Multilevel Determinants of Adolescent Dental Care Access: A Scoping Review Using a Health Disparities Framework.
This scoping review examined barriers and facilitators influencing dental care access among adolescents (ages 10-19) using a multilevel health disparities framework to capture behavioral, social, and structural determinants. Following the Arksey and O'Malley framework and Joanna Briggs Institute met...
| Publicado en: | Inquiry (00469580) Vol. 63; pp. 1 - 18 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
3/15/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192342388&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192342388 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 3/15/2026 vid: 63 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 192342388 192342388 192342388 10.1177/00469580261427669 192342388 ppf: 1 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multilevel Determinants of Adolescent Dental Care Access: A Scoping Review Using a Health Disparities Framework. aug: au: Oliveira, Rubelisa C.G. de Shafik, Sarah Khalid, Hassan Stellrecht, Elizabeth McKernan, Susan C. affil: University at Buffalo (SUNY), NY, USA sug: subj: Dental Care In Adolescence Social Determinants of Health Evaluation Healthcare Disparities Health Services Accessibility Dental Health Services Human United States New York Scoping Review Child, Preschool Child Adolescence Funding Source Checklists PubMed Embase Cochrane Library Gray Literature Dental Anxiety Parents Education Income Insurance, Health Community Role Public Health Infrastructure Health Education Health Policy Oral Health Conceptual Framework Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years ab: This scoping review examined barriers and facilitators influencing dental care access among adolescents (ages 10-19) using a multilevel health disparities framework to capture behavioral, social, and structural determinants. Following the Arksey and O'Malley framework and Joanna Briggs Institute methodology, 6 databases and gray literature were searched for English-language studies (2011-present) on dental care access among adolescents. Data were categorized at individual, interpersonal, community, and societal levels. Fifty-eight studies met inclusion criteria. Common barriers included dental anxiety, minority status, low parental education, limited income, weak peer support, geographic disparities, unstable insurance, and provider shortages. Facilitators included public insurance programs, school-based dental clinics, culturally tailored education, caregiver modeling, and community engagement. An ecomap illustrated multilevel predictors and research gaps, identifying strategies such as peer-led programs, safety-net investment, patient navigation, and policy reforms to strengthen access. Adolescent dental access is shaped by intersecting determinants at behavioral, social, and systemic levels. Coordinated efforts integrating infrastructure, health education, and policy interventions are essential to reduce oral health disparities and inform future research directions. The multilevel ecomap presented in this review provides an adaptable, evidence-based foundation for developing actionable strategies to improve adolescent oral health across different social backgrounds and geographic regions. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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