Progress in community health partnerships : research, education, and action · 2026
Meeting People Where They Are: Lessons Learned from Dental Screening in Low-income Community Settings.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Kruger Jessica S, Gambacorta Joseph E, Daun-Barnett Sharlynn, Mersereau Gina, Mychajliw Mia, Kruger Daniel J
Аннотация
BACKGROUND: Oral health disparities disproportionately affect low-income populations, contributing to systemic health issues. Limited access to affordable dental care often results in untreated dental conditions, which can impair overall health and economic stability.
OBJECTIVES: This study explored the feasibility of conducting dental screenings in community settings and supporting individuals in establishing a dental home.
METHODS: The study was implemented across two sites, a food pantry (n = 64) and a free medical clinic (n = 63), serving socioeconomically disadvantaged populations. Participants were randomized into intervention (n = 59) and control groups (n = 67). Follow-up assessments were conducted one month post-intervention to evaluate dental appointment adherence and identify barriers to care.
RESULTS: Screening in a food pantry or a free medical clinic is feasible. However, no significant difference was found in dental appointment follow-through at the one-month time-frame, χ2(1) = 0.43, p = 0.512, 1 - β = 0.07, likely due to systemic delays in accessing Medicaid-accepting providers.
CONCLUSIONS: While community-based dental screenings are viable, systemic challenges hinder timely access to care. Future outreach efforts should account for the extended time required to establish a dental home and consider multimonth follow-ups. Innovative, community-engaged strategies-such as mobile dental units and streamlined referral systems-may enhance access and continuity of care for underserved populations.
OBJECTIVES: This study explored the feasibility of conducting dental screenings in community settings and supporting individuals in establishing a dental home.
METHODS: The study was implemented across two sites, a food pantry (n = 64) and a free medical clinic (n = 63), serving socioeconomically disadvantaged populations. Participants were randomized into intervention (n = 59) and control groups (n = 67). Follow-up assessments were conducted one month post-intervention to evaluate dental appointment adherence and identify barriers to care.
RESULTS: Screening in a food pantry or a free medical clinic is feasible. However, no significant difference was found in dental appointment follow-through at the one-month time-frame, χ2(1) = 0.43, p = 0.512, 1 - β = 0.07, likely due to systemic delays in accessing Medicaid-accepting providers.
CONCLUSIONS: While community-based dental screenings are viable, systemic challenges hinder timely access to care. Future outreach efforts should account for the extended time required to establish a dental home and consider multimonth follow-ups. Innovative, community-engaged strategies-such as mobile dental units and streamlined referral systems-may enhance access and continuity of care for underserved populations.