Types of dental fear as barriers to dental care among African American adults with oral health symptoms in Harlem.

Types of dental fear as barriers to dental care among African American adults with oral health symptoms in Harlem.
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DOI:
10.1353/hpu.2012.0088
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发表时间:
2012-08
影响因子:
1.4
通讯作者:
Mitchell DA
Mitchell DA
中科院分区:
医学4区
文献类型:
--
作者:
Siegel K;Schrimshaw EW;Kunzel C;Wolfson NH;Moon-Howard J;Moats HL;Mitchell DA

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为了研究非裔美国成年人经历的牙科恐惧类型以及这些恐惧在利用牙科护理中的作用,我们对居住在纽约市哈莱姆区的 118 名非裔美国人进行了深入访谈,这些人在过去六个月中至少经历过一种口腔健康症状。尽管存在口腔症状,但参与者由于各种牙科恐惧而推迟或避免牙科护理(通常长达数年),包括担心:1)针头疼痛; 2)牙钻; 3) 拔牙; 4)因使用不卫生的器具而感染疾病(例如艾滋病毒/艾滋病); 5)X射线; 6) 接受质量差的护理或虐待。这些发现深入了解了引起非裔美国人对牙科治疗恐惧的情况,并提出了解决这些恐惧的策略,以消除这些障碍并增加非裔美国成年人对牙科护理的利用。
To examine the types of dental fear experienced by African American adults and the role of these fears in the utilization of dental care, in-depth interviews were conducted with a street-intercept sample of 118 African Americans living in Harlem, New York City, who had experienced at least one oral health symptom in the past six months. Despite their oral symptoms, participants delayed or avoided dental care (often for years) due to a variety of dental fears, including fears of: 1) pain from needles; 2) the dental drill; 3) having teeth extracted; 4) contracting an illness (e.g., HIV/AIDS) from unsanitary instruments; 5) X-rays; 6) receiving poor quality care or mistreatment. These findings provide insights into the situations that provoke fears about dental treatment among African Americans and suggest strategies to address these fears in order to remove these barriers and increase the utilization of dental care by African American adults.
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