2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: Working poor (WP) Canadians are those who work >= 20
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hours/week, are not full-time students, and have annual family incomes
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<\$34,300. They have unique vulnerabilities and face significant
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barriers to accessing dental care because they rarely receive.
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employment-based dental benefits and are ineligible for publicly funded
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dental programs. This research aimed to understand whether WP Canadians
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would prefer extraction rather than tooth restoration and preservation
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when they have toothache. Methods: A cross-sectional stratified sampling
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study design and telephone survey methodology was used to collect data
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from a nationally representative sample of 1049 WP individuals aged
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18-64 years. A pretested questionnaire included sociodemographic and
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self-reported oral health questions and asked participants to select
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their preference for maintaining versus extracting an aching tooth. By
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using bivariate and logistic regression analyses, we applied the
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Gelberg-Andersen Behavioral Model for Vulnerable Populations to
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understand what influences treatment preferences among this population
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(P <= .05). Results: The majority of participants (86\%) preferred to
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save and fill an aching tooth rather than take it out. Those who were
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older, partially dentate, reported a history of oral pain, had their
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last dental visit more than 3 years ago, or who only visited the dentist
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when in pain were significantly more likely to opt for tooth extraction.
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Conclusions: The majority of WP Canadians value preserving their natural
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dentition. Effective dental care service delivery in both private and
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public settings requires an understanding of the possible factors that
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influence WP persons'' preferences for essential treatment modalities in
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dentistry.'
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affiliation: 'Azarpazhooh, A (Corresponding Author), Univ Toronto, Fac Dent, Room
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515-C,124 Edward St, Toronto, ON M5G 1G6, Canada.
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Azarpazhooh, Amir; Quinonez, Carlos, Univ Toronto, Fac Dent, Discipline Dent Publ
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Hlth, Toronto, ON, Canada.
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Azarpazhooh, Amir, Univ Toronto, Fac Dent, Discipline Endodont, Toronto, ON, Canada.
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Azarpazhooh, Amir, Univ Toronto, Fac Med, Inst Hlth Policy Management \& Evaluat,
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Clin Epidemiol \& Hlth Care Res, Toronto, ON, Canada.
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Azarpazhooh, Amir, Univ Toronto, Toronto Hlth Econ \& Technol Assessment Collaborat,
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Toronto, ON, Canada.'
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author: Azarpazhooh, Amir and Quinonez, Carlos
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author-email: amir.azarpazhooh@dentistry.utoronto.ca
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author_list:
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- family: Azarpazhooh
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given: Amir
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- family: Quinonez
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given: Carlos
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da: '2023-09-28'
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doi: 10.1016/j.joen.2015.08.025
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eissn: 1878-3554
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files: []
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issn: 0099-2399
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journal: JOURNAL OF ENDODONTICS
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keywords: Apical periodontitis; decision making; patient preference; working poor
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keywords-plus: 'APICAL PERIODONTITIS; DENTAL-CARE; BEHAVIORAL-MODEL; MEDICAL-CARE;
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POLICY; TEETH'
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language: English
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month: DEC
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number: '12'
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number-of-cited-references: '27'
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orcid-numbers: Azarpazhooh, Amir/0000-0002-6223-158X
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pages: 1985-1990
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papis_id: 423225d5a2821279a9f7d16525e5ec95
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ref: Azarpazhooh2015treatmentpreferences
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times-cited: '4'
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title: Treatment Preferences for Toothache among Working Poor Canadians
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000366146200006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '41'
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web-of-science-categories: Dentistry, Oral Surgery \& Medicine
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year: '2015'
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