title: The perceptions of homeless people in Stockholm concerning oral health and consequences of dental treatment: a qualitative study.
abstract: This study investigated the perceptions of Swedish homeless people concerning their oral health and perceived consequences of dental treatment. Candid, tape-recorded interviews were conducted in a conversational style. A phenomenological-hermeneutical method was used to analyze the subjects' stories. New participants were recruited into the study, until the interviews provided no additional new information, which occurred after eight interviews. All narratives revealed expressions of loss as well as recovery in the informants' life. Both aspects highlighted the fact that homelessness equated to "loss" not only of a permanent residence but also of many values. Similarly, oral health was described and interpreted in terms of loss and recovery. During periods of drug abuse, study participants ranked oral health as a low priority and generally received only emergency dental attention. In more rehabilitative phases of life, however, they perceived oral health and dental treatment as a function to restore their human dignity and as a key to their holistic recovery of total body health.
authors.affiliation: Karolinska Institutet, Institution of Odontology, Huddinge, Sweden.
authors.forename: Patricia
authors.initials: P
authors.lastname: De Palma
authors.forename: Gunilla
authors.initials: G
authors.lastname: Nordenram
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003729:Dental Care / Q000523:psychology*; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008016:Life Change Events; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009909:Oral Health; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011788:Quality of Life; D012649:Self Concept; D012917:Social Adjustment; D012934:Social Isolation; D012945:Social Values; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation; D013548:Sweden; D016388:Tooth Loss / Q000523:psychology / Q000534:rehabilitation