Oral Health Care Receipt and Self-Rated Oral Health for Diverse Asian American Subgroups in New York City

Jung, Molly; Kwon, Simona C.; Edens, Neilé K.; Northridge, Mary E.; Trinh‐Shevrin, Chau; Yi, Stella S.

doi:10.2105/ajph.2017.303661

Cited by 24 publications

(18 citation statements)

References 3 publications

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“…This increase in unmet needs due to the cost of services occurred especially in the lowest income quintiles. Although there are few studies accounting for place of birth on the inequalities in the use of dental services, and even fewer including some of the immigrant groups considered in our study, their findings are consistently with ours showing lower use of dental services in immigrants from Africa and Asia [19,29,36,37]. These studies suggested lack of dental insurance, the cost of services and lower income as possible explanations for these inequalities.…”

Section: Discussionsupporting

confidence: 89%

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

Rodriguez-Alvarez

Lanborena

Borrell

2019

Preprint

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This study evaluates inequalities in the use of dental services according to place of birth before and after the economic crisis in Spain. A cross-sectional study was performed in the population aged 18 to 65 years in Spain. We used data from three Spanish National Health Surveys for years 2006 (before the crisis), 2014 and 2017 (after the crisis). Log-binomial regression was used to quantify the association between region of origin and use of dental care services before and after controlling for the selected covariates. In 2006, we found a greater probability of not using dental care services in immigrants from Asia (PR:1.36, 95% CI:1.10–1.67) and Africa (PR:1.16; 95% CI:1.05–1.28) compared to the natives. For 2014, the probability of not using dental care services was greater for all immigrants compared to the natives, with the greatest odds for those from Africa (PR:1.71; 95% CI:1.46–2.01) and Asia (PR:1.3; 95% CI:1.23–1. 47). The associations for 2017 were weaker in magnitude than the ones observed for 2014, although stronger than for 2006. This study suggests that the economic recovery did not have the same impact for natives and immigrants regardless of regions of origin, given the observed inequalities in use of dental services.

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Section: Discussionsupporting

confidence: 89%

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

Rodriguez-Alvarez

Lanborena

Borrell

2019

Preprint

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“…Furthermore, factors that contributed to the lack of annual oral health examinations included poor English fluency, low educational attainment, and lack of dental insurance. Lack of English proficiency compared with English fluency was associated with a 2‐fold increase of not receiving oral health examinations . Similarly, in another study of older Asian Americans, older adults with limited English fluency were 3.5 more times likely to lack dental health insurance.…”

Section: Discussionmentioning

confidence: 89%

“…Chinese older adults face barriers that may contribute to our findings. For example, in a sample of 1288 Asian Americans living in New York City, 41.5% reported not receiving annual oral health examinations . Furthermore, factors that contributed to the lack of annual oral health examinations included poor English fluency, low educational attainment, and lack of dental insurance.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, we were not able to include factors related to the use of preventive oral health services, such as dental health insurance. Asian older adults who do not have dental insurance or lack English proficiency are less likely to receive oral health care . This study, however, was the first step toward gaining a better understanding of the relationship between oral health symptoms and changes in cognitive function in a large US Chinese older adult population.…”

Section: Discussionmentioning

confidence: 99%

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Oral Health Symptoms and Cognitive Function Among US Community‐Dwelling Chinese Older Adults

Petrovsky

Mao

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVES Limited research is available on the relationship between oral health symptoms and cognitive function among community‐dwelling US Chinese older adults. The purpose of this study was to examine the associations between tooth/gum symptoms and changes in cognitive function. DESIGN Two‐wave epidemiological study. SETTING Population Study of Chinese Elderly in Chicago (PINE). PARTICIPANTS US Chinese older adults (N = 2713; mean age = 72.6 y; 58.4% women). MEASUREMENTS We selected self‐reported oral (tooth and gum) symptoms as independent variables. To examine changes in cognitive function (wave 2: Baseline), we chose the following three domains: episodic memory (East Boston Memory Test); executive function (Symbol Digit Modalities Test); and working memory (Digit Span Backwards). In addition, we assessed global cognitive function by constructing a composite measure. RESULTS At baseline, 1297 participants (47.8%) reported having teeth symptoms, and 513 participants (18.9%) reported having gum symptoms. Adjusting for sociodemographic and health‐related characteristics, participants who reported having teeth symptoms at baseline experienced their global cognition decrease by 0.07 units (estimate = −0.07; p = .003) and their episodic memory decrease by 0.07 units (estimate = −0.07; p = .026). Participants who reported having teeth symptoms at baseline experienced a faster rate of decline in global cognition for every additional year (estimate = 0.02; p = .047). However, this effect disappeared once we adjusted for all covariates (estimate = 0.02; p = .069). We found no significant relationship between baseline gum symptoms and change of cognitive function. CONCLUSION Having teeth symptoms was associated with a decline in cognitive function among US Chinese older adults. Developing policy measures aimed at ameliorating health and improving cognition in this high‐risk fast‐growing population in the United States would need to include oral health preventive and dental care services. J Am Geriatr Soc 67:S532–S537, 2019.

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“…The survey was community-based and was administered in-language among individuals self-identifying as Asian American living in the NYC metropolitan region between the years 2013 and 2015, with most surveys completed in 2014 (69.6%) and 2015 (28.2%). Survey methods have been previously described [26]. …”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Health Insurance Status in an Asian American Population in New York City: Analysis of a Community-Based Survey

Tan

Wyatt

Kranick

et al. 2018

J. Racial and Ethnic Health Disparities

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Oral Health Care Receipt and Self-Rated Oral Health for Diverse Asian American Subgroups in New York City

Cited by 24 publications

References 3 publications

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

Place of Birth Inequalities in Dental Care Use Before and After the Economic Crisis in Spain

Oral Health Symptoms and Cognitive Function Among US Community‐Dwelling Chinese Older Adults

Factors Associated with Health Insurance Status in an Asian American Population in New York City: Analysis of a Community-Based Survey

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