Dental Pain in Homeless Adults in Porto Alegre, Brazil

Comassetto, Marcela Obst; Hugo, Fernando Neves; Neves, Matheus; Hilgert, Juliana Balbinot

doi:10.1111/idj.12626

Cited by 4 publications

(2 citation statements)

References 32 publications

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“…It leads to low self-esteem, stigma, social isolation, and reduced employability ( 10 , 11 , 22 ). As a result, patients may also use drugs and alcohol to cope with dental pain, leading to further deterioration of dental health and perpetuating the SMD cycle ( 2 , 21 , 23 ).…”

Section: Introductionmentioning

confidence: 99%

Developing oral health services for people experiencing severe and multiple disadvantage: a case study from Southwest England

Paisi,

Withers,

Anderson

et al. 2024

Front. Oral. Health

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People experiencing severe and multiple disadvantage (SMD) have disproportionately high levels of dental disease and tooth loss but have limited access to dental care. This paper presents an evidence-based case study of co-designing, implementing, evaluating and refining a community dental clinic for people experiencing SMD in the Southwest of England. It shares challenges, lessons, and solutions. Tailored interventions that coordinate flexible and responsive care are important for facilitating dental access for individuals experiencing SMD. Participatory approaches can deliver a range of impacts both on research and service development. No single fixed model of co-design can be applied in service development, and the choice will vary depending on local context, available resources and joint decision making. Through co-design, vulnerable populations such as those with SMD can shape dental services that are more acceptable, appropriate and responsive to their needs. This approach can also ensure long-term sustainability by bridging treatment pathway development and commissioning.

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Section: Introductionmentioning

confidence: 99%

Developing oral health services for people experiencing severe and multiple disadvantage: a case study from Southwest England

Paisi,

Withers,

Anderson

et al. 2024

Front. Oral. Health

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show abstract

“…Further, characteristics of the healthcare system (e.g., lack of training in dealing with socially excluded groups, the cost of care, and problems in registering patients with no fixed address) also serve as prominent barriers to dental care for SMD groups [ 14 ]. Due to these barriers to accessing care, people facing SMD often resort to increased drug and alcohol to manage issues such as dental pain, creating a cycle of continuous deterioration of their oral health and perpetuating the cycle of SMD [ 6 , 7 , 13 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effectiveness and Acceptability of Oral Health and Related Health Behaviour Interventions in Adults with Severe and Multiple Disadvantage: Protocol for a Mixed-Methods Systematic Review

McGowan

Joyes

Adams

et al. 2021

IJERPH

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Increasing numbers of people in England experience homelessness, substance use, and repeated offending (known as ‘severe and multiple disadvantage’; SMD). Populations experiencing SMD often have extremely poor oral health, which is closely inter-linked with high levels of substance use, smoking, and poor diet. This study aims to undertake an evidence synthesis to identify the effectiveness, resource requirements, and factors influencing the implementation and acceptability of oral health and related health behaviour interventions in adults experiencing SMD. Two systematic reviews will be conducted using mixed-methods. Review 1 will investigate the effectiveness and resource implications of oral health and related health behaviours (substance use, smoking, diet) interventions; Review 2 will investigate factors influencing the implementation of such interventions. The population includes adults (≥18 years) experiencing SMD. Standard review methods in terms of searches, screening, data extraction, and quality appraisal will be conducted. Narrative syntheses will be conducted. If feasible, a meta-analysis will be conducted for Review 1 and a thematic synthesis for Review 2. Evidence from the two reviews will then be synthesised together. Input from people with experience of SMD will be sought throughout to inform the reviews. An initial logic model will be iteratively refined during the review.

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Pain in People Experiencing Homelessness: A Scoping Review

Anastas

Stewart

Rand

et al. 2023

Annals of Behavioral Medicine

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Background Prior work suggests that people experiencing homelessness (PEH) are at heightened risk for developing pain and have a uniquely burdensome pain experience. Purpose The aim of this scoping review was to map the current peer-reviewed, published literature on the pain experience of PEH. Methods In accordance with the US Annual Homeless Assessment Report, we defined homelessness as lacking shelter or a fixed address within the last year. We conceptualized the pain experience via a modified version of the Social Communication Model of Pain, which considers patient, provider, and contextual factors. Published articles were identified with CINHAL, Embase, PubMed, PsycINFO, and Web of Science databases. Results Sixty-nine studies met inclusion criteria. Studies revealed that PEH have high rates of pain and experience high levels of pain intensity and interference. Substantially fewer studies examined other factors relevant to the pain experience, such as self-management, treatment-seeking behaviors, and pain management within healthcare settings. Nonetheless, initial evidence suggests that pain is undermanaged in PEH. Conclusions Future research directions to understand pain and homelessness are discussed, including factors contributing to the under-management of pain. This scoping review may inform future work to develop interventions to address the specific pain care needs of PEH.

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Dental Pain in Homeless Adults in Porto Alegre, Brazil

Cited by 4 publications

References 32 publications

Developing oral health services for people experiencing severe and multiple disadvantage: a case study from Southwest England

Developing oral health services for people experiencing severe and multiple disadvantage: a case study from Southwest England

Investigating the Effectiveness and Acceptability of Oral Health and Related Health Behaviour Interventions in Adults with Severe and Multiple Disadvantage: Protocol for a Mixed-Methods Systematic Review

Pain in People Experiencing Homelessness: A Scoping Review

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