Oral and dental health and health care for Māori with type 2 diabetes: A qualitative study
| Autor: | Pauline I. Koopu, Jennifer Reid, Tereki Stewart, Anneka Anderson, Natalie Burkhardt, Matire Harwood |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander Population Ethnic group Oral Health Indigenous Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Diabetes management Health care Medicine Health Services Indigenous Humans 030212 general & internal medicine education General Dentistry Dental Health Services Qualitative Research education.field_of_study Edentulism business.industry Public Health Environmental and Occupational Health 030206 dentistry Health Status Disparities medicine.disease Oral Hygiene stomatognathic diseases Diabetes Mellitus Type 2 Family medicine Rural area business Delivery of Health Care Qualitative research New Zealand |
| Zdroj: | Community dentistry and oral epidemiologyREFERENCES. 48(2) |
| ISSN: | 1600-0528 |
| Popis: | Objectives Type 2 diabetes mellitus (T2DM) and periodontal disease are two highly prevalent, directly and independently associated long-term conditions that disproportionately impact Indigenous Māori in New Zealand (NZ). Although poorly understood, a number of social and biological mechanisms connect these conditions. This qualitative study explored experiences of T2DM and oral and dental (hereafter oral/dental) health; access to oral/dental health care; whether participants' experiences supported or challenged existing evidence; and sought suggestions for improving oral/dental health in a high-deprivation rural area of Northland, NZ. Methods Participants (n = 33) meeting the study criteria: self-identified Māori ethnicity, aged ≥ 18-years with glycated haemoglobin (HBA1c) >65 mmol/L were recruited via the local primary care clinic in September-December 2015; two left the study prior to data collection. During face-to-face semi-structured interviews, participants (n = 31) were asked How does diabetes affect your teeth? and When did you last access dental care? Kaupapa Māori (KM) theory and methodology provided an important decolonizing lens to critically analyse the fundamental causes of Indigenous health inequities. Results Independent analysis of qualitative data by three KM researchers identified four themes: access barriers to quality care; pathways to edentulism; the 'cost' of edentulism; and, unmet need. Results contributed towards informing Mana Tū-an evidence-based KM programme for diabetes in primary care-to be introduced in this and other communities from 2018. Conclusions Oral health is integral to diabetes management, and vice versa. Subsidized specialist referrals for oral-dental health care for Māori with T2DM could improve glycaemic control and diabetes outcomes and reduce diabetes-related complications among this population. |
| Databáze: | OpenAIRE |
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