Oral Health of Foreign Domestic Workers: Exploring the Social Determinants

Gao, Xiaoli; Chan, Chi Wai; Mak, Siu Lun; Ng, Zevon; Kwong, Patrick W.H.; Kot, Ching Ching Shirley

doi:10.1007/s10903-013-9789-5

Cited by 25 publications

(46 citation statements)

References 10 publications

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“…Eighteen studies determined the effect of acculturation or its proxies on dental caries [4, 6, 20, 29–31, 33, 38, 40, 41, 50, 53, 55, 61–65]. Among these studies, 5 reported that high acculturated immigrants and ethnic minorities had decreased number of teeth with dental caries [6, 20, 30, 62, 63] and 2 studies showed that low acculturation resulted in high rate of tooth decay [61, 64].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, younger immigrants’ children and those who were born in the host country reported a lower level of dental caries than their counterparts [33, 41, 50, 55]. While host language proficiency was inversely associated with dental caries level in 3 studies [31, 40, 55], it was not significantly correlated with caries level in 2 other studies [29, 65].…”

Section: Resultsmentioning

confidence: 99%

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Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review

et al. 2019

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Objective Cultural changes faced by immigrants and ethnic minorities after moving to a host country may have a detrimental or beneficial influence on their oral health and oral health-related behaviors. Therefore, this paper reviews the literature to see the impact of acculturation on immigrants and ethnic minorities’ oral health outcomes. Methods We searched seven electronic databases up to January 2018. All cross-sectional and longitudinal quantitative studies that examined associations between acculturation and oral health status and/or oral health behaviors among ethnic minority and immigrant population[s] were included. Study selection, data extraction, and risk of bias assessment were completed in duplicate. The Newcastle-Ottawa checklist was used to appraise the methodological quality of the quantitative studies. A meta-analytic approach was not feasible. Results A total of 42 quantitative studies were identified. The studies showed a positive association between acculturation and oral health status/behaviors. The most frequently used acculturation indicators were language spoken by immigrant and ethnic minorities and length of stay at the host country. High-acculturated immigrant and ethnic minority groups demonstrated better oral health outcomes, oral health behaviors, dental care utilization, and dental knowledge. Conclusions According to existing evidence, a positive effect of acculturation on oral health status and behaviors was found. Practical implications Dental practitioners should be culturally competent to provide the appropriate services and treatments to immigrant and ethnic minorities. Policymakers should also be sensitive to cultural diversities and properly address the unique needs of each group in order to maintain oral health equity.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review

et al. 2019

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“…All of the studies were published between 1975 and 2016 [21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81]. Twenty new studies were included in this update [26,27,28,29,31,38,39,40,44,45,…”

Section: Resultsmentioning

confidence: 99%

“…Twenty new studies were included in this update [26,27,28,29,31,38,39,40,44,45,47,49,50,53,59,61,66,67,79,81]. The language was predominantly English (96.7%).…”

Section: Resultsmentioning

confidence: 99%

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Costa

Martins

Pinto

et al. 2018

IJERPH

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This study is aimed to perform an update of a systematic review and meta-regression to evaluate the effect modification of the socioeconomic indicators on caries in adults. We included studies that associated social determinants with caries, with no restriction of year and language. The Newcastle-Ottawa Scale was used to evaluate the risk of bias. With regard to the meta-analysis, statistical heterogeneity was evaluated by I2, and the random effect model was used when it was high. A subgroup analysis was conducted for socioeconomic indicators, and a meta-regression was performed. Publication bias was assessed through Egger’s test. Sixty-one studies were included in the systematic review and 25 were included in the meta-analysis. All of the studies were published between 1975 and 2016. The most frequent socioeconomic indicators were schooling, income, and socioeconomic status (SES). In the quantitative analysis, the DMFT (decayed, missing, filled teeth) variation was attributed to the studies’ heterogeneity. The increase of 10.35 units in the proportion of people with lower SES was associated with an increase of one unit in DMFT, p = 0.050. The findings provide evidence that populations with the highest proportions of people with low SES are associated with a greater severity of caries. The results suggest the need for actions to reduce the inequalities in oral health (PROSPERO [CRD42017074434]).

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“…This result has high policy relevance for local government to promote more social integration among internal migrants [ 21 ]. More incentives or promotions should be arranged for internal migrants to participate in these local social activities, such as community sports [ 58 ]. Moreover, for migrants with strong will to integrate, local government or communities should create the infrastructure or environment for them to bring their family members to town, so that their health could be improved with longer time of residence [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

Association between Social Integration and Health among Internal Migrants in ZhongShan, China

et al. 2016

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Internal migrants are the individuals who migrate between regions in one country. The number of internal migrants were estimated at 245 million in China in 2013. Results were inconsistent in the literature about the relationship between their health statuses and social integration. The main difference exists on how to measure the social integration and whether health statuses of internal migrants improve with years of residence. To complement the existing literature, this study measured social integration more comprehensively and estimated the internal migrants’ health statuses with varying years of residence, and explored the associations between the migrants’ social integration and health. We used the data from 2014 Internal Migrant Dynamic Monitoring Survey of Health and Family Planning in ZhongShan, China. Health status was measured from four aspects: self-reported health, subjective well-being, perception of stress, mental health. We measured social integration through four dimensions: economy, social communication, acculturation, and self-identity. The analyses used multiple linear regressions to examine the associations between self-reported health, subjective well-being, and perception of stress, mental health and social integration. The analytical sample included 1,999 households of the internal migrants and 1,997 local registered households, who were permanent residents in ZhongShan. Among the internal migrants, Adults in the labor force, who were aged 25 to 44 years old, accounted for 91.2% of the internal migrant population, while 74.6% of the registered population were in that age group. Median residential time among migrants was 2.8 (1.3–6.2) years, and 20.2% of them were migrating in the same Guangdong province. Except for mental health, other health statuses among migrants had significant differences compared with local registered population, e.g. self-reported health was better, but subjective well-being was worse. However, these health measurements were improved with more years of residence. Moreover, our results show that two aspects of social integration, economic integration and self-identity, were significantly associated with health status. Subjective feeling of relative social status levels were more associated with health, which prompted the attention to social fairness and the creation of a fair and respectful culture. More interventions could be experimented, such as encouraging internal migrants to participate in community activities more actively, educating local registered residents to treat internal migrants more equally, and developing self-identity among internal migrants. Better social, economic, and cultural environment can benefit internal migrants’ health statuses.

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Oral Health of Foreign Domestic Workers: Exploring the Social Determinants

Cited by 25 publications

References 10 publications

Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review

Impact of acculturation on oral health among immigrants and ethnic minorities: A systematic review

Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies

Association between Social Integration and Health among Internal Migrants in ZhongShan, China

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