Acceptability of Chairside Screening for Racial/Ethnic Minority Older Adults:: A Qualitative Study

Ariel Port Greenblatt, Ivette Estrada, Eric W. Schrimshaw, Sara S. Metcalf, Carol Kunzel, Mary Northridge

Research output: Contribution to journalArticle

Abstract

An aging and more racially and ethnically diverse population, coupled with changes in the health care policy environment, is demanding that the dental profession both redirect and expand its focus. Challenges include providing comprehensive care for patients with complicated medical needs while improving access to care for underserved groups. The purpose of this study is to examine the acceptability of screening for hypertension and diabetes in the dental setting for African American,
Puerto Rican, and Dominican older adults who attend senior centers in
northern Manhattan, New York City. Focus groups were conducted with194 racial/ethnic minority men and women aged 50 y and older living in northern Manhattan who participated in 1 of 24 focus group sessions about improving oral health for older adults. All groups were digitally audio-recorded and transcribed for analysis. Groups that were conducted in Spanish were transcribed first in Spanish and
then translated into English. Analysis of the transcripts was conducted using
thematic content analysis. Five themes were manifest in the data regarding the
willingness of racial/ethnic minority older adults to receive hypertension and
diabetes screening as part of routine dental visits: 1) chairside screening is
acceptable, 2) screening is routine for older adults, 3) the interrelationship between oral and general health is appreciated, 4) chairside screening has perceived benefits, and 5) chairside screening may reduce dental anxiety. Reservations centered on 4 major themes: 1) dental fear may limit the acceptability of chairside screening, 2) there is a perceived lack of need for dental care and chairside screening, 3) screening is available elsewhere, and 4) mistrust of dental providers as primary care providers. This
study provides novel evidence of the acceptability of screening for hypertension and diabetes in the dental setting among urban racial/ethnic minority senior center attendees.
Original languageEnglish (US)
Number of pages10
JournalJDR Clinical and Translational Research
StatePublished - Jun 28 2017

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Tooth
Hypertension
Senior Centers
Dental Anxiety
Oral Health
Focus Groups
Dental Care
Health Policy
African Americans
Primary Health Care
Delivery of Health Care

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Acceptability of Chairside Screening for Racial/Ethnic Minority Older Adults: : A Qualitative Study. / Greenblatt, Ariel Port; Estrada, Ivette; Schrimshaw, Eric W.; Metcalf, Sara S.; Kunzel, Carol; Northridge, Mary.

In: JDR Clinical and Translational Research, 28.06.2017.

Research output: Contribution to journalArticle

Greenblatt, Ariel Port; Estrada, Ivette; Schrimshaw, Eric W.; Metcalf, Sara S.; Kunzel, Carol; Northridge, Mary / Acceptability of Chairside Screening for Racial/Ethnic Minority Older Adults: : A Qualitative Study.

In: JDR Clinical and Translational Research, 28.06.2017.

Research output: Contribution to journalArticle

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