Table 4.
Determinants of health mentioned by education program participants
| Issue/barrier | # of mentions1 | Examples of responses |
|---|---|---|
| Access | 32 | Lack of insurance, high cost of services, no access to dental services, no dentist in rural areas |
| Dental practices | 17 | Not brushing every day, do not use floss, lack of sealants, use needle to clean teeth |
| Language/legal status | 16 | Language barriers, lack of legal status, limited English |
| Social/economic status | 16 | Housing problems, limited education, unemployed, poverty |
| Fear/trust | 15 | Do not trust the dentist, fear of dental procedures, sounds of drills |
| Food behaviors | 13 | Drink too much soda, eating sweets, junk food, chewing gum all of the time |
| Cultural | 12 | Different food cultures, family beliefs, myths, use of home remedies |
| Transportation | 10 | Lack of transportation |
| Knowledge | 8 | No oral health education, lack of information about resources |
| Time/energy | 8 | Lack of time |
| Substance use | 7 | Alcohol consumption, use of drugs, smoking |
| Water quality | 5 | Lack of safe drinking water, poor quality of water |
| Stigma/appearance | 4 | Stigma of losing teeth, nice smile improves appearance, stigma of HIV |
Notes: 1 – Number of times mentioned across all of the education sessions – out of ~ 200 total mentions