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Homeless adults’ access to dental services and strategies to improve their oral health: a systematic literature review

Goode, J, Hoang, H ORCID: 0000-0001-5116-9947 and Crocombe, L ORCID: 0000-0002-3916-0058 2018 , 'Homeless adults’ access to dental services and strategies to improve their oral health: a systematic literature review' , Australian Journal of Primary Health , A-L , doi: 10.1071/PY17178.

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Abstract

Homeless people have poor oral health and high treatment needs, yet tend to make problem-based dental visits.This review aimed to determine how and where homeless adults receive oral health care, the barriers that prevent homelessadults accessing dental care and find strategies to promote oral health to homeless adults. The databases MEDLINE viaOvidSP, PubMed, CINAHL and Scopus were searched using the keywords: homeless, roofless, houseless, rough sleeper,couch surfer, shelter, hostel, dental and oral health. The inclusion criteria were: participants over the age of 17 years, studieswritten in English, based in developed countries and published after 2003. Selected articles were assessed using theMixed Methods Appraisal Tool and data extracted were thematically analysed. Twenty-two studies met the inclusioncriteria. Five main themes were found: how homeless people accessed dental care; factors affecting the uptake of care;strategies used to improve access to care; the effect of non-dental staff on dental care; and challenges with providing careto homeless people. Dental care for homeless adults was affected by numerous factors. Improving their access to dentalservices requires collaboration between support service providers, dental care to be near homeless populations andflexibility by dental services.

Item Type: Article
Authors/Creators:Goode, J and Hoang, H and Crocombe, L
Keywords: homeless, oral health, dental health, access
Journal or Publication Title: Australian Journal of Primary Health
Publisher: C S I R O Publishing
ISSN: 1448-7527
DOI / ID Number: 10.1071/PY17178
Copyright Information:

Copyright 2018 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) http://creativecommons.org/licenses/by-nc-nd/4.0/

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