ArticleJournal of public health dentistry2022
Racism in oral healthcare settings: Implications for dental care-related fear/anxiety and utilization among Black/African American women in Appalachia.
Article in Journal of public health dentistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Discrimination and (In)dignity in the Oral Health Care Setting and Oral Health Outcomes: A Latent Class Analysis.Community dentistry and oral epidemiology · 2026Article
- Collection and Use of Patient Demographic Information at US Dental School Clinics.Journal of dental education · 2026Article
- Dental distrust and discrimination: a nationally representative perspective on LGBTQ+ adults' experiences with oral health care.Frontiers in oral health · 2026Article
- The Role of Medicaid Dental Benefits in Access to Preventive Dental Care and Unmet Dental Needs During Pregnancy.Research square · 2025Article
- A census-matched survey of dental fear and fear-treatment interest in the United States.Journal of the American Dental Association (1939) · 2025Article
- Discrimination and Dignity Experiences in Prior Oral Care Visits Predict Racialized Oral Health Inequities Among Nationally Representative US Adults.Journal of racial and ethnic health disparities · 2024Article
- Racial inequality in complete dental prosthesis delivered: can public services reduce inequities?Clinical oral investigations · 2023Article
- Vaccination intention and uptake within the Black community in Appalachia.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Racism in oral healthcare settings: Implications for dental care-related fear/anxiety and utilization among Black/African American women in Appalachia.Journal of public health dentistry · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo explore the association of racism in oral healthcare settings and dental care-related fear/anxiety with dental utilization among Black/African American women in Appalachia.
methodsWe analyzed self-report measures of racism in oral healthcare settings, dental care-related anxiety and fear, recency of a dental visit, and demographic information from 268 pregnant women participating in the Center for Oral Health Research in Appalachia (COHRA) SMILE cohort. All participants self-identified as African American or Black and resided in Appalachia (i.e., either West Virginia or Pittsburgh, PA).
resultsOver one-third of the participants reported at least one instance of racism in oral healthcare settings, with "not being listened to" due to their race or color as the most frequent issue (24.4%). Clinically significant levels of dental care-related anxiety and fear were reported by 14.3% of the sample. A mediational model demonstrated that the experience of racism in oral healthcare settings was a significant predictor of dental fear/anxiety, and that dental fear/anxiety was a significant predictor of dental utilization. There was a significant relationship between racism in oral healthcare settings and dental utilization only when mediated by the presence of dental care-related fear and anxiety.
conclusionsTogether, experiences of racism in oral healthcare settings and dental care-related fear/anxiety are predictive of decreased dental utilization for Black/African American women living in Appalachia. This study provides insight into racism in oral healthcare settings as a social determinant of dental anxiety/fear and inequities in dental utilization.
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