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Dental fear among children and adolescents in a multicultural population: a cross-sectional study
Örebro University, School of Health Sciences. Public Dental Service, Örebro County Council, Örebro, Sweden.
Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Örebro University, School of Health Sciences. Public Dental Service, Örebro County Council, Örebro, Sweden.
2015 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 39, no 2, p. 109-120Article in journal (Refereed) Published
Resource type
Text
Abstract [en]

The aim of this study was to explore dental fear in a multicultural population of child and adolescent dental patients, with background, gender, age, and socioeconomic status taken into account. A specific aim was to investigate whether the level of DF differed between patients with a non- Swedish background and patients with a Swedish background.

In conjunction with a routine visit to the dental clinic, 301 patients (8-19 years old) assessed their dental fear on the Children's Fear Survey Schedule - Dental Subscale, using self-ratings. Following an interview protocol, patients' and their parents' country of birth, and parents' education and occupation/employment were registered. An interpreter was present when needed.

Self-rated dental fear was almost equal among patients coming from a non-Swedish background and patients with a Swedish background. Girls scored higher than boys and younger children scored slightly higher compared to older children, but the pattern of dental fear variation was inconsistent. Socioeconomic status differed between the groups with a non- Swedish vs. a Swedish background, but no impact on dental fear was revealed. When children and adolescents with a non-Swedish vs. a Swedish background were modelled separately, female gender and younger age had an impact on dental fear only in the group with a Swedish background.

No differences in dental fear were found between children and adolescents from non-Swedish vs. Swedish backgrounds. Dental fear variations according to gender and age were more pronounced in the group with a Swedish background compared to the group with a non-Swedish background. No impact of socioeconomic status could be revealed.

Place, publisher, year, edition, pages
Stockholm: Swedish Dental Journal , 2015. Vol. 39, no 2, p. 109-120
Keywords [en]
Dental fear, questionnaires, cultural diversity
National Category
Dentistry
Identifiers
URN: urn:nbn:se:oru:diva-51417ISI: 000377057900006PubMedID: 26529836Scopus ID: 2-s2.0-84937907216OAI: oai:DiVA.org:oru-51417DiVA, id: diva2:950067
Note

Funding Agency:

Public Dental Service of Örebro County Council, Örebro, Sweden

Available from: 2016-07-27 Created: 2016-07-19 Last updated: 2019-10-28Bibliographically 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, Kristina

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