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Barriers and facilitators for adolescent girls to take on adult responsibility for dental care: a qualitative study
Örebro University, School of Health Sciences. Public Dental Service, Region Örebro County, Örebro, Sweden.
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Örebro University, School of Health Sciences. University Health Care Research Center.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-0714-0167
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1678971Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Taylor & Francis, 2019. Vol. 14, no 1, article id 1678971
Keywords [en]
Dental care, dental attendance, adolescent, content analysis
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
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
Note

Funding Agencies:

Public Dental Service, Region Örebro County, Sweden  

Örebro University, Örebro, Sweden 

Available from: 2019-10-25 Created: 2019-10-25 Last updated: 2019-10-29Bibliographically approved
In thesis
1. No-shows in dental care: perspectives on adolescents' attendance pattern
Open this publication in new window or tab >>No-shows in dental care: perspectives on adolescents' attendance pattern
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2019. p. 96
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 202
Keywords
Adolescents, avoidance, dental attendance, dental care, dental fear, dental health services, oral health, utilization
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-76141 (URN)978-91-7529-307-3 (ISBN)
Public defence
2019-11-22, Örebro universitet, Campus USÖ, hörsal C1, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2019-09-06 Created: 2019-09-06 Last updated: 2019-10-29Bibliographically approved

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Fägerstad, AnidaArnrup, KristinaCarlsson, Eva

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