Perception of dental illness among persons receiving public assistance in Montreal.
OBJECTIVE
We examined rationales for behaviors related to dental care among persons receiving public assistance in Montreal, Quebec.


METHODS
Fifty-seven persons receiving public assistance participated in 8 focus groups conducted in 2002. Sessions were recorded on audiotape and transcribed; analyses included debriefing sessions and coding and interpreting transcribed data.


RESULTS
In the absence of dental pain and any visible cavity, persons receiving public assistance believed they were free of dental illness. However, they knew that dental pain signals a pathological process that progressively leads to tooth decay and, therefore, should be treated by a dentist. However, when in pain, despite recognizing that they needed professional treatment, they preferred to wait and suffer because of a fear of painful dental treatments and a reluctance to undertake certain procedures.


CONCLUSIONS
Persons receiving public assistance have perceptions about dental health and illness that prevent them from receiving early treatment for tooth decay, which may lead to disagreements with dentists when planning dental treatments.
Bedos
Christophe
C
Faculty of Dentistry, McGill University, 3640 University St, Montreal, Quebec, Canada, H3A 2B2. christophe.bedos@mcgill.ca
Brodeur
Jean-Marc
JM
Levine
Alissa
A
Richard
Lucie
L
Boucheron
Laurence
L
Mereus
Witnisse
W
D000328:Adult; D001294:Attitude to Health; D016854:Dental Anxiety / Q000523:psychology*; D003731:Dental Caries / Q000628:therapy*; D003752:Dental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011632:Public Assistance; D011636:Public Health Dentistry / Q000191:economics / Q000706:statistics & numerical data*; D011792:Quebec; D012938:Social Perception