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.
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References
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.
Arnett J. Reckless behavior in adolescence: a developmental perspective. Dev Rev 1992;12:339–373.
Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984;109:247–251.
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.
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.
Gatchel RJ. The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. J Am Dent Assoc 1989;118:591–593.
Grembowski D, Andersen RA, Chen M. A public health model of the dental care process. Med Care Rev 1989;46:439–496.
Hattne K, Folke S, Twetman S. Attitudes to oral health among adolescents with high caries risk. Acta Odontol Scand 2007;65:1–8.
Hawley GM, Holloway PJ. Factors affecting dental attendance among school leavers and young workers in Greater Manchester. Community Dent Health 1992;9:283–287.
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.
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.
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.
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.
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.
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.
Rolinson MR, Scherman A. Factors influencing adolescents’ decisions to engage in risk-taking behavior. Adolesc 2002;37:585–596.
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.
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.
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.
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.
Steinberg L. Risk taking in adolescence: what changes, and why? Ann NY Acad Sci 2004;1021:51–58.
Todd JE, Lader D. Adult dental health 1988 United Kingdom. HMSO London, 1991.
World Health Organization. A guide to oral health epidemiological investigation, Geneva, WHO, 1979.
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Weinstein, P., Coolidge, T., Raff, C.A. et al. Recruiting Rural Dentally — Avoidant Adolescents into an Intervention Study. Eur Arch Paediatr Dent 10, 233–236 (2009). https://doi.org/10.1007/BF03262688
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DOI: https://doi.org/10.1007/BF03262688