Oral Health Intervention for Low-Income African American Men in Atlanta, Georgia

Hoffman, LaShawn; Rollins, Latrice; Akintobi, Tabia Henry; Erwin, Katherine; Lewis, Kimberly; Hernandez, Natalie; Miller, Assia

doi:10.2105/ajph.2017.303760

Cited by 13 publications

(14 citation statements)

References 24 publications

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“…Our findings suggest similar solutions to reducing oral health disparities among African-Americans as Hoffman et al 17 Study participants confirmed that improving knowledge and attitudes through dental education at an earlier age, will improve behaviors and attitudes toward their oral health as adults. However, patient care seeking behavior does not solely depend on insurance coverage or dental education.…”

Section: Discussionsupporting

confidence: 82%

“…There are very limited studies that test the effectiveness of existing oral health educational materials developed for African-American seniors. 16 Despite the recent evidence on the underlying pathways for oral health disparities among African-American men, 17 several knowledge gaps remain in relation to African-American women, who may have different barriers to their oral health care. 18 Furthermore, limited studies involve a holistic understanding or use a qualitative approach to explore the various causes of these oral health disparities among African-Americans.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

Kohli

Howk

Davis

2020

Journal of Advanced Oral Research

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Objective: To identify African-American seniors’ perceptions of the barriers and facilitators to their dental care. Materials and Methods: In this cross-sectional qualitative study, we conducted in-depth interviews with 16 community-based, self-identified African-American seniors from March 2017 to August 2017 in Oregon. We coded data in ATLAS.ti and used thematic analysis to identify emergent themes within the social ecological framework and a cross-case comparative analysis to explore variation by participant characteristics. Results: Regardless of dental insurance status, cost and perceived urgency of treatment were the primary drivers of participant’s ability and interest in seeking dental care. Participants identified four solutions to improve oral health care in African-American seniors: affordable/free care and vouchers for dental work, better oral health education at a younger age, onsite community dental services, and navigators who can educate patients about insurance and dental providers who see low-income patients. Conclusions: Oral health decisions by African-American seniors were primarily driven by cost and perceived urgency irrespective of insurance coverage. Affordable dental care, early intervention, on-site services, and navigation may help to address key barriers and reduce oral health disparities faced by African-Americans.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

Kohli

Howk

Davis

2020

Journal of Advanced Oral Research

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“…In an unadjusted analysis, lower OHL was found in racial minorities, those with lower education, unemployed or disabled individuals, single individuals, and those without a regular source of primary care or without dental insurance. These results are not surprising given that disparities among racial and ethnic minorities, men, low-income, and uninsured individuals are well documented [11,12,13,14,15,16,17,18,19]. Prior studies have reported on the effectiveness of educational interventions for improving oral health [31].…”

Section: Discussionmentioning

confidence: 95%

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Henderson

Dalawari

Fitzgerald

et al. 2018

IJERPH

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To examine the association between oral health literacy (OHL) with sociodemographic variables and dental visitation in adults presenting to an urban emergency department (ED). Methods: This was a cross-sectional study of a convenience sample of 556 adults aged 18–90. Interview data from the study were used to collect self-reported sociodemographic characteristics and dental visitation history. The OHL of the study participants was measured using the Health Literacy in Dentistry scale (HeLD-14), and the score was dichotomized into low and high OHL. Bivariate associations between sociodemographic variables and OHL were conducted using chi-square tests, and logistic regression was used to examine the association between OHL and dental visitation within the past year. Results: Sixty percent of participants reported having visited a dentist within the past year. Over two-thirds of the sample was classified as having low OHL. Low OHL was more common in non-White races, less-educated, single, unemployed, and lower-income individuals, and those without a primary care physician or dental insurance (p < 0.05). Patients with low oral health literacy were 39% less likely to have visited the dentist in the past year (OR = 0.61; 95% CI 0.38, 0.96). Conclusions: This study highlights significant disparities in OHL. Interventions targeted toward the unique needs of underserved populations should be developed to improve health outcomes.

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“…In the United States (US) and globally, poor oral health is a major, but preventable public health problem [ 1 , 2 , 3 ]. Disparities and inequities in oral diseases are also a serious social justice concern, as low-income and marginalized groups are disproportionately impacted by poor oral health [ 2 , 3 , 4 , 5 , 6 , 7 , 8 ]. In addition to a lack of access to care, oral health literacy (OHL) is a major factor in these disparities.…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California

Tseng

Pleasants

Ivey

et al. 2020

IJERPH

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Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association’s (AMA) recommended communication techniques and only 3 of the 7 AMA’s basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.

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Oral Health Intervention for Low-Income African American Men in Atlanta, Georgia

Abstract: Community-based oral health educational interventions designed for African American men may reduce oral health disparities among this population.

Cited by 13 publications

References 24 publications

Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

Barriers and Facilitators of Dental Care in African-American Seniors: A Qualitative Study of Consumers’ Perspective

Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population

Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California

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