Assessment of Oral Health Needs and Barriers to Care in a Gullah Community – Hollywood Smiles
Identifieur interne : 000715 ( Pmc/Checkpoint ); précédent : 000714; suivant : 000716Assessment of Oral Health Needs and Barriers to Care in a Gullah Community – Hollywood Smiles
Auteurs : Renata Leite ; Christine Hudson ; Lynn West ; Elizabeth Carpenter [États-Unis] ; Jeannette O. AndrewsSource :
- Progress in community health partnerships : research, education, and action [ 1557-0541 ] ; 2013.
Abstract
To assess the oral health (OH) needs and barriers to OH care in Gullah African American communities.
A community advisory board was formed to guide the research study. Five focus groups (n=27) were conducted to explore the OH needs/barriers. Participants completed demographic surveys and participated in discussions facilitated by open-ended questions. All sessions were audio-recorded, transcribed and analyzed using NVivo8.
Facilitators of OH included positive experiences and modeling. Fear and access to care were the most cited barriers. Tooth extraction was the dental treatment of choice. Intervention recommendations included improving clinic access, using the churches to socially influence receipt of OH care, providing group educational sessions with OH specialists, and having local “lay people” to provide support and to help navigate OH care systems.
The design of a multi-level culturally and locally relevant intervention may lead to a decrease in OH disparities in Gullah communities.
Url:
DOI: 10.1353/cpr.2013.0016
PubMed: 23793251
PubMed Central: 4097834
Affiliations:
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<author><name sortKey="Leite, Renata" sort="Leite, Renata" uniqKey="Leite R" first="Renata" last="Leite">Renata Leite</name>
<affiliation><nlm:aff id="A1">Division of Periodontics, College of Dental Medicine; Medical University of South Carolina</nlm:aff>
<wicri:noCountry code="subfield">College of Dental Medicine; Medical University of South Carolina</wicri:noCountry>
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<affiliation><nlm:aff id="A2">Center for Oral Health Research, College of Dental Medicine, Medical University of South Carolina</nlm:aff>
<wicri:noCountry code="subfield">Medical University of South Carolina</wicri:noCountry>
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<author><name sortKey="Hudson, Christine" sort="Hudson, Christine" uniqKey="Hudson C" first="Christine" last="Hudson">Christine Hudson</name>
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<author><name sortKey="West, Lynn" sort="West, Lynn" uniqKey="West L" first="Lynn" last="West">Lynn West</name>
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<author><name sortKey="Hudson, Christine" sort="Hudson, Christine" uniqKey="Hudson C" first="Christine" last="Hudson">Christine Hudson</name>
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<wicri:noCountry code="subfield">Medical University of South Carolina</wicri:noCountry>
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<author><name sortKey="West, Lynn" sort="West, Lynn" uniqKey="West L" first="Lynn" last="West">Lynn West</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To assess the oral health (OH) needs and barriers to OH care in Gullah African American communities.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A community advisory board was formed to guide the research study. Five focus groups (n=27) were conducted to explore the OH needs/barriers. Participants completed demographic surveys and participated in discussions facilitated by open-ended questions. All sessions were audio-recorded, transcribed and analyzed using NVivo8.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Facilitators of OH included positive experiences and modeling. Fear and access to care were the most cited barriers. Tooth extraction was the dental treatment of choice. Intervention recommendations included improving clinic access, using the churches to socially influence receipt of OH care, providing group educational sessions with OH specialists, and having local “lay people” to provide support and to help navigate OH care systems.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The design of a multi-level culturally and locally relevant intervention may lead to a decrease in OH disparities in Gullah communities.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101273946</journal-id>
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<journal-id journal-id-type="nlm-ta">Prog Community Health Partnersh</journal-id>
<journal-id journal-id-type="iso-abbrev">Prog Community Health Partnersh</journal-id>
<journal-title-group><journal-title>Progress in community health partnerships : research, education, and action</journal-title>
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<article-id pub-id-type="doi">10.1353/cpr.2013.0016</article-id>
<article-id pub-id-type="manuscript">NIHMS598857</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Assessment of Oral Health Needs and Barriers to Care in a Gullah Community – <italic>Hollywood Smiles</italic>
</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Leite</surname>
<given-names>Renata</given-names>
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<degrees>DDS, MS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Hudson</surname>
<given-names>Christine</given-names>
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<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>West</surname>
<given-names>Lynn</given-names>
</name>
<degrees>MA</degrees>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Carpenter</surname>
<given-names>Elizabeth</given-names>
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<xref ref-type="aff" rid="A3">3</xref>
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<contrib contrib-type="author"><name><surname>Andrews</surname>
<given-names>Jeannette O.</given-names>
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<degrees>PhD, RN, FAAN</degrees>
<xref ref-type="aff" rid="A4">4</xref>
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<aff id="A1"><label>1</label>
Division of Periodontics, College of Dental Medicine; Medical University of South Carolina</aff>
<aff id="A2"><label>2</label>
Center for Oral Health Research, College of Dental Medicine, Medical University of South Carolina</aff>
<aff id="A3"><label>3</label>
Mayor’s Office, Hollywood, SC</aff>
<aff id="A4"><label>4</label>
College of Nursing, Medical University of South Carolina</aff>
<author-notes><corresp id="FN1">Corresponding author: Renata S. Leite, DDS, MS; Division of Periodontitics, Co-Director Center for Oral Health Research Clinical Core, College of Dental Medicine, Medical University of South Carolina, 173 Ashley Ave – BSB 119, MSC 507, Charleston, SC 29425, Phone: (843) 792-3908, Fax: (843) 792-7809, <email>leiter@musc.edu</email>
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<pub-date pub-type="nihms-submitted"><day>6</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><season>Summer</season>
<year>2013</year>
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<pub-date pub-type="pmc-release"><day>15</day>
<month>7</month>
<year>2014</year>
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<issue>2</issue>
<fpage>201</fpage>
<lpage>208</lpage>
<pmc-comment>elocation-id from pubmed: 10.1353/cpr.2013.0016</pmc-comment>
<abstract><sec id="S1"><title>Objectives</title>
<p id="P1">To assess the oral health (OH) needs and barriers to OH care in Gullah African American communities.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A community advisory board was formed to guide the research study. Five focus groups (n=27) were conducted to explore the OH needs/barriers. Participants completed demographic surveys and participated in discussions facilitated by open-ended questions. All sessions were audio-recorded, transcribed and analyzed using NVivo8.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">Facilitators of OH included positive experiences and modeling. Fear and access to care were the most cited barriers. Tooth extraction was the dental treatment of choice. Intervention recommendations included improving clinic access, using the churches to socially influence receipt of OH care, providing group educational sessions with OH specialists, and having local “lay people” to provide support and to help navigate OH care systems.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The design of a multi-level culturally and locally relevant intervention may lead to a decrease in OH disparities in Gullah communities.</p>
</sec>
</abstract>
<kwd-group><kwd>Oral health disparities</kwd>
<kwd>community-based participatory research</kwd>
<kwd>focus group</kwd>
<kwd>Gullah African Americans</kwd>
<kwd>barriers to oral health care</kwd>
<kwd>community oral health promoter</kwd>
<kwd>community partnership</kwd>
</kwd-group>
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</front>
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<affiliations><list><country><li>États-Unis</li>
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<region><li>Caroline du Sud</li>
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<tree><noCountry><name sortKey="Andrews, Jeannette O" sort="Andrews, Jeannette O" uniqKey="Andrews J" first="Jeannette O." last="Andrews">Jeannette O. Andrews</name>
<name sortKey="Hudson, Christine" sort="Hudson, Christine" uniqKey="Hudson C" first="Christine" last="Hudson">Christine Hudson</name>
<name sortKey="Leite, Renata" sort="Leite, Renata" uniqKey="Leite R" first="Renata" last="Leite">Renata Leite</name>
<name sortKey="West, Lynn" sort="West, Lynn" uniqKey="West L" first="Lynn" last="West">Lynn West</name>
</noCountry>
<country name="États-Unis"><region name="Caroline du Sud"><name sortKey="Carpenter, Elizabeth" sort="Carpenter, Elizabeth" uniqKey="Carpenter E" first="Elizabeth" last="Carpenter">Elizabeth Carpenter</name>
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