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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