|
| Major themes | Subthemes | Final codes |
|
| Individual characteristics | Age | Children/elderly |
| Sex | Male or female |
| Medical status | Pregnant |
| Poor medical health |
| Psychological status | Anxiety and fear of the dentist. |
| Uncooperative children. |
| Perceived inability to change oral health. |
| Education | Limited education |
| Employment | Employment and working conditions |
| Oral health literacy | Limited oral health knowledge |
| Habits | Smoking |
| Lifestyle | Lack of healthy food, clean water, adequate sewage systems, electricity, or paved roads |
| Lack of knowledge regarding healthy food choices and healthy infant feeding practices |
| Lack of water fluoridation |
| Social attitudes against healthy infant feeding practices (breastfeeding) |
| Behaviors | Behaviors that do not support oral health |
| Gap between oral health knowledge and oral health behaviors |
| Historical background | Isolation, discrimination, and alienation |
|
| Affordability | Economic status | Lack of dental insurance |
| Lack of affordability of healthy food |
| High cost of dental services |
| Low income |
| Scarce housing |
| Lack of affordability of oral hygiene supplies |
|
| Availability | Resources availability | Lack of human resources to support on-reserve oral healthcare |
| Lack of funding to support community programs and facilities |
| Many of these programs operate on uncertain year-to-year funding cycles |
|
| Accessibility | Location | Living in remote areas |
| Lack of access to regular dental care |
| Transportation | Lack of transportation to oral-care services |
|
| Accommodation | Meeting the needs and limitations of the client | Lack of financial incentive for the oral-care provider |
| Lack of accurate and complete records of patients |
| Lack of effective communication |
| Language barrier (some elders do not speak English or French) |
|
| Acceptability | Patient-oral-care provider communication | Lack of understanding/integration of the (W) holistic conceptualization of health |
| Lack of knowledge and skills and scope of practice |
| Lack of training for the healthcare providers |
| Lack of community engagement |
| Racism |
| Lack of trust/communication |
| Ignore or undermine traditional medical practices, attitudes, and health knowledge |
|
| Public/government | Policy | Low priority for dental care |
| Logistical aspects related to the administration, structure, and sustainability of oral health programs |
| Lack of data availability from scientific research |
| Budgetary constraints |
| Division of federal and provincial powers create a policy legacy that constrains future policy options |
|
