence. Dental expenditures did not differ between POHS and non-POHS subjects at non-GA visits. Conclusions: POHS decreased the odds of having dental GA treatment and dental expenditures at GA visits. The role of physicians in oral health care can reduce the impact on the most severe outcome—treatment under general anesthesia. Knowledge Transfer Statement: The results of this study have important financial implications for state Medicaid programs and disease management programs trying to mitigate the costs of treating early childhood caries under general anesthesia. Children who receive physician oral health care are less likely to use and more likely to save money on general anesthesia to complete dental treatment.

scholarly journals Oral health care-seeking behaviour and influencing factors among 18-34 years old women in Kochi, India

2020 ◽  
Vol 7 (11) ◽  
pp. 4478
Author(s):  
Nija M. A. ◽  
Geethu Gireesh ◽  
Minu Maria Mathew ◽  
Ramanarayanan Venkitachalam
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Health ◽  
Oral Health Care ◽  
System Level ◽  
Health Seeking ◽  
Factors Affecting ◽  
Dental Health Care ◽  
Personal Level

Background: Oral health, though an integral part of general health, is accorded low priority and remains an issue of neglect. Women during their reproductive years suffer from various oral problems that warrant timely utilization of care. Understanding factors affecting health-seeking behavior is necessary. The objective of this study was to determine the personal level and system-level factors that affect utilization of oral health care among 18-34 year-old women visiting a dental health care facility.Methods: A cross-sectional questionnaire-based study was conducted among 18-34 year old women. Participants were recruited using convenience sampling from a tertiary dental health care facility. A Chi-square test was used to determine the association of sociodemographic variables on factors affecting the utilization of oral care.Results: A total of 194 responses were obtained. The mean age of study participants was 27.1±5.2 years. Around 62% of women suffered from multiple dental problems in the past year of which tooth decay and swelling of gums were most common. About 68% of them sought treatment with a dentist. Half of the respondents were themselves responsible for making health care decisions. 55% of the participants reported barriers in availing dental care. The cost of dental treatment, fear of pain, and lack of time were the most commonly reported barriers.Conclusions: Oral health-seeking behaviour among women was found to be good with regard to dental attendance. Personal level barriers were greater than system-level barriers in availing dental care.

scholarly journals Qualitative Study on Perception of Antenatal Mothers towards Oral Health Care: In-depth interview

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Noorhazayti Ab. Halim ◽  
Rashidah Esa ◽  
Md Muziman Syah
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Information ◽  
Health Knowledge ◽  
Healthcare Services ◽  
Oral Health Care ◽  
Basic Knowledge ◽  
Health Practices ◽  
Oral Health Knowledge ◽  
Oral Health Practices

Introduction: Attending regular dental check-up is very important to pregnant women. However, many women do not utilize oral healthcare services during the antenatal period. It had been reported in Health Information Management System report (MOH, 2007) that the attendance of antenatal mothers to dental clinic were unsatisfactory. Therefore, the aim of this research was to explore the perception of antenatal mothers towards oral health care. Materials and Methods: In-depth interviews were carried out with a convenience sampling of 20 antenatal mothers across three government health clinics in Selangor, Malaysia. The interview using guided questions which explored participant’s oral health knowledge, attitude and oral health practice. All interviews were audio recorded, transcribed verbatim and analysed by thematic analysis. The interviews were carried out until the saturation of information were achieved. Results: The main themes emerging from the data related to low oral health knowledge, poor attitude and oral health practices during pregnancy. Although all participants have basic knowledge of dental caries development, however, many of them unaware of the significance of preventive dental visits during pregnancy. Poor attitudes and oral health practices among antenatal mothers in this study were due to they had not received the necessary oral health information. Conclusion: Antenatal mother’s perception of oral health care crucially impacts on oral health status, continuity of utilization of oral healthcare services and hence pregnancy outcome. Their views provided a baseline information for planning and formulating appropriate oral health education and promotion strategies.

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