Understanding oral health help‐seeking among Middle Eastern refugees and asylum seekers in Australia: An exploratory study

Due, Clemence; Aldam, Isadora; Ziersch, Anna

doi:10.1111/cdoe.12524

Cited by 17 publications

(46 citation statements)

References 23 publications

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“…Similar to this result, a previous publication from a refugee camp in Jordan found that pain is the chief complaint among patients inside the camp, and they only come to the dental clinic when they have severe pain (21,22). Moreover, treatment provided were mostly extraction because most of the patients visit the dental clinic in late stages of the problem when nothing can be done to save the tooth (14,23). Other treatments included different kinds of llings, the rst stage of root canal treatment, uoride, scaling, and many other basic dental treatment.…”

Section: Discussionsupporting

confidence: 77%

Oral Health Status and Dental Problems Among the Refugees in Karatepe Refugee Camp in Lesvos, Greece: a Cross-sectional Study

Alhaffar

Sándor

2022

Preprint

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Introduction: Providing dental treatment in humanitarian context has always been a challenge, as dental treatment requires a lot of tools and expensive equipment, and most of the treatment takes long time and effort to finish. This research aims to study the oral health status and the need for dental treatments among the refugees' residents in Karatepe refugee camps in Lesvos Island, Greece. And to study the relation of oral health with different demographic variable and the duration of stay inside the camp.Methods and Materials: A cross-sectional study was conducted to study the oral health status among the refugees, data was collected from the patients after obtaining informed consent to participate in the research. Data regarding demographic variables, oral health (DMFT index), medical history, and the time spend in the camp have been collected. Data was collected between May-September 2021, and the final sample size was 996 patients. SPSS V.22 was used to analyze the data using both descriptive and inferential statistics. Results: Age ranged between 2-73, and was on average 28 years, males were (61.1%), females (38.9%), and the majority of the sample were from Afghanistan (64.9%) and Syria (22.8%). Most of the reugees spent 1-2 years inside the camp (34%). The main complaint of the patients was pain (34.2%), and the main treatment provided was extraction (32.7%). Significant difference was found between age (0.032), nationality (0.002), medical history (0.001), and the time spend in the camp (0.021), however, gender didn't show significant difference (0.072). Conclusion: More attention should be given to oral health as the main complaint of the patients was pain, however, the lack of access to dental services inside the camp makes it hard to save the teeth and makes extraction the only possible solution.

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Section: Discussionsupporting

confidence: 77%

Oral Health Status and Dental Problems Among the Refugees in Karatepe Refugee Camp in Lesvos, Greece: a Cross-sectional Study

Alhaffar

Sándor

2022

Preprint

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“…Intake and engagement 36 Competing priorities 23 39 Medication characteristics 39 Unmet need 31 Distinction between problem recognition, decision to seek help and decision to use healthcare system 74 Dental service use and dental experiences 57 Psychosocial factors 28 Patient and transition 36 Fear 23 Reminder strategies 39 Medication adherence strategies 36 (Mis)trust 23 90 Personal emergency alarm system 31 Billing 36 Previous experiences 23 90 Informal care system 31 Avoidant strategies 54 Intended and actual use 28 57 Situation and satisfaction of the next of kin 80 Specific programme for support 36 Contingency plans for future falls 31 Characteristics at the level of informal caregivers 37 : Physician referral, knowledge about the services, acculturation Health Literacy 36 Health literacy 39 54 90 Mental health 85 Individualised care 36 Characteristics at the level of informal caregivers 37 : Familism, perception about services, religiosity, gender roles Spirituality 54 Service experience 57 Vulnerability factors 71 Philosophical approaches 36 Pharmacy services 39 Rheumatologist 90 Conscientiousness 90…”

Section: Need Factorsmentioning

confidence: 99%

Application of Andersen’s behavioural model of health services use: a scoping review with a focus on qualitative health services research

2021

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IntroductionQualitative methods have become integral in health services research, and Andersen’s behavioural model of health services use (BMHSU) is one of the most commonly employed models of health service utilisation. The model focuses on three core factors to explain healthcare utilisation: predisposing, enabling and need factors. A recent overview of the application of the BMHSU is lacking, particularly regarding its application in qualitative research. Therefore, we provide (1) a descriptive overview of the application of the BMHSU in health services research in general and (2) a qualitative synthesis on the (un)suitability of the model in qualitative health services research.MethodsWe searched five databases from March to April 2019, and in April 2020. For inclusion, each study had to focus on individuals ≥18 years of age and to cite the BMHSU, a modified version of the model, or the three core factors that constitute the model, regardless of study design, or publication type. We used MS Excel to perform descriptive statistics, and applied MAXQDA 2020 as part of a qualitative content analysis.ResultsFrom a total of 6319 results, we identified 1879 publications dealing with the BMSHU. The main methodological approach was quantitative (89%). More than half of the studies are based on the BMHSU from 1995. 77 studies employed a qualitative design, the BMHSU was applied to justify the theoretical background (62%), structure the data collection (40%) and perform data coding (78%). Various publications highlight the usefulness of the BMHSU for qualitative data, while others criticise the model for several reasons (eg, its lack of cultural or psychosocial factors).ConclusionsThe application of different and older models of healthcare utilisation hinders comparative health services research. Future research should consider quantitative or qualitative study designs and account for the most current and comprehensive model of the BMHSU.

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“…To date, several studies [10][11][12] exist analyzing the factors associated with dental service use based on the Andersen model [6] mainly showing that predisposing characteristics, enabling resources (depending on the healthcare system) and need factors (such as oral health-related quality of life [13,14]) can determine dental service use.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

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Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.

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Understanding oral health help‐seeking among Middle Eastern refugees and asylum seekers in Australia: An exploratory study

Cited by 17 publications

References 23 publications

Oral Health Status and Dental Problems Among the Refugees in Karatepe Refugee Camp in Lesvos, Greece: a Cross-sectional Study

Oral Health Status and Dental Problems Among the Refugees in Karatepe Refugee Camp in Lesvos, Greece: a Cross-sectional Study

Application of Andersen’s behavioural model of health services use: a scoping review with a focus on qualitative health services research

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

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