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Barriers and facilitators for adolescent girls to take on adult responsibility for dental care: a qualitative study
Örebro universitet, Institutionen för hälsovetenskaper. Public Dental Service, Region Örebro County, Örebro, Sweden.
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. University Health Care Research Center.ORCID-id: 0000-0002-0714-0167
2019 (Engelska)Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, nr 1, artikel-id 1678971Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Purpose: This study aims to explore and describe experiences of the dental care system among adolescent dental patients with a recent history of missed dental appointments at public dental clinics (PDCs) in a Swedish county.

Methods: Twelve adolescent girls participated in the study. Data were collected by individual, semi-structured, open-ended interviews and analysed with qualitative content analysis.

Results: The study findings could be summed into the theme ?Triggers for adolescent girls to take on or not take on adult responsibility for dental care?. The experience of free dental care could be summarized in five main categories: Pain and discomfort; Attractive and healthy teeth; Feeling safe and secure; Taking on the responsibility; and Free of charge. These five categories consisted of 15 subcategories.

Conclusions: The results of this study should increase the knowledge on how to meet and treat adolescent girls in dental care. Knowing what will happen during the dental visit was highlighted by the participants as decisive to whether or not they would attend their dental appointments. Therefore, we should as far as possible ensure that our patients feel safe at their dental visits and by trying to avoid painful treatments.

Ort, förlag, år, upplaga, sidor
Taylor & Francis, 2019. Vol. 14, nr 1, artikel-id 1678971
Nyckelord [en]
Dental care, dental attendance, adolescent, content analysis
Nationell ämneskategori
Omvårdnad Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:oru:diva-77601DOI: 10.1080/17482631.2019.1678971ISI: 000490054100001PubMedID: 31608818Scopus ID: 2-s2.0-85073161662OAI: oai:DiVA.org:oru-77601DiVA, id: diva2:1365484
Anmärkning

Funding Agencies:

Public Dental Service, Region Örebro County, Sweden  

Örebro University, Örebro, Sweden 

Tillgänglig från: 2019-10-25 Skapad: 2019-10-25 Senast uppdaterad: 2019-10-29Bibliografiskt granskad
Ingår i avhandling
1. No-shows in dental care: perspectives on adolescents' attendance pattern
Öppna denna publikation i ny flik eller fönster >>No-shows in dental care: perspectives on adolescents' attendance pattern
2019 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

All children and adolescents living in Sweden have free dental care with regular check-ups. Yet, missed and cancelled dental appointments are not unusual. The overall aim was to explore potential explanatory factors associated with non-regular dental care and to seek a deeper understanding of why some adolescents fail to attend their dental appointments.

An integrative review (Paper I) identified and summarized different sets of environmental, individual and situational factors that could be associated with dental avoidance or non-attendance. Paper II found similar levels of dental fear between children and adolescents (8-19 yrs) with a Swedish or a non-Swedish background. The occurrence and patterns of missed dental appointments among 16–19-year-olds were investigated in Paper III, where we report that 13.1% of 23 522 booked dental appointments were missed in 2012. Boys had more missed appointments than girls, while no age differences were found. In a case-control design, adolescents with missed appointments more often had sociodemographic load, dental fear or dental behaviour management problems, poor oral health, emergency visits, tooth extractions, operative treatments, and over the past years, more missed and cancelled appointments. A history of missed and cancelled dental appointments predicted future missed and cancelled appointments. Twelve adolescent girls with missed appointments were interviewed in Paper IV and described several potential barriers or facilitators to accessing dental care. They highlighted that knowing what will happen during the dental visit was decisive to whether or not they would attend their appointments.

In conclusion, factors specifically associated with dental avoidance still need to be investigated. Dental fear should still be seen as potential causal factor for dental avoidance. Missed and cancelled dental appointments should never be ignored since they could predict future missed and cancelled appointments. The results indicate that missed dental appointments among adolescents remain a challenge for Swedish dental care.

Ort, förlag, år, upplaga, sidor
Örebro: Örebro University, 2019. s. 96
Serie
Örebro Studies in Medicine, ISSN 1652-4063 ; 202
Nyckelord
Adolescents, avoidance, dental attendance, dental care, dental fear, dental health services, oral health, utilization
Nationell ämneskategori
Annan hälsovetenskap
Identifikatorer
urn:nbn:se:oru:diva-76141 (URN)978-91-7529-307-3 (ISBN)
Disputation
2019-11-22, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 09:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2019-09-06 Skapad: 2019-09-06 Senast uppdaterad: 2019-10-29Bibliografiskt granskad

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Fägerstad, AnidaArnrup, KristinaCarlsson, Eva

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Institutionen för hälsovetenskaperRegion Örebro län
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International Journal of Qualitative Studies on Health and Well-being
OmvårdnadFolkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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