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Understanding avoidance and non-attendance among adolescents in dental care: an integrative review
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Public Dental Service, Region Örebro County, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-4226-6064
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Public Dental Service, Region Örebro County, Örebro, Sweden.
2016 (English)In: Community Dental Health, ISSN 0265-539X, Vol. 33, no 3, 195-207 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To review articles exploring manifestations of avoidance of or non-attendance to dental care, to identify background and concomitant factors specifically associated with dental avoidance among adolescents.

Methods: PubMed, CINAHL and PsychINFO were searched using MeSH terms and keywords covering dental avoidance, non-attendance and non-utilization. Searches were limited to peer-reviewed studies in English, published in 1994– 2014. Twenty-one research articles were included. Data were extracted, ordered, coded, categorized, and summarized according to the integrative review method.

Results: The identified factors formed three common major themes: Environmental, Individual and Situational factors. Only seven studies, all from Sweden or Norway, investigated factors associated with dental avoidance. The remaining 14 studies were geographically widespread. Regarding avoidance, the main focus was found to be on individual and situational factors, while environmental factors were more often investigated for the outcome non-attendance.

Conclusions: Although a wide variety of environmental, individual and situational factors could be summarized in this review, factors specifically associated with dental avoidance in a context of free dental care still need to be investigated. The possible impacts of cultural background, of tobacco, alcohol or drug use and of psycho-social circumstances deserve further research. Clinical implications of today’s knowledge may be to pay attention to the adolescents’ individual background and everyday life situation, to offer agreed and individualized treatment, taking fears and attitudes into consideration, to avoid painful treatments, and to be alert for early signs of avoidance.

Place, publisher, year, edition, pages
Suffolk, United Kingdom: FDI World Dental Press Ltd., 2016. Vol. 33, no 3, 195-207 p.
Keyword [en]
Dental health services, health care utilization, adolescent, review
National Category
Dentistry
Identifiers
URN: urn:nbn:se:oru:diva-47374DOI: 10.1922/CDH_3829Fagerstad13ISI: 000390932100005OAI: oai:DiVA.org:oru-47374DiVA: diva2:892587
Note

Funding Agency:

Public Dental Service, Region Orebro County, Sweden

Available from: 2016-01-11 Created: 2016-01-11 Last updated: 2017-02-10Bibliographically approved

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Fägerstad, AnidaWindahl, JennyArnrup, Kristina
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CiteExportLink to record
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Citation style
  • apa
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