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European Archives of Paediatric Dentistry

, Volume 10, Issue 4, pp 233–236 | Cite as

Recruiting Rural Dentally — Avoidant Adolescents into an Intervention Study

  • P. WeinsteinEmail author
  • T. Coolidge
  • C. A. Raff
  • C. A. Riedy
Article

Abstract

AIM: To carry out a study designed to test an intervention to increase dental attendance in rural dentally-avoidant adolescents, to identify and recruit eligible adolescents. STUDY DESISN AND METHODS: This study used a cross-sectional design to identify eligible adolescents. A total of 2,762 adolescents (60% of the enrolled students) from junior high and senior high schools in a rural county in Washington State (USA) were given a dental examination with a light and mirror by calibrated dental examiners using WHO criteria. Parents of children with serious dental needs were urged to seek dental care for their adolescent children. They were offered the chance to enrol their child in a study comparing two programs designed to help the adolescent decide whether to seek out dental care. A second group of emancipated adolescents and young adults (aged < 26 years) receiving services at the local college and health department was also screened, and eligible individuals were also offered the chance to enrol. RESULTS AND STSTISTICS: Only 23 (6%) of 357 eligible junior and senior high school adolescents enrolled, compared with 24 (67%) of the 36 eligible emancipated adolescents and young adults. A second follow-up letter was sent to the 85 parents of un-enrolled adolescents with the most severe caries, offering direct assistance in obtaining dental care for their children; only 3 families responded. CONCLUSIONS: This study illustrates the difficulty in engaging adolescents in their oral health and utilization of oral health interventions. The results also suggest that slightly older rural individuals are more interested in and/or able to overcome barriers to seeking out dental care. Alternative strategies are suggested for recruiting avoidant adolescents.

Key words

dental avoidance adolescent rural population research subject recruitment 

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References

  1. Adekoya-Sofowora CA, Lee GT, Humphris GM. Needs for dental information of adolescents from an inner city area of Liverpool. Brit Dent J 1996;180:339–343.PubMedCrossRefGoogle Scholar
  2. Arnett J. Reckless behavior in adolescence: a developmental perspective. Dev Rev 1992;12:339–373.CrossRefGoogle Scholar
  3. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984;109:247–251.PubMedGoogle Scholar
  4. Caplan DJ, Weintraub JA. The oral health burden in the United States: A summary of recent epidemiological studies. J Dent Educ 1993;57:853–862.PubMedGoogle Scholar
  5. Craven RC, Blinkhorn AS, Schou L. A campaign encouraging dental attendance among adolescents in Scotland: the barriers to behaviour change. Community Dent Health 1994;11:131–134.PubMedGoogle Scholar
  6. Gatchel RJ. The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. J Am Dent Assoc 1989;118:591–593.PubMedGoogle Scholar
  7. Grembowski D, Andersen RA, Chen M. A public health model of the dental care process. Med Care Rev 1989;46:439–496.PubMedCrossRefGoogle Scholar
  8. Hattne K, Folke S, Twetman S. Attitudes to oral health among adolescents with high caries risk. Acta Odontol Scand 2007;65:1–8.CrossRefGoogle Scholar
  9. Hawley GM, Holloway PJ. Factors affecting dental attendance among school leavers and young workers in Greater Manchester. Community Dent Health 1992;9:283–287.PubMedGoogle Scholar
  10. Lumley J, Oliver SS, Chamberlain C, Oakley L. Interventions for promoting smoking cessation during pregnancy. Cochrane Database Syst Rev 2004;Issue 4. Art. No.: CD001055. DOI: 10.1002/14651858.CD001055. pub2.Google Scholar
  11. Mejàre I, Källestål C, Stenlund H. Incidence and progression of approximal caries from 11 to 22 years of age in Sweden: a prospective radiographic study. Caries Res 1999;33:93–100.PubMedCrossRefGoogle Scholar
  12. Michaud P-A, Chossis I, Suris J-C. Health-related behaviour: Current situation, trends, and prevention; in: Jackson S and Goossens L (eds): Handbook of Adolescent Development. East Sussex: Psychology Press; 2006, pp 284–307.Google Scholar
  13. Milsom K, Blinkhorn A, Worthington H, et al. The effectiveness of school dental screening: a cluster-randomized control trial. J Dent Res 2006;85:924–928.PubMedCrossRefGoogle Scholar
  14. Milsom K. ‘Screening’ and the article ‘School dental screening does not increase dental attendance rates or reduce disease levels.’ Evid Based Dent 2007;8:37.PubMedCrossRefGoogle Scholar
  15. Östberg A-L, Jarkman K, Lindbald U, Halling A. Adolescents’ perceptions of oral health and influencing factors: a qualitative study. Acta Ondontol Scand 2002;60:167–173.CrossRefGoogle Scholar
  16. Rolinson MR, Scherman A. Factors influencing adolescents’ decisions to engage in risk-taking behavior. Adolesc 2002;37:585–596.Google Scholar
  17. Ruggiero L, Tsoh JY, Everett K, Fava JL, Guise BJ. The transtheoretical model of smoking: comparison of pregnant and nonpregnant smokers. Addict Behav 2000;25:239–251.PubMedCrossRefGoogle Scholar
  18. Shwartz M, Gröndahl H-G, Pliskin JS, Boffa J. A longitudinal analysis from bite-wing radiographs of the rate of progression of approximal carious lesions through human dental enamel. Archs Oral Biol 1984;29:529–536.CrossRefGoogle Scholar
  19. Skaret E, Weinstein P, Kvale G, Raadal M. An intervention program to reduce dental avoidance among adolescents: a pilot study. Eur J Paed Dent 2003;4:191–196.Google Scholar
  20. Skaret E, Weinstein P, Milgrom P, Kaakko T, Getz T. Factors related to severe untreated tooth decay in rural adolescents: a case-control study for public health planning. Int J Paed Dent 2004;14:17–26.CrossRefGoogle Scholar
  21. Steinberg L. Risk taking in adolescence: what changes, and why? Ann NY Acad Sci 2004;1021:51–58.PubMedCrossRefGoogle Scholar
  22. Todd JE, Lader D. Adult dental health 1988 United Kingdom. HMSO London, 1991.Google Scholar
  23. World Health Organization. A guide to oral health epidemiological investigation, Geneva, WHO, 1979.Google Scholar

Copyright information

© Adis International 2009

Authors and Affiliations

  • P. Weinstein
    • 1
    Email author
  • T. Coolidge
    • 1
  • C. A. Raff
    • 2
  • C. A. Riedy
    • 1
  1. 1.Dental Public Health Sciences k]Box 357475University of WashingtonSeattleUSA
  2. 2.Child and Family StudiesCentralia CollegeCentraliaUSA

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