Abstract
An extensive literature on preventive health behavior provides ample documentation of the multiple factors functioning on the cultural, social, and psychological level for individuals who seek preventive care. Kegeles (1963), Rosenstock (1969), Gochman (1971), Green(1970), Newman and Anderson (1972), Lambert and Freeman (1965), Weisenberg (1973), O’Shea and Gray (1968), Hochbaum (1959), and Mechanic (1968) are only a few of those who have specified factors which prompt the seeking of care for preventive reasons. Kegeles, Hochbaum, Rosenstock, and Gochman have identified relevant psychological variables. Green, O’Shea and Gray, Mechanic, Lambert and Freeman, and Newman and Anderson have examined the sociological dimensions. Yet a more accurate statement is that virtually all studies have transcended disciplines and each has in either greater or lesser degree, dealt with socio-psychological combinations of factors and their interactions. Cultural factors in respect to preventive behaviors have received less attention. At least there seems to have been less effort expended toward explaining preventive health behavior as specific cultural norms. Rather responses to medical or dental care or the onset of symptoms are studied as expressions of cultural orientations. Zola (1966), Hetherington and Harper (1962), and Zborowski (1969) are among those who typify this approach. Zola, however, points out the importance of cultural influences in preventive medicine and public health. Pettibone and Solis (1973) studied dental care in cultural groups of the American southwest. Symptomatic and preventive orientations were among the variables studied.
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References
Adelson, R., Liebert, R.M., Poulos, R.W. and Herskovitz, A. A modeling film to reduce children’s fear of dental treatment. Paper read before the Behavioral Science Section, International Association of Dental Research, Las Vegas, Nevada, March 24, 1972. Abstract #266.
Antonovsky, A. and Katz, R. The model dental patient — an empirical study of preventive health behavior. Social Science and Medicine, 1970, 4, 367–380.
Barber, T.X. The effects of ‘hypnosis’ on pain: a critical review of experimental and clinical findings. Psychosomatic Medicine, 1963, 25, 303–333.
Beecher, H.K. Quantifiable expressions of anxiety. Measurement of Subjective Responses, Chapter 15, 1959, 342–351.
Colchamiro, S. The development of the child’s concepts and fear of dental care. Submitted as the fulfillment of the requirements of graduation “with honors” at Harvard School of Dental Medicine (May, 1970). Presented at the 110th Annual Session of the American Dental Association, 1969.
Cole, L. Attitudes toward dental treatment: a motivational analysis. The Journal of the Philippine Dental Association, 1961, 14, 20–24.
Dworkin, S.F. Pain responsivity and its relationship to situational context and body-concept. Dissertation Abstracts International, 1970, 31, 1533–B.
Egbert, L.D., Battit, G.E., Welsh, E.E. and Bartlet, M.K. Reduction of post-operative pain by encouragement and instruction to patients: a study of doctor-patient rapport. New England Journal of Medicine, 1964, 270, 825–827.
Freeman, H.E. and Lambert, Jr., C. Preventive dental behavior of urban mothers. Journal of Health and Human Behavior, 1965, 6, 141–147.
Gardner, W.J., Licklider, J.C.R. and Weiss, A.F. Suppression of pain by sound. Science, 1960, 132, 32–33.
Green, L.W. Status identity and preventive health behavior. Pacific Health Education Reports, University of California, Berkeley and University of Hawaii, Honolulu, 1970, 1.
Gochman, D.S. Some correlates of children’s health beliefs and potential health behavior. Journal of Health & Social Behavior, 1971, 12, 148–154.
Grainger, J.K. Perception: its meaning, significance and control in dental procedures Part II. psychological aspects. Australian Dental Journal, 1972, 17, 110–116.
Hetherington, R.W. and Hopkins, C.E. Symptom sensitivity: its social and cultural correlates. Health Services Research, 1969, 4, 63–75.
Hochbaum, G.M. Some principles of health behavior. Proceedings of the 1959 Biennial Conference of the State and Territorial Dental Directors with the Public Health Service and the Children’s Bureau, April 21–23, Washington, D.C. U. S. Department of Health, Education, and Welfare, PHS Publication No. 698, p. 17. Washington, D.C: Government Printing Office, 1959.
Kanfer, F.H. and Goldfoot, D.A. Self-control and tolerance of noxious stimulation. Psychological Reports, 1966, 18, 79.
Kegeles, S.S. Some motives for seeking preventive dental care. Journal of the American Dental Association, 1963, 67, 90–98.
Kirscht, J.P., Haefner, D.P., Kegeles, S.S. and Rosenstock, I.M. A national study of health beliefs. Journal of Health and Human Behavior, 1966, 7, 248–254.
Lambert, C. and Freeman, H.E, The clinic habit. New Haven, Connecticut: College and University Press, 1967.
Lang, P.J. Experimental studies of fear reduction. Journal of Dental Abstracts, 1966, 45, 1618.
Mackenzie, R.S. Psychodynamics of pain. Journal of Oral Medicine, 1968, 23, 75–84.
Mechanic, D. The influence of mothers on their children’s health attitudes and behavior. Pediatrics, 1964, 33, 444–453.
Newman, J.J. and Anderson, O.W. Patterns of Dental Service Utilization in the United States: A Nationwide Social Survey. Center for Health Administration Studies, University of Chicago, Research Series 30, 1972.
Nikias, M.K. Social class and the use of dental care under prepayment. Medical Care, 1968, 6, 381–393.
O’Shea, R.M. and Gray, S.B. Dental patients’ attitudes and behavior concerning prevention. Public Health Reports, 1968, 83, 405–410.
Petrovich, D.V. The pain apperception test: psychological correlates of pain perception. Journal of Clinical Psychology, 1958, 14, 367–374.
Pettibone, T.J. and Solis, Jr., E. Dental health care models of southwest cultures. Education Research Center, New Mexico State University, 1973.
Richardson, J.T. Fear: a psychological and a dental problem. South Carolina Dental Journal, 1972, 30, 27–31.
Robinson, E. Pain as a motivating factor in seeking dental care. Department of Community Dentistry, University of Michigan (N.D.).
Rosenberg, H.M. Behavior modification for the child dental patient. Journal of Dentistry for Children, 1974, 41, 31–34.
Rosenstock, I.M. Why people use health services. The Milbank Memorial Fund Quarterly, 1966, 44, 94–127.
Tash, R.H., O’Shea, R.M., and Cohen, L.K. Testing a preventive-symptomatic theory of dental health behavior. American Journal of Public Health, 1969, 59, 514–521.
Weisenberg, M. Behavioral motivation. Journal of Periodontology, 1973, 44, 489–499.
Weisenberg, M. and Epstein, D. Patient training as an alternative to general anesthesia. New York State Dental Journal, 1973, 39, 610–613.
White, W.L. Public beliefs and attitudes concerning preventive dentistry. Paper read before the 14th Annual Meeting on Dental Health Workshop. Title: Motivation in Preventive Dentistry. Sponsored by the Missouri Dental Association, January 18–19, 1970.
Zborowski, M. People in Pain. San Franscico, California: Jossey-Bass Inc., Publishers, 1969.
Zola, I. K. Culture and symptoms—an analysis of patients’ presenting complaints. American Sociological Review, 1966, 31, 615–630.
Bibliography
Adelson, R., Liebert, R.M., Poulos, R.W. and Herskovitz, A. A modeling film to reduce children’s fear of dental treatment. Paper read before the Behavioral Science Section, International Association of Dental Research, Las Vegas, Nevada, March 24, 1972. Abstract #266.
Agle, D.P., Baum, G.L., Chester, E.H. and Wendt, M. Multidiscipline treatment of chronic pulmonary insufficiency 1. Psychologic aspects of rehabilitation. Psychosomatic Medicine, 1973, 35, 41–49.
Antonovsky, A. and Kats, R. The model dental patient — an empirical study of preventive health behavior. Social Science and Medicine, 1970, 4, 367–380.
Antonovsky, A. A model to explain visits to the doctor: with specific reference to the case of Israel. Journal of Health & Social Behavior, 1972, 13, 446–454.
Bailey, P.M., Talbot, A. and Taylor, P. A comparison of maternal anxiety levels with anxiety levels manifested in the child dental patient. Journal of Dentistry for Children, 1973, 40, 25–32.
Barber, T.X. The effects of “Hypnosis” on pain: a critical review of experimental and clinical findings. Psychosomatic Medicine, 1963, 25, 303–333.
Becker, M.H.,, Drachman, R.H. and Kirscht, P. A new approach to explaining sick-role behavior in low-income populations. American Journal of Public Health, 1974, 64, 205– 216.
Beecher, H.K. Quantifiable expressions of anxiety. Measurement of Subjective Responses. New York: Oxford University Press, 1959, Chapter 15, 342–351.
Brown, R.A. and Fader, K. The generality of pain sensitivity and its relationship to personality. Tufts University, Department of Social Dentistry, Buffalo Project, September 1, 1971.
Bulman, J.S., Slack, G.L., Richards, N.D. & Willcocks, A.J. A survey of the dental health and attitudes towards dentistry in two communities — Part 2.—dental data, British Dental Journal, 1968, 124, 549–554.
Bulman, J.S., Slack, L., Richards, N.D. & Willcocks, A.J. A survey of the dental health and attitudes towards dentistry in two communities — Part 3.—comparison of dental and sociological data. British Dental Journal, 1968, 125, 102–106.
Colchamiro, S. The development of the child’s concepts and fear of dental care. Submitted as the fulfillment of the requirements of graduation “with honors” at Harvard School of Dental Medicine — 5/70. Presented as part of the: 110th Annual Session of the ADA 10/1969 — Annual Meeting of the IADR 3/70 and Annual Meeting of the Mass. Dental Society 5/70.
Cole, L. Attitudes toward dental treatment: a motivational analysis. The Journal of the Philippine Dental Association, 1961, 14, 20–24.
Current estimates — from the Health Interview Survey — United States — 1972. Vital and Health Statistics, Series 10, No. 85, page 25. U.S. Department of Health, Education, and Welfare, Public Health Serivce, Health Resources Administration, National Center for Health Statistics, Rockville, Md. 1973.
DeFee, J.F. and Himlestein, P. Children’s fear in a dental situation as a function of birth order. The Journal of Genetic Psychology, 1969, 115, 253–255.
Dental visits — volume and interval since last visit — United States — 1969. Vital and Health Statistics, Series 10, No. 76, pages 1 and 5. U.S. Department of Health, Education, and Welfare, Public Health Service, Health Services and Mental Health Administration, National Center for Health Statistics, Rockville, Md. 1972.
DiBona, C. The relationship between fear and intelligence in the child patient. The New York Journal of Dentistry. 1973, 43, 52–56.
Dickson, S. Class attitudes to dental treatment. The British Journal of Sociology, 1968, 19, 206–211.
Dworkin, S.F. Pain responsivity and its relationship to situational context and body-concept. Dissertation Abstracts International, 1970, 31, #3, 1533-B.
Egbert, L.D., Battit, G.E. Welsh, E.E. and Bartlet, M.K. Reduction of post-operative pain by encouragement and instruction to patients: a study of doctor-patient rapport. New England Journal of Medicine, 1964, 270, 825–827.
Ellenbogen, B.L., Lowe, G.D. and Danley, R.A. The diffusion of two preventive health practices. Inquiry, 1968, 5, 62–71.
Forsberg, A. Tandvardsskrack [Fear of Dental Treatment]. Svensk Tandlakare-Tidskrift, 1966, 59, 147–159.
Frazier, P., Jenny, J. and Bagramian, R.A. Parents’ descriptions of barriers faced and strategies used to obtain dental care. Journal of Public Health Dentistry. 1974, 34, 22–38.
Freeman, H.E. and Lambert, C.,Jr. Preventive dental behavior of urban mothers. Journal of Health and Human Behavior. 1965, 6, 141–147.
Gale, E.N. Fears of the dental situation. Journal of Dental Research, 1972, 51, 964–966.
Gardner, W.J., Licklider, J.C.R. and Weiss, A.F. Suppression of pain by sound. Science, 1960, 132, 32–33.
Gochman, D.S. Some correlates of children’s health beliefs and potential health behavior. Journal of Health and Social Behavior, 1971, 12, 148–154.
Gochman, D.S. Some steps towards a psychological matrix for health behavior. Canadian Journal of Behavioral Science/ Revue Canadienne Des Sciences Du Comportement, 1971, 3, 88–101.
Gonzales, L. and Silverstein, S.J. Make the dental clinic “a nice place to visit” (allaying patients’ fears about a dental clinic, especially in a poverty community, will make dental care all the more effective). Dental Student, 1973, 51, 26–27.
Gordon, D.A., Terdal, L. and Sterling, E. The use of modeling and desensitization in the treatment of a phobic child patient. Journal of Dentistry for Children, 1974, 41, 22–25.
Grainger, J.K. Perception: its meaning, significance and control in dental procedures. Part II. psychological aspects. Australian Dental Journal, 1972, 17, 110–116.
Green, L.W. Status identity and preventive health beahvior. Pacific Health Education Reports, No. 1, University of California, Berkeley and University of Hawaii, Honolulu, 1970.
Haefner, D.P. and Kirscht, J.P. Motivational and behavioral effects of modifying health beliefs. Public Health Reports, 1970, 85, 478–484.
Hetherington, R.W. and Hopkins, C.E. Symptom sensitivity: its social and cultural correlates. Health Services Research, 1969, 4, 63–75.
Hochbaum, G.M. Some principles of health behavior. Proceedings of the 1959 Biennial Conference of the State and Territorial Dental Directors with the Public Health Service and the Children’s Bureau, April 21–23, Washington, D.C. U. S. Department of Health, Education, and Welfare, PHS Publication No. 698, p. 17. Washington, D.C.: Government Printing Office, 1959.
Howitt, J.W. and Stricker, G. The influence of age, sex, intelligence and modified environment upon children’s reaction to tooth pain. New York State Dental Journal, 1963, 29, 262–264.
Howitt, J.W. and Strieker, G. Physiological response measures of child dental patients. Paper read before the International Association of Dental Research, Toronto, Canada, 1965.
Janis, I.L. Effects of fear arousal on attitude change: recent developments in theory and experimental research. In L. Berkowitz (Ed.) Advances in Experimental Social Psychology. New York: Academic Press, 1967, 3, 166–222.
Janis, I.L. Psychological Stress. New York: John Wiley & Sons, Inc. 1958.
Kanfer, F.H. and Goldfoot, D.A. Self-control and tolerance of noxious stimulation. Psychological Reports, 1966, 18, 79–85.
Kaplan, R.I. Preventive dentistry—fact or fad? Journal of the American College of Dentists, 1973, 40, 217–224.
Kegeles, S.S. Some motives for seeking preventive dental care. Journal of the American Dental Association, 1963, 67, 90–98.
Kirscht, J.P., Haefner, D.P., Kegeles, S.S., and Rosenstock, I.M. A national study of health beliefs. University of Michigan, Ann Arbor, August 1961. (Mimeographed)
Kleinknecht, R.A., Klepac, R.K. and Alexander, L.D. Origins and characteristics of fear of dentistry. Journal of the American Dental Association, 1973, 86, 842–848.
Koenigsberg, R. and Johnson, R. Child behavior during sequential dental visits. Journal of the American Dental Association, 1972, 85, 128–132.
Kutscher, A.H. and Kutscher, H.W. Evaluation of the Hardy-Wolff-Goodell pain threshold apparatus and technique: review of the literature. International Record of Medicine, 1957, 70, 202–230.
Lamb, D.H. and Plant, R. Patient anxiety in the dentist’s office. Journal of Dental Research, 1972, 51, 986–989.
Lambert, C. and Freeman. H.E. The Clinic Habit. New Haven, Connecticut: College and University Press, 1967.
Lang, P.J. Experimental studies of fear reduction. Journal of Dental Abstracts, 1966, 45, 1618.
Lazarus, R.S. Some principles of psychological stress and their relation to dentistry. Journal of Dental Abstracts, 1966, 45, 1620–1626.
Leventhal, H. Fear appeals and persuasion: the differentiation of a motivational construct. American Journal of Public Health, 1971, 61, 1208–1224.
Likeman, P.R. A general review of the study of pain. Edinburgh Dental Hospital Gazette, 1972, 12, 9–13.
Ludwig, E.G. and Gibson, G. Self perception of sickness and the seeking of medical care. Journal of Health and Social Behavior, 1969, 10, 125–133.
Mackenzie, R.S. Psychodynamics of pain. Journal of Oral Medicine, 1968, 23, 75–84.
Mandel, I.D. What is preventive dentistry? Journal of Preventive Dentistry, 1974, 1, 25–29.
Mechanic, D. The influence of mothers on their children’s health attitudes and behavior. Pediatrics, 1964, 33, 444–453.
Meichenbaum, D.H. Examination of model characteristics in reducing avoidance behavior. Journal of Personality and Social Psychology, 1971, 17, 298–307.
Miller, J. and Swallow, J.N. Dental pain and health. Public Health (London), 1970, 85, 46–50.
Newman, J.J. and Anderson, O.W. Patterns of dental service utilization in the United States: a nationwide social survey. Center for Health Administration Studies, University of Chicago, Research Series 30, 1972.
Nikias, M.K. Social class and the use of dental care under prepayment. Medical Care, 1968, 6, 381–393.
O’Shea, R.M. and Gray, S.B. Dental patients’ attitudes and behavior concerning prevention. Public Health Reports, 1968, 83, 405–410.
Oster, J. Recurrent abdominal pain, headache and limb pains in children and adolescents. Pediatrics, 1972, 50, 429– 436.
Petrovich, D.V. The pain apperception test: psychological correlates of pain perception. Journal of Clinical Psychology, 1958, 14, 367–374.
Pettibone, T.J. and Solis, E., Jr. Dental Health Care Models of Southwest Cultures. Educational Research Center, New Mexico State University, December 1973.
Pizano, A.S. Pain in Dentistry (Utilization of Libman’s Test). (translated from Spanish).
Plasschaert, A.J.M. and Konig, K.G. The effect of information and motivation towards dental health, and of fluoride tablets on caries in school children. I. increment over the initial 2-year experimental period. International Dental Journal, 1974, 24, 50–65.
Reeder, L.G. and Berkanovic, E. Sociological concomitants of health orientations: a partial replication of Suchman. Journal of Health & Social Behavior, 1973, 14, 134–143.
Richards, N.D., Willcocks, A.J., Bulman, J.S. and Slack, L. A survey of the dental health and attitudes towards dentistry in two communities. British Dental Journal, 1965, 118, 199–205.
Richardson, T. Fear: a psychological and a dental problem. South Carolina Dental Journal, 1972, 30, 27–31.
Robinson, E. Pain as a motivating factor in seeking dental care. Department of Community Dentistry, University of Michigan (N.D.)
Rogers, R.W. & Thistlethwaite, D.L. Effects of fear arousal and reassurance on attitude change. Journal of Personality and Social Psychology, 1970, 15, 227–233.
Rosenbaum, V. Whatever happened to those teen-age drop-outs? Dental Economics, 1974, 64, 35–39.
Rosenberg, M. Behavioral modification for the child dental patient. Journal of Dentistry for Children, 1974, 41, 31–34.
Rosenstock, I.M. Why people use health services. The Milbank Memorial Fund Quarterly, 1966, 44, 94–127.
Samuels, J.J. Behaviors and attitudes: implications for dental health education. Dental Hygiene, 1973, 47, 149– 154.
Schanche, D.A. Dentistry’s new approach to chasing pain. Virginia Dental Journal, 1973, 50, 7–14.
Shaw, C.T. Class characteristics of supporters and rejectors of basic health measures. Social Science and Medicine, 1970, 4, 411–415.
Shuval, J. A comparison of Israeli and American findings. Israel Study of Social and Psychological Factors in Dental Health. (Preliminary Draft).
Shuval, J.T. Preventive dental behavior in Israel: some contrasts between a profession population and its clients. Medical Care, 1971, 9, 345–351.
Steele, J.L. and McBroom, W.H. Conceptual and empirical dimensions of health behavior. Journal of Health and Social Behavior, 1972, 13, 382–392.
Stricker, G. Psychological issues pertaining to malocclusion. American Journal of Orthodontics, 1970, 58, 276–283.
Stricker, G. and Howitt, J.W. Physiological recording during simulated dental appointments. The New York State Dental Journal, 1965, 31, 204–206.
Suchman, E.A. Ethnic and social factors in medical care orientation. Milbank Memorial Fund Quarterly, 1969, 47, 69–77.
Suchman, E.A. Preventive health behavior: a model for research on community health campaigns. Journal of Health and Social Behavior, 1967, 197–209.
Sumnicht, R.W. Research in preventive dentistry. Journal of the American Dental Association, 1969, 79, 1193–1201.
Tash, R.H., O’Shea, R.M. and Cohen, L.K. Testing a preventive-symptomatic theory of dental health behavior. American Journal of Public Health, 1969, 59, 514–521.
Thomas, R. Attitudes towards dental treatment and dental surgeons. Probe, 1965, 16, 4–7.
Todes, C.J. The child and the dentist: a psychoanalytical view. British Journal of Medical Psychology, 1972, 45, 45–55.
Weisenberg, M. Behavioral motivation. Journal of Periodontology, 1973, 44, 489–499.
Weisenberg, M. and Epstein, D. Patient training as an alternative to general anesthesia. New York State Dental Journal, 1973, 39, 610–613.
Weisenberg, M., Kreindler, M.L. and Schachat, R. Relationship of the Dental Anxiety Scale to the State-Trait Anxiety Inventory. Journal of Dental Research, 1974, 53, 946.
White, W.L. Public beliefs and attitudes concerning preventive dentistry. Paper read before the 14th Annual Workshop on Dental Health. Workshop Title: Motivation in Preventive Dentistry. Sponsored by the Missouri Dental Association, January 18–19, 1970.
White, Jr., W.C., Akers, J., Green, J. and Yates, D. Use of imitation in the treatment of dental phobia in early childhood. A preliminary report. Journal of Dentistry for Children, 1974, 41, 26–30.
Who’s afraid? Not children who ‘play dentist’. The Journal of Dental Practice, 1972, 48, 37.
Wilkins, W. Desensitization: social and cognitive factors underlying the effectiveness of Wolpe’s procedure. Psychological Bulletin, 1971, 76, 311–315.
Woodrow, K.M., Friedman, G.D., Siegelaub, A.B. and Collen, M.F. Pain tolerance: differences according to age, sex and race. Psychosomatic Medicine, 1972, 34, 548–556.
Wright, G.Z. and Alpern, G.D. Variables influencing children’s cooperative behavior at the first dental visit. ASDC Journal of Dentistry for Children, 1971, 37, 124– 128.
Wright, G.Z., Alpern, G.D. and Leake, J.L. A cross-validation of variables affecting children’s cooperative behaviour. Journal of the Canadian Dental Association, 1973, 39, 268–273.
Wright, G.Z., Alpern, G.D. and Leake, J.L. The modifiability of maternal anxiety as it relates to children’s cooperative dental behavior. ASDC Journal of Dentistry for Children, 1973, 39, 265–271.
Zborowski, M. People in Pain. San Francisco, Calif.: Jossey-Bass Inc., Publishers, 1969.
Zola, I.K. Culture and symptoms—an analysis of patients’ presenting complaints. American Sociological Review, 1966, 31, 615–630.
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Rayner, J.F. (1976). Pain Control as a Factor in Preventive Health Care. In: Weisenberg, M., Tursky, B. (eds) Pain. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-2304-4_9
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