{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:03:56Z","timestamp":1771297436431,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T00:00:00Z","timestamp":1518652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Comm Dent Oral Epid"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To reveal and describe from open\u2010ended interviews how homeless people in Vancouver interpret, appraise and cope with dental care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Audio\u2010recorded interviews with 25 homeless people (18 men and 7 women; age range: 25\u201064\u00a0years), purposefully selected for a range of experiences, were transcribed and analysed inductively. The process of interpretive description drawing from the Behavioral Model for Vulnerable Populations and Lazarus's Theory of Emotions identified how participants appraised and coped with dental care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four dominant themes emerged: barriers to care; service use; opinions on dental health; and improving dental services. Participants were anxious about\u00a0the cost of dentistry and fearful of dentists. They got emergency dental care with difficulty, usually in hospital emergency departments although mostly they preferred self\u2010treatment. They acknowledged the importance of dental health but felt stigmatized by their homelessness and visibly unhealthy mouths. They wanted accessible dental services with financial assistance from government, more widespread information about community dental clinics, and, notably\u00a0among the Indigenous participants, less humiliating discrimination from dentists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Homeless people have difficulty coping with dental care. They believe that dentistry is frightening, humiliating and expensive, and governments are neither sympathetic to their disability nor willing to provide helpful information about community dental clinics or sufficient dental benefits for their needs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cdoe.12363","type":"journal-article","created":{"date-parts":[[2018,2,15]],"date-time":"2018-02-15T15:58:39Z","timestamp":1518710319000},"page":"225-230","source":"Crossref","is-referenced-by-count":24,"title":["Anxiety and anger of homeless people coping with dental care"],"prefix":"10.1111","volume":"46","author":[{"given":"Anjali","family":"Mago","sequence":"first","affiliation":[{"name":"School of Population and Public Health University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7015-3131","authenticated-orcid":false,"given":"Michael I.","family":"MacEntee","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2437-4552","authenticated-orcid":false,"given":"Mario","family":"Brondani","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Frankish","sequence":"additional","affiliation":[{"name":"School of Population and Public Health University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,15]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"BC Non Profit Housing Association.2017 homeless count in Metro Vancouver.http:\/\/www.metrovancouver.org\/services\/regional-planning\/homelessness\/HomelessnessPublications\/2017MetroVancouverHomelessCountPreliminaryData.pdf. Accessed June 15 2017."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2016.07.019"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3351\/ppp.0007.0001.0004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11339939"},{"issue":"2","key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1007\/BF03403700","article-title":"Homelessness and health in Canada: research lessons and priorities","volume":"96","author":"Frankish CJ","year":"2005","journal-title":"Can J Public Health"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.2005.00368.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","DOI":"10.1515\/9780776621487-011","volume-title":"Homelessness and Oral Health","author":"Wallace B","year":"2014"},{"key":"e_1_2_8_9_1","first-page":"49","article-title":"Oral health status and possible explanatory factors of an inner\u2010city low\u2010income community","volume":"12","author":"Hau KPH","year":"2017","journal-title":"J Forensic Dent Sci"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.12080"},{"key":"e_1_2_8_11_1","first-page":"1273","article-title":"The Behavioral Model for Vulnerable Populations: application to medical care use and outcomes for homeless people","volume":"34","author":"Gelberg L","year":"2000","journal-title":"Health Serv Res"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12190"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2016.56"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2005.tb01403.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2007.01799.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(03)00066-2"},{"key":"e_1_2_8_17_1","first-page":"e11","article-title":"Inequity in oral health care for elderly Canadians: part 3. Reducing barriers to oral care","volume":"80","author":"Yao C","year":"2014","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12151"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0722.2009.00643.x"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9412-4"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.17269\/cjph.108.5915"},{"key":"e_1_2_8_22_1","first-page":"4","article-title":"Challenges to patient\u2010provider communication among low\u2010income adults with dental problems","volume":"1","author":"Macek M","year":"2013","journal-title":"J Theory Pract Dent Public Health"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038822"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-464"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1752-7325.2007.00005.x"},{"key":"e_1_2_8_26_1","volume-title":"Interpretive Description. Developing Qualitative Inquiry","author":"Thorne S","year":"2008"},{"key":"e_1_2_8_27_1","first-page":"1","article-title":"The Constant Comparative analysis method outside of grounded theory","volume":"18","author":"Fram SM","year":"2013","journal-title":"Qual Rep"},{"key":"e_1_2_8_28_1","unstructured":"Lookout Society.http:\/\/lookoutsociety.ca. Accessed June 15 2017."},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0541-3"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-011-9640-9"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794107085301"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/scd.12115"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177388"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2007.00446.x"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1509\/jmkr.47.2.199"}],"container-title":["Community Dentistry and Oral Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcdoe.12363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cdoe.12363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T21:35:51Z","timestamp":1751405751000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cdoe.12363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,15]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/cdoe.12363"],"URL":"https:\/\/doi.org\/10.1111\/cdoe.12363","archive":["Portico"],"relation":{},"ISSN":["0301-5661","1600-0528"],"issn-type":[{"value":"0301-5661","type":"print"},{"value":"1600-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,15]]}}}