Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study

Oral health concerns in Eritrean refugees have been an overlooked subject. This qualitative study explored the access of Eritrean refugees and asylum-seekers (ERNRAS) to oral health care services in Heidelberg, Germany, as well as their perceptions and attitudes towards oral health care. It involved...

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Autores principales:	Yonas Semere Kidane, Sandra Ziegler, Verena Keck, Janine Benson-Martin, Albrecht Jahn, Temesghen Gebresilassie, Claudia Beiersmann
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	oral health care dental access attitude Eritrea refugees Medicine R
Acceso en línea:	https://doaj.org/article/f1ee9123c1f24288b4b73aa5b87b2025
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spelling	oai:doaj.org-article:f1ee9123c1f24288b4b73aa5b87b20252021-11-11T16:40:19ZEritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study10.3390/ijerph1821115591660-46011661-7827https://doaj.org/article/f1ee9123c1f24288b4b73aa5b87b20252021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11559https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Oral health concerns in Eritrean refugees have been an overlooked subject. This qualitative study explored the access of Eritrean refugees and asylum-seekers (ERNRAS) to oral health care services in Heidelberg, Germany, as well as their perceptions and attitudes towards oral health care. It involved 25 participants. We employed online semi-structured interviews (<i>n</i> = 15) and focus group discussions (<i>n</i> = 2). The data was recorded, transcribed, and analysed, using thematic analysis. The study found out that most of the participants have a relatively realistic perception and understanding of oral health. However, they have poor dental care practices, whilst a few have certain misconceptions of the conventional oral hygiene tools. Along with the majority’s concerns regarding psychosocial attributes of poor oral health, some participants are routinely consuming Berbere (a traditional spice-blended pepper) to prevent bad breath. Structural or supply-side barriers to oral healthcare services included: communication hurdles; difficulty in identifying and navigating the German health system; gaps in transculturally, professionally, and communicationally competent oral health professionals; cost of dental treatment; entitlement issues (asylum-seekers); and appointment mechanisms. Individual or demand-side barriers comprised: lack of self-sufficiency; issue related to dental care beliefs, trust, and expectation from dentists; negligence and lack of adherence to dental treatment follow-up; and fear or apprehension of dental treatment. To address the oral health burdens of ERNRAS, it is advised to consider oral health education, language-specific, inclusive, and culturally and professionally appropriate healthcare services.Yonas Semere KidaneSandra ZieglerVerena KeckJanine Benson-MartinAlbrecht JahnTemesghen GebresilassieClaudia BeiersmannMDPI AGarticleoral health caredentalaccessattitudeEritrearefugeesMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11559, p 11559 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	oral health care dental access attitude Eritrea refugees Medicine R
spellingShingle	oral health care dental access attitude Eritrea refugees Medicine R Yonas Semere Kidane Sandra Ziegler Verena Keck Janine Benson-Martin Albrecht Jahn Temesghen Gebresilassie Claudia Beiersmann Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
description	Oral health concerns in Eritrean refugees have been an overlooked subject. This qualitative study explored the access of Eritrean refugees and asylum-seekers (ERNRAS) to oral health care services in Heidelberg, Germany, as well as their perceptions and attitudes towards oral health care. It involved 25 participants. We employed online semi-structured interviews (<i>n</i> = 15) and focus group discussions (<i>n</i> = 2). The data was recorded, transcribed, and analysed, using thematic analysis. The study found out that most of the participants have a relatively realistic perception and understanding of oral health. However, they have poor dental care practices, whilst a few have certain misconceptions of the conventional oral hygiene tools. Along with the majority’s concerns regarding psychosocial attributes of poor oral health, some participants are routinely consuming Berbere (a traditional spice-blended pepper) to prevent bad breath. Structural or supply-side barriers to oral healthcare services included: communication hurdles; difficulty in identifying and navigating the German health system; gaps in transculturally, professionally, and communicationally competent oral health professionals; cost of dental treatment; entitlement issues (asylum-seekers); and appointment mechanisms. Individual or demand-side barriers comprised: lack of self-sufficiency; issue related to dental care beliefs, trust, and expectation from dentists; negligence and lack of adherence to dental treatment follow-up; and fear or apprehension of dental treatment. To address the oral health burdens of ERNRAS, it is advised to consider oral health education, language-specific, inclusive, and culturally and professionally appropriate healthcare services.
format	article
author	Yonas Semere Kidane Sandra Ziegler Verena Keck Janine Benson-Martin Albrecht Jahn Temesghen Gebresilassie Claudia Beiersmann
author_facet	Yonas Semere Kidane Sandra Ziegler Verena Keck Janine Benson-Martin Albrecht Jahn Temesghen Gebresilassie Claudia Beiersmann
author_sort	Yonas Semere Kidane
title	Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
title_short	Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
title_full	Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
title_fullStr	Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
title_full_unstemmed	Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study
title_sort	eritrean refugees’ and asylum-seekers’ attitude towards and access to oral healthcare in heidelberg, germany: a qualitative study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f1ee9123c1f24288b4b73aa5b87b2025
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Eritrean Refugees’ and Asylum-Seekers’ Attitude towards and Access to Oral Healthcare in Heidelberg, Germany: A Qualitative Study

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