Dental Caries among Refugees in Europe: A Systematic Literature Review

Bhusari, Sneha; Ilechukwu, C; Elwishahy, Abdelrahman; Horstick, Olaf; Winkler, Volker; Antia, K

doi:10.3390/ijerph17249510

Cited by 13 publications

(18 citation statements)

References 32 publications

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“…This compared favourably with dental visits among the general populations in Australia [29]. Whereas these ndings are encouraging, considering the higher burden of dental disease among refugee males and children compared to those in general population [33], a higher uptake among these groups would have been expected. In refugee families, the dental health-related attitude of parents is critical in determining their children's utilisation pattern, as they are the decision-makers for their children's dental care needs [34].…”

Section: Discussionmentioning

confidence: 87%

Patterns and predictors of public dental service utilisation among refugees in Victoria, Australia: A latent profile and multilevel analysis

Veginadu

Masood

Gussy

et al. 2022

Preprint

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Background The purpose of the study was to explore, analyse, and describe the patterns of public dental services utilisation among the refugee populations in Victoria, Australia, and determine their predictors at the individual and contextual levels. Methods Data on the refugees who attended Victorian public dental services between July 2016 to June 2020 was gathered from the Dental Health Program dataset. Latent profile analysis was used to identify discrete groups among the refugee clientele with similar mean utilisation patterns across six indicator variables describing the attributes of dental services received and the site of care provision, over the study period. Multilevel multinomial logistic regression analysis was performed to examine the individual and contextual level correlates of the identified utilisation patterns. Results Six distinct profiles of public dental service utilisation were identified among the study population (n = 25542). The largest group comprised refugees predominantly using restorative services under general course of care (38.10%), followed by extraction services under emergency course of care (23.50%). Only a small proportion were estimated as having a higher mean utilisation of preventive services under general course of care (9.10%). Multilevel analysis revealed that the following variables had a significant association with refugee utilisation pattern: at the individual-level – demographic and ethnic attributes including age, gender, region of birth, preferred language for communication, use of language interpreter services, and type of eligibility card; at the contextual-level – characteristics of refugees’ area of residence including urbanicity, area-based socioeconomic disadvantage, delivery of Refugee Health Program at the community health centres, and spatial accessibility to public dental services via driving and public transit modes of travel. Conclusions The study represents a significant step towards the development of an evidence-based knowledge around public dental service utilisation among Victorian refugees. Overall, the study findings reiterate the critical need for targeted strategies to promote the importance of routine dental visits, oral disease prevention, and timely intervention among refugee groups.

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Section: Discussionmentioning

confidence: 87%

Patterns and predictors of public dental service utilisation among refugees in Victoria, Australia: A latent profile and multilevel analysis

Veginadu

Masood

Gussy

et al. 2022

Preprint

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“…The results of this study clearly shows that refugees have very poor oral health status, as the average number of DMFT was (8.3) which is much higher than the normal value recommended by world health organization which is lower than (3) (24). And also, the average number of DMFT among children was high in age group (1-5 years), and in age group (6)(7)(8)(9)(10)(11)(12) as it was (5.47, 5.62) retrospectively. This number is higher compared to the population in the original countries, for example, a study published in 2019 found that internally displaced Syrian children had on average (3.36) for the DMFT value (25), while another publication from Al-Zaatari refugee camp in Jordan found that children had an average DMFT number of (3.64) (14).…”

Section: Demographic Data and Sample Analysismentioning

confidence: 85%

“…Oral health and dental treatment are considered secondary needs in humanitarian context despite the sever pain caused from oral sources and the huge impact on overall health and quality of life (10,11), research articles from refugee camps in different countries reported bad oral health and increased rate of pain from dental sources among refugees (12), and negative impact of the bad oral health on the quality of life (10), and refugees in the camps might suffer from pain for weeks before they are able to access dental treatment services (13), and one study concluded that refugees in Zaatari camp in Jordan have high level of dental needs which is not met (14), and oral health among refuges is often worse than the general oral health of the population of any host country (15), therefore oral health remain a major concern among refugees living for long term in camps which is until now not taking enough care and consideration (16). This research focusses on the oral health and dental treatment provided for refugees in the medical area inside Karatepe camp in Lesvos.…”

Section: Introductionmentioning

confidence: 99%

Oral Health Status And Dental Problems Among The Refugees In Karatepe Refugee Camp In Lesvos, Greece: A Cross-Sectional Study

Alhaffar

Sándor

2022

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Introduction: Providing dental treatment in humanitarian context has always been a challenge, as dental treatment requires a lot of tools and expensive equipment, and most of the treatment takes long time and effort to finish. This research aims to study the oral health status and the need for dental treatments among the refugees' residents in Karatepe refugee camps in Lesvos Island, Greece. And to study the relation of oral health with different demographic variable and the duration of stay inside the camp.Methods and Materials: A cross-sectional study was conducted to study the oral health status among the refugees, data was collected from the patients after obtaining informed consent to participate in the research. Data regarding demographic variables, oral health (DMFT index), medical history, and the time spend in the camp have been collected. Data was collected between May-September 2021, and the final sample size was 996 patients. SPSS V.22 was used to analyze the data using both descriptive and inferential statistics. Results: Age ranged between 2-73, and was on average 28 years, males were (61.1%), females (38.9%), and the majority of the sample were from Afghanistan (64.9%) and Syria (22.8%). Most of the reugees spent 1-2 years inside the camp (34%). The main complaint of the patients was pain (34.2%), and the main treatment provided was extraction (32.7%). Significant difference was found between age (0.032), nationality (0.002), medical history (0.001), and the time spend in the camp (0.021), however, gender didn't show significant difference (0.072). Conclusion: More attention should be given to oral health as the main complaint of the patients was pain, however, the lack of access to dental services inside the camp makes it hard to save the teeth and makes extraction the only possible solution.

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“…To the best of our knowledge, this is the first study assessing the OHQoL of refugees in settlements in Northern Greece. A systematic review of dental services for refugees in Europe by Bhusari et al 16 reported that there were more data on the general health of refugees than OH data.…”

Section: Discussionmentioning

confidence: 99%