title: Perceptions of oral health in Appalachian Kentucky: implications for message design.
abstract: We conducted three studies to investigate Appalachian college students' perceptions and behavior concerning oral health for the purpose of identifying salient factors to consider in designing persuasive messages to promote oral health. In Study 1, we conducted seven focus groups with 67 college students at a state university in Appalachian Kentucky. Using thematic analysis, we found that students based their oral health behavior on the perception that people living in Appalachia have poor oral health and that students denied, confirmed, reframed, or fulfilled this "misconception." In Study 2, quantitative results from a representative survey of students (N = 587) at the same university indicated that the barriers to enacting good oral health behavior were primarily logistical in nature, whereas the facilitators of good oral health behavior were largely social. In Study 3, results from dental screenings (N = 364) of students at the university demonstrated that about one in five students presented with active, visible decay. We discuss how these results inform our understanding of oral health behavior in Appalachia and the implications of these results for designing messages to promote oral health in the region.
authors.affiliation: a Department of Communication , University of Kentucky College of Communication and Information.
authors.forename: Matthew W
authors.initials: MW
authors.lastname: Savage
authors.forename: Allison M
authors.initials: AM
authors.lastname: Scott
authors.forename: Joanna A
authors.initials: JA
authors.lastname: Aalboe
authors.forename: Pamela Sparks
authors.initials: PS
authors.lastname: Stein
authors.forename: Raynor
authors.initials: R
authors.lastname: Mullins
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D017144:Focus Groups; D058015:Health Communication / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D007629:Kentucky; D008297:Male; D009909:Oral Health; D010565:Persuasive Communication; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D014495:Universities; D055815:Young Adult