Arabian undergraduates perceptions regarding barriers among the geriatric patients for failing to keep dental appointments: A cross-sectional study Geriatric patient’s appointment barriers - Students perspective
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Keywords
Geriatric dentistry, perception about geriatric, dental students, geriatric patients
Abstract
Abstract:
Background: Regular visits to the health care providers can develop a relationship that can extend beyond the physical health alone as the patient is transiting towards older age, adapting to changes in physical health, emotional health, and social connections. Apart from limiting access to health care services, the attitudes, beliefs, comfort level of the treating doctors towards the geriatric patients can motivate or demotivate them to access dental care.
Aims: To explore the Saudi Arabian undergraduate student’s perception of geriatric patients' and identify potential barriers that prevent the utilization of their dental appointment.
Methods: A close-ended questionnaire with one question and eight reasons was administered to the 5th year clinical students. The students were requested to specify their agreement with each question on 5 points Likert scale. Among the barriers presented, each reason's approval was expressed as the percentage of the total number of responses. In addition, the gender comparison of mean scores was made, and an independent sample t-test was used to analyze the statements agreed by the students. All analyses were performed using SPSS (Statistical Package of Social Sciences) version 21.0 (IBM, USA) with the probability of statistical significance at 0.05 level.
Results: Fifty-one students recorded their perceptions on the questionnaire administered during their clinical posting in the fifth year of the geriatric dental education program. It was concluded that students believed that geriatric patients give overwhelming importance to other problems with minor importance to oral health care. In addition, gender comparison was more evident as the percentage expressed was more in females.
Conclusion: There is a need for more clinical exposure of geriatric patients during their clinical postings. Student’s acquaintance with didactic and clinical settings appears to be a critical element towards positive knowledge and attitude towards the geriatric population.
Keywords: Geriatric dentistry, perception about geriatric, dental students, geriatric patients
References
1. United Nations Population Division (2003) World population prospects: The 2002 revision. United Nations, New York. (2002)
2. World Health Organization (2002) Active ageing: A policy framework. WHO, Geneva.
3. SAMA Working paper: Population aging In Saudi Arabia February 2015 By Saudi Arabian Monetary Agency Hussain I. Abusaaq Economic Research Department.
4. Al-Shehri SA. Oral health status of older people in residential homes in Saudi Arabia. Open J Stomatol. 2012; 2:307-13.
5. Jaul E, Barron J. Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health. 2017; 5:335.
6. Petersen PE, Yamamoto T. Improving the oral health of older people: The approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005; 33:81–92.
7. Petersen PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st Century – The approach of the WHO global oral health Programme. Geneva, Switzerland: World Health Organization; 2003.
8. Montini T, Tseng T, Patel H, et al. Barriers to dental services for older adults. Am J Health Behav. 2014; 38(5):781–8.
9. Spinler, K., Aarabi, G., Valdez, R. et al. Prevalence and determinants of dental visits among older adults: findings of a nationally representative longitudinal study. BMC Health Serv Res. 2019; 19:590.
10. Todd JE, Lader DA. Adult Dental Health 1988. United Kingdom, London: HMSO; 1991.
11. Bharti R, Chandra A, Tikku AP, Arya D, Gupta R. Oral care needs, barriers and challenges among elderly in India. J Indian Prosthodont. Soc. 2015; 15:17.
12. Borreani, E, Wright, D, Scambler, S. et al. Minimising barriers to dental care in older people. BMC Oral Health. 2008; 8: 7.
13. Ghezzi EM, Ship JA. Systemic diseases and their treatments in the elderly: impact on oral health. J Public Health Dent. 2000; 60(4):289-96.
14. Vargas CM, Yellowitz JA, Hayes KL. Oral health status of older rural adults in the United States. J Am Dent Assoc. 2003; 134(4):479-86.
15. Vargas CM, Kamarow KA, Yellowitz JA. The oral health of older Americans. Aging Trends. 2001; 3:1-8.
16. Branch L, Jette A, Evashwick C, Polansky M, Rowe G, Diehr P. Toward understanding elders health service utilization. J Community Health 1981; 7(2):80-92.
17. Morishita M, Takaesu Y, Miyatake K, Shinsho F, Fujioka M. Oral health care status of homebound elderly in Japan. J Oral Rehabil. 2001; 28(8):717–20.
18. Williams SL, Haskard KB, Dimatteo MR. The therapeutic effects of the physician-older patient relationship: Effective communication with vulnerable older patients. Clinical Interventions In Aging. 2007; 2(3):453–467
19. Holtzman J, Beck JD, Ettinger RL. Cognitive knowledge and attitudes toward the aged of dental and medical students. Educ Gerontol. 1981; 6:195-207.
20. Entwistle BA. Oral health promotion for the older adult: implications for dental and dental hygiene practitioners. J Dent Educ. 1992; 56(9):636-9.
21. Weaver RG, Haden NK, Valachovic RW. Annual ADEA survey of dental school seniors: 2002 graduating class. J Dent Educ. 2002; 66(12):1388-404.
22. Fabiano JA, Waldrop DP, Nochajski TH, Davis EL, Goldberg LJ. Understanding dental students knowledge and perceptions of older people: toward a new model of geriatric dental education. J Dent Educ. 2005; 69: 419–433.
23. Khraif R, Salam A, Elsegaey I, AlMutairi A. Changing age structures and ageing scenario of the Arab world. Social Indicators Research. 2015; 121: 763-785.
24. Abdulrahim S, Ajrouch KJ, Jammal A, Antonucci T. Survey methods and aging research in an Arab sociocultural context–A case study from Beirut, Lebanon.
J Gerontol B. Psychol. Sci. Soc. Sci. 2012. 67(6):775-82.
25. Kiyak HA. Measuring psychosocial variables that predict older persons oral health behaviour. Gerodontics. 1996; 13(2):69-75.
26. Kiyak HA. Successful aging: Implications for oral health. J Public Health Dent. 2000; 60(4):276-81.
27. Broder H, Block MJ. Effects of geriatric education on the knowledge of dental students. Spec Care Dentist. 1986; 6(4):177-9.
28. Jude A. Fabiano, Deborah P. Waldrop, Thomas H. Nochajski, Elaine L. Davis, Louis J. Goldberg. Understanding dental students knowledge and perceptions of older people: Toward a new model of geriatric dental education. J Dental Education. 2005; 69(4):419-433.
29. Lamster IB. Oral health care services for older adults: A looming crisis. Am J Public Health. 2004; 94(5): 699–702.
30. Sharifa Alshehri. Oral health status of older people in residential homes in Saudi Arabia. Open J Stomatology. 2012; 02(04):307-313.
31. Almutlaqah MA, Baseer MA, Ingle NA, Assery MK, Al Khadhari MA. Factors affecting access to oral health care among adults in Abha city, Saudi Arabia.
J Int Soc Prevent Community Dent. 2018; 8:431-8.
32. Abed Al-Hadi Hamasha, Mohammed N. Aldosari, Abdulmajed M. Alturki, Saud A. Aljohani, Ibrahim F. Aljabali, Rakan F. Alotibi. Barrier to access and dental care utilization behaviour with related independant variables in the elderly population of Saudi Arabia. J Int Soc Prev Community Dent. 2019; 9(4): 349–355.
33. Merrick MT, Guinn AS. Child abuse and neglect: Breaking the intergenerational link. Am J Public Health. 2018; 108(9):1117-1118.
34. Mullen S, Quinn-Scoggins HD, Nuttall D, Kemp AM. Qualitative analysis of clinician experience in utilising the Burn Tool (Burns Risk assessment for Neglect or abuse Tool) in clinical practice. Burns. 2018; 44(7):1759- 1766.
35. Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS. Med. 2012; 9(11):e1001349.
36. Lachs MS, Pillemer K. Elder abuse. Lancet. 2004 Oct 2-8; 364(9441):1263-72.
37. Nancy J. Karlin, Joyce Weil, Wejdan Felmban. Aging in Saudi Arabia. Gerontol Geriatr Med. 2016; 2: 2333721415623911.
38. Jari Linden, Kim Josefsson, and Eeva Widström. Frequency of visits and examinations in the public dental service in Finland – a retrospective analysis, 2001–2013. BMC Oral Health. 2017; 17: 138.
39. Al-Shammari SA, Mazrou YA, Jarallah JS, Ansary LA, Shabrawy Ali ME, Bamgboye EA. Appraisal of critical, psychosocial, and environmental health of elderly in Saudi Arabia: A household survey. Int J Aging Hum. Dev. 2000; 50, 43-60.
40. Abyad A. From the editor: Geriatrics in the middle east. Middle Eastern Journal of Age And Ageing. 2004; 1(1): 1-10.
41. Meskin LH, Mason LD. Problems in oral health care financing for the elderly. Clin Geriatr Med. 1992; 8(3):685-92.
42. Anehosur GV, Nadiger RK. Evaluation of understanding levels of Indian dental students knowledge and perceptions regarding older adults. Gerodontology. 2012; 29(2):e1215-e1221.
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