Dental Fear and Delayed Dental Care in Appalachia-West Virginia
Identifieur interne : 005E68 ( Ncbi/Merge ); précédent : 005E67; suivant : 005E69Dental Fear and Delayed Dental Care in Appalachia-West Virginia
Auteurs : R. Constance WienerSource :
- Journal of dental hygiene : JDH / American Dental Hygienists' Association [ 1043-254X ] ; 2015.
Abstract
The people of Appalachia-West Virginia are culturally unique and are known to have oral health disparities. The purpose of this study was to evaluate dental fear in relation to delayed dental care as a factor influencing oral health behaviors within this culture.
A cross sectional study design was used. Participants were urgent care patients in a university dental clinic. The sample included 140 adults over age 18 years. The Dental Fear Survey was used to determine dental fear level. Self-report of delayed dental care was provided by the participants. The Dental Fear Survey was dichotomized at score 33, with higher scores indicating dental fear.
The prevalence of dental fear was 47.1% (n=66). There was a significant association of dental fear and dental delay. The unadjusted odds ratio was 2.87 (95% CI: 1.17, 7.04; p=0.021). The adjusted odds ratio was 3.83 (95%CI: 1.14, 12.82; p=0.030), controlling for tobacco use, perceived oral health status, pain, and last dental visit. A difference in dental delay between men and women was not present in this sample. The only significant variable in delayed dental care was dental fear.
In Appalachia-West Virginia , there remains a high level of dental fear, despite advances in dental care, techniques, and procedures.
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PubMed: 26304952
PubMed Central: 4564007
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8902616</journal-id><journal-id journal-id-type="pubmed-jr-id">5036</journal-id><journal-id journal-id-type="nlm-ta">J Dent Hyg</journal-id><journal-id journal-id-type="iso-abbrev">J Dent Hyg</journal-id><journal-title-group><journal-title>Journal of dental hygiene : JDH / American Dental Hygienists' Association</journal-title></journal-title-group><issn pub-type="ppub">1043-254X</issn><issn pub-type="epub">1553-0205</issn></journal-meta><article-meta><article-id pub-id-type="pmid">26304952</article-id><article-id pub-id-type="pmc">4564007</article-id><article-id pub-id-type="manuscript">NIHMS720230</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Dental Fear and Delayed Dental Care in Appalachia-West Virginia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wiener</surname><given-names>R. Constance</given-names></name><degrees>DMD, PhD</degrees><aff id="A1">Assistant professor in the Department of Dental Practice and Rural Health in the School of Dentistry, and the Department of Epidemiology in the School of Public Health at West Virginia University, Morgantown, WV</aff></contrib></contrib-group><pub-date pub-type="nihms-submitted"><day>4</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>8</month><year>2016</year></pub-date><volume>89</volume><issue>4</issue><fpage>274</fpage><lpage>281</lpage><abstract><sec id="S1"><title>Purpose</title><p id="P1">The people of Appalachia-West Virginia are culturally unique and are known to have oral health disparities. The purpose of this study was to evaluate dental fear in relation to delayed dental care as a factor influencing oral health behaviors within this culture.</p></sec><sec id="S2"><title>Methods</title><p id="P2">A cross sectional study design was used. Participants were urgent care patients in a university dental clinic. The sample included 140 adults over age 18 years. The Dental Fear Survey was used to determine dental fear level. Self-report of delayed dental care was provided by the participants. The Dental Fear Survey was dichotomized at score 33, with higher scores indicating dental fear.</p></sec><sec id="S3"><title>Results</title><p id="P3">The prevalence of dental fear was 47.1% (n=66). There was a significant association of dental fear and dental delay. The unadjusted odds ratio was 2.87 (95% CI: 1.17, 7.04; p=0.021). The adjusted odds ratio was 3.83 (95%CI: 1.14, 12.82; p=0.030), controlling for tobacco use, perceived oral health status, pain, and last dental visit. A difference in dental delay between men and women was not present in this sample. The only significant variable in delayed dental care was dental fear.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">In Appalachia-West Virginia , there remains a high level of dental fear, despite advances in dental care, techniques, and procedures.</p></sec></abstract><kwd-group><kwd>Unmet need</kwd><kwd>delayed dental care</kwd><kwd>dental fear</kwd><kwd>dental anxiety</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Wiener, R Constance" sort="Wiener, R Constance" uniqKey="Wiener R" first="R. Constance" last="Wiener">R. Constance Wiener</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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