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Table 4 Determinants of health mentioned by education program participants

From: Improving oral health in migrant and underserved populations: evaluation of an interactive, community-based oral health education program in Washington state

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
  1. Notes: 1 – Number of times mentioned across all of the education sessions – out of ~ 200 total mentions