Types of Dental Fear as Barriers to Dental Care among African American Adults with Oral Health Symptoms in Harlem

被引:26
|
作者
Siegel, Karolynn [1 ]
Schrimshaw, Eric W. [1 ]
Kunzel, Carol [1 ,2 ]
Wolfson, Natalie H. [1 ,3 ]
Moon-Howard, Joyce [1 ]
Moats, Harmon L. [1 ]
Mitchell, Dennis A. [2 ]
机构
[1] Columbia Univ, Mailman Sch Publ Hlth, Dept Sociomed Sci, New York, NY 10032 USA
[2] Columbia Univ, Sch Dent Med, Div Community Hlth, New York, NY 10032 USA
[3] Univ Med & Dent New Jersey, New Jersey Dent Sch, Newark, NJ 07103 USA
关键词
Dental fear; dental care; pain; infection control; oral health; African Americans; ROOT-CANAL THERAPY; RACIAL-DIFFERENCES; TOOTH LOSS; PREDICTORS; ANXIETY; DETERMINANTS; EXTRACTION; RESIDENTS; PAIN; CITY;
D O I
10.1353/hpu.2012.0088
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To examine the types of dental fear experienced by African American adults and the role of these fears in the utilization of dental care, in-depth interviews were conducted with a street-intercept sample of 118 African Americans living in Harlem, New York City, who had experienced at least one oral health symptom in the past six months. Despite their oral symptoms, participants delayed or avoided dental care (often for years) due to a variety of dental fears, including fears of: 1) pain from needles; 2) the dental drill; 3) having teeth extracted; 4) contracting an illness (e.g., HIV/AIDS) from unsanitary instruments; 5) X-rays; 6) receiving poor quality care or mistreatment. These findings provide insights into the situations that provoke fears about dental treatment among African Americans and suggest strategies to address these fears in order to remove these barriers and increase the utilization of dental care by African American adults.
引用
收藏
页码:1294 / 1309
页数:16
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