Why People Seek Dental Care: A Test of a Conceptual Formulation

Kegeles, S. Stephen

doi:10.2307/2948658

Cited by 126 publications

(31 citation statements)

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“…Empirical work in the dental field suggests that while perceived susceptibility may have a predictive value by itself, it acts as a necessary but not sufficient factor in explaining differences in preventive visiting. Studies find that interaction effects exist between perceived susceptibility, seriousness, and care efficacy (beliefs about positive outcomes associated with preventive visiting) and when measured together produce a more highly predictive model of preventive dental visiting. adding weight to Rosenstock's original conceptualization – that preventive health care use is the result of a range of interdependent factors.…”

Section: Resultsmentioning

confidence: 99%

Preventive dental visiting: a critical interpretive synthesis of theory explaining how inequalities arise

Harris

Pennington

Whitehead

2016

Comm Dent Oral Epid

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Preventive dental visiting: a critical interpretive synthesis of theory explaining how inequalities arise This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Abstract -Background: In many countries, those with lower socioeconomic status are disproportionately affected by poor oral health. This can be attributed, at least in part, to differences in preventive dental visiting. While several theories have been applied to the area, they generally fail to capture the recursive nature of dental visiting behaviour, and fall short of informing the design of complex interventions to tackle inequalities. Objective: To undertake a systematic review and synthesis of theory in order to provide an overview of the pathways which bring about socioeconomic inequalities in early dental visiting, and identify possible intervention points. Methods: Electronic searching identified 8947 titles and abstracts. Paper screening and citation snowballing left 77 included papers. Drawing on the tenets of Critical Interpretive Synthesis, data extraction involved capturing concepts and relationships and translating these sometimes into synthetic constructs. Results: We theorize that at the individual (micro-level), dental visiting behaviour is influenced by: the 'Importance of obtaining care', 'Emotional response' and 'Perceived control', which feed into a balancing of 'Competing Demands' against 'Internal resources' (coping, self-identity), although attendance is tempered by the effective 'Affordability and Availability of services'. Positive Care experiences are theorized to lower the demands and increase internal resources associated with dental visiting. We also outline meso-level factors 'Social norms and sanctions', 'Obligations, expectations and trust', 'Information channels', 'Social structures' and theorize how these can exert an overwhelming influence in deprived areas. Conclusions: Socioeconomic inequalities in early dental visiting emerge from several stages in the care-seeking process. Dental visiting behaviour should be viewed not just as a one-off event, but extending over time and social space. Since there is recursivity in peoples' most recent dental experience any future visits we identify that interventions which make care a positive experience for low socioeconomic patients may be particularly beneficial in reducing inequalities.

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Section: Resultsmentioning

confidence: 99%

Preventive dental visiting: a critical interpretive synthesis of theory explaining how inequalities arise

Harris

Pennington

Whitehead

2016

Comm Dent Oral Epid

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“…One such clinical setting for study is the emergency room of an outpatient dental service where pain is extremely salient. There is little doubt that many patients undergoing dental treat- MATISYOHU WEISENBERG, et al ment experience fear, anxiety, pain and unpleasantness (7)(8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Pain: Anxiety and Attitudes in Black, White and Puerto Rican Patients

Weisenberg

Kreindler

Schachat

et al. 1975

Psychosomatic Medicine

114

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Reactions of black, white and Puerto Rican patients were studied in an outpatient dental emergency clinic. Measures used included the State-Trait Anxiety Inventory, palmar sweat prints, an interview to obtain patient characteristics and attitudes toward pain, Dental Anxiety Scale and a posttreatment dentist rating. No differences between ethnic and racial groups were obtained in amount of pain, number or type of symptoms patients had. Significant Trait Anxiety differences were obtained. Puerto Ricans had the highest level of Trait Anxiety, whites the lowest, with blacks in the middle. The Dental Anxiety Scale also yielded differences with Puerto Ricans scoring highest, blacks lowest and whites in between. Attitude differences reflected a relative willingness to deny, get rid of or avoid dealing with the pain. The Puerto Ricans scored highest, whites lowest, with blacks in between. No physiological differences were obtained with palmar sweat prints.

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“…However, in contrast to considerable theorizing and research that has been devoted to the study of the role of an attitude toward a disease in enhancing preventive behaviour (2,20,(40)(41)(42)(43)(44) it appears that with respect to helpseeking that association has not yet been sufficiently stressed. A direction that may be applicable to therapeutic behaviour has been offered by a recent empirically supported model of health promoting behaviour (2) based on exchange theory (45) and viewing the concept of 'involvement in disease' as cmcial in motivating preventive behaviour.…”

Section: The Health Promoting Modelmentioning

confidence: 97%

Involvement with a disease and primary care utilization*

Ben‐Sira

1980

Sociology Health & Illness

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Is it possible to predict from the attitdues toward diseases the likelihood of primary care utilization? Moreover, considering that an attitude is frequently defined as comprising three main elements: the affective, cognitive and instrumental (1, pp.36–37), is one of these elements predominant in determining the likelihood of medical helpseeking, or does the tendency to seek a General Practitioner's help vary in accordance with the degree of one's involvement in a disease in terms of all three elements? This latter would be similar to a recently identified pattern of engaging in preventive behaviour (2).** We believe that understanding the conditions under which attitudes toward diseases will enhance prediction of actual therapeutic behaviour may be of theoretical as well as practical significance. From the viewpoint of sociological theory it may comprise an additional step in the understanding of the association between attitude and actual behaviour. It may also contribute to the theory of medical helpseeking by stressing the role played by attitudes toward diseases in primary care utilization. From the practical aspect it primarily may assist the medical community, and specifically general practitioners, in understanding the factors that underlie consultation, mainly with respect to those cases which are frequently defined as trivial. It may also elucidate factors underlying delay in helpseeking. Moreover, it may assist planners of prepaid ambulatory services in assessing the volume of primary care utilization and the underlying predominant motivating factors.

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Why People Seek Dental Care: A Test of a Conceptual Formulation

Cited by 126 publications

References 0 publications

Preventive dental visiting: a critical interpretive synthesis of theory explaining how inequalities arise

Preventive dental visiting: a critical interpretive synthesis of theory explaining how inequalities arise

Pain: Anxiety and Attitudes in Black, White and Puerto Rican Patients

Involvement with a disease and primary care utilization*

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