{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:10:07Z","timestamp":1791576607893,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,7,23]],"date-time":"2015-07-23T00:00:00Z","timestamp":1437609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Scottish Government Health Department","award":["121.804497"],"award-info":[{"award-number":["121.804497"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore qualitatively, using a grounded theory approach, homeless people's awareness of their oral health needs and how they access dental services using a deconstruction\u2013reconstruction formulation, and provide recommendations for service designers and dental professionals who work with people experiencing homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study using grounded theory methodology was conducted. A purposive sample of homeless people was recruited from health facilities and organizations serving homeless populations in four Scottish cities and towns. Participants were interviewed about their oral health within the wider context of their experiences of homelessness. Initial research questions were open and focused on social processes such as oral health practices and interaction with dental services. Data collection and analysis were carried out simultaneously and iteratively, with emerging findings informing subsequent cycles. Data analysis was guided by Glaser and Strauss's grounded theory methodology and involved constant comparison, coding of transcripts and detailed memo\u2010writing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010four homeless people took part. Participant experiences were conceptualized as a journey into and through the stages of homelessness, towards \u2018reclaiming life\u2019. Oral health experiences were mapped as a parallel 3\u2010stage journey from the deconstruction of self\u2010care, to the construction and maintenance of the neglected dentine, and finally to the reclamation of oral health resulting in a reconstructed functioning dentition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This qualitative exploration using a deconstruction\u2013reconstruction formulation has added to the understanding of homeless people's oral health awareness and dental treatment access while permitting an examination of the wider socioeconomic and psychosocial issues that disrupt their intentions to attend for treatment. These findings provide service designers and dental professionals with recommendations for the provision of responsive, acceptable and appropriate dental health services for those experiencing homelessness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12190","type":"journal-article","created":{"date-parts":[[2015,7,23]],"date-time":"2015-07-23T08:42:59Z","timestamp":1437640979000},"page":"53-63","source":"Crossref","is-referenced-by-count":22,"title":["Exploring the oral health experiences of homeless people: a deconstruction\u2013reconstruction formulation"],"prefix":"10.1111","volume":"44","author":[{"given":"Emma","family":"Coles","sequence":"first","affiliation":[{"name":"Dental Health Services Research Unit University of Dundee Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Freeman","sequence":"additional","affiliation":[{"name":"Dental Health Services Research Unit University of Dundee Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,23]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Health and homelessness guidance","author":"Scottish Executive","year":"2001"},{"key":"e_1_2_6_3_1","volume-title":"Code of guidance on homelessness","author":"Scottish Executive","year":"2005"},{"key":"e_1_2_6_4_1","first-page":"163","article-title":"Sustainable solutions to homelessness: the Scottish case","volume":"1","author":"Anderson I","year":"2007","journal-title":"European J Homelessness"},{"key":"e_1_2_6_5_1","first-page":"107","volume-title":"Homelessness in the UK: problems and solutions","author":"Anderson I","year":"2009"},{"key":"e_1_2_6_6_1","volume-title":"Health and homelessness standards","author":"Scottish Executive","year":"2005"},{"key":"e_1_2_6_7_1","volume-title":"An action plan for improving oral health and modernising NHS dental services in Scotland","author":"Scottish Executive","year":"2005"},{"key":"e_1_2_6_8_1","volume-title":"National oral health improvement strategy for priority groups","author":"Scottish Government","year":"2012"},{"key":"e_1_2_6_9_1","volume-title":"Dental care for homeless people, BDA Policy Discussion Paper","author":"British Dental Association","year":"2004"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/bdj.2007.473"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2009.00516.x"},{"key":"e_1_2_6_12_1","volume-title":"Smile4life: the oral health of homeless people in Scotland","author":"Coles E","year":"2011"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.2011.01346.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2012.891"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2012.00355.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301064"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022146510383498"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1532708605274558"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12080"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.01.004"},{"key":"e_1_2_6_21_1","volume-title":"Power, pain and dentistry","author":"Nettleton S","year":"1992"},{"key":"e_1_2_6_22_1","first-page":"315","article-title":"Notes on the mind\u2010body question","volume":"68","author":"Gaddini E","year":"1987","journal-title":"Int J Psychoanal"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11339939"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3351\/ppp.0007.0001.0004"},{"key":"e_1_2_6_25_1","unstructured":"ColesE.A qualitative exploration of the public and private faces of homelessness: engaging homeless people with health promotion. 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