{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:38:25Z","timestamp":1773005905081,"version":"3.50.1"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"vor","delay-in-days":143,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Dentistry"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    Refugees have greater oral disease than native\u2010born populations, yet underutilize dental healthcare resources. Few studies have evaluated the impact of health services and interventions seeking to improve dental care utilization among refugees, and dental healthcare utilization and outcome information for Bhutanese\u2010, Burmese\u2010, and Swahili\u2010speaking refugees is sparse. This study aims to evaluate the impact of a novel culturally tailored education program on refugee dental knowledge, beliefs, behavior, and utilization in Wyandotte County, Kansas, United States.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Mixed methods, including discussion groups, World Caf\u00e9 sessions, and structured pre\u2010post intervention surveys, were used. Thematic analysis identified themes from qualitative data collected through community discussion groups (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200914) and a World Caf\u00e9 session (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200922) with refugee community members. McNemar\u2019s chi\u2010squared test and Wilcoxon signed\u2010rank tests were used to evaluate changes in primary and secondary outcomes from quantitative data collected through preintervention surveys (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200948) and postintervention surveys (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200937).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Pre\u2010intervention, participants had dental knowledge and behaviors comparable to low\u2010income Kansas populations. Postintervention, more participants knew correct brushing and check\u2010up frequency, believed they lacked appropriate dental care, chose the dentist\u2019s office for their dental care, reported correct teeth brushing behavior, and completed dental visits than they did preintervention.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Providing dental education improved many parameters of dental refugee health; however, dental education alone did not increase all dental health knowledge, beliefs, behaviors, and utilization sufficiently. Rather, using the World Caf\u00e9 methodology for refugee patient feedback, and assisting refugees with dental healthcare accessibility, affordability, and accommodation during insurance registration and dental clinic attendance may more effectively improve oral healthcare utilization and dental health outcomes in refugee populations.\n                  <\/jats:p>","DOI":"10.1155\/ijod\/8673757","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T08:34:32Z","timestamp":1748075672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative and Quantitative Analysis of a Novel Dental Health Education Program to Improve Dental Care Utilization by Bhutanese\u2010, Burmese\u2010, and Swahili\u2010Speaking Refugees in a Midwestern United States City"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2088-0776","authenticated-orcid":false,"given":"Chandra","family":"Swanson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Kreisler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth Montgomery","family":"Collins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2018.01.024"},{"key":"e_1_2_11_2_2","volume-title":"NCHS Data Brief","author":"Dye B. 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