Racism in oral healthcare settings: Implications for dental care-related fear/anxiety and utilization among Black/African American women in Appalachia.

Black or African American Anxiety Appalachian Region Delivery of Health Care Dental Care Female Humans Pregnancy Racism
African Americans Appalachia dental anxiety dental fear dental utilization racism

Journal

Journal of public health dentistry
ISSN: 1752-7325
Titre abrégé: J Public Health Dent
Pays: United States
ID NLM: 0014207

Informations de publication

Date de publication:
03 2022
Historique:
revised: 31 03 2022
received: 02 11 2021
accepted: 01 04 2022
entrez: 21 6 2022
pubmed: 22 6 2022
medline: 23 6 2022
Statut: ppublish

Résumé

To explore the association of racism in oral healthcare settings and dental care-related fear/anxiety with dental utilization among Black/African American women in Appalachia. We analyzed self-report measures of racism in oral healthcare settings, dental care-related anxiety and fear, recency of a dental visit, and demographic information from 268 pregnant women participating in the Center for Oral Health Research in Appalachia (COHRA) SMILE cohort. All participants self-identified as African American or Black and resided in Appalachia (i.e., either West Virginia or Pittsburgh, PA). Over one-third of the participants reported at least one instance of racism in oral healthcare settings, with "not being listened to" due to their race or color as the most frequent issue (24.4%). Clinically significant levels of dental care-related anxiety and fear were reported by 14.3% of the sample. A mediational model demonstrated that the experience of racism in oral healthcare settings was a significant predictor of dental fear/anxiety, and that dental fear/anxiety was a significant predictor of dental utilization. There was a significant relationship between racism in oral healthcare settings and dental utilization only when mediated by the presence of dental care-related fear and anxiety. Together, experiences of racism in oral healthcare settings and dental care-related fear/anxiety are predictive of decreased dental utilization for Black/African American women living in Appalachia. This study provides insight into racism in oral healthcare settings as a social determinant of dental anxiety/fear and inequities in dental utilization.

Identifiants

DOI: 10.1111/jphd.12523 PMID: 35726465 PMC: PMC9542871
pubmed: 35726465
doi: 10.1111/jphd.12523
pmc: PMC9542871
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

28-35

Subventions

Organisme : NIDCR NIH HHS
ID : R01-DE014889
Pays : United States

Informations de copyright

© 2022 The Authors. Journal of Public Health Dentistry published by Wiley Periodicals LLC on behalf of American Association of Public Health Dentistry.

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Auteurs

Kalo C Sokoto (KC)

Counseling Psychology, Department of Counseling and Learning Sciences, West Virginia University, Morgantown, West Virginia, USA.
Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
ORCID: 0000-0003-2984-8649

Lisa F Platt (LF)

Counseling Psychology, Department of Counseling and Learning Sciences, West Virginia University, Morgantown, West Virginia, USA.
ORCID: 0000-0003-3242-9656

Linda A Alexander (LA)

Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, Morgantown, West Virginia, USA.

Betsy Foxman (B)

Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

John R Shaffer (JR)

Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Oral and Craniofacial Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Center for Craniofacial and Dental Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
ORCID: 0000-0003-1897-1131

Mary L Marazita (ML)

Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Department of Oral and Craniofacial Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Center for Craniofacial and Dental Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Clinical and Translational Science Institute and Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
ORCID: 0000-0002-2648-2832

Daniel W McNeil (DW)

Center for Oral Health Research in Appalachia, University of Pittsburgh and West Virginia University, Pittsburgh, Pennsylvania, and Morgantown, West Virginia, USA.
Department of Psychology, West Virginia University, Morgantown, West Virginia, USA.
Department of Dental Public Health & Professional Practice, West Virginia University, Morgantown, West Virginia, USA.
ORCID: 0000-0002-0766-8455

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Classifications MeSH

questionsmedicales.fr › Personnes › Nord-Américains › Groupes de population aux États-Unis › Populations d'origine continentale › Noir ou Africain Américain › Racism in oral healthcare settings:...
questionsmedicales.fr › Comportement et mécanismes comportementaux › Émotions › Anxiété › Racism in oral healthcare settings:...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › Région des Appalaches › Racism in oral healthcare settings:...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Racism in oral healthcare settings:...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de santé buccodentaire › Soins dentaires › Racism in oral healthcare settings:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Racism in oral healthcare settings:...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Racism in oral healthcare settings:...
questionsmedicales.fr › Sciences sociales › Sociologie › Problèmes sociaux › Ségrégation sociale › Relations raciales › Racisme › Racism in oral healthcare settings:...