Oral Health Literacy in Migrant and Ethnic Minority Populations: A Systematic Review

Valdez, Richelle; Spinler, Kristin; Kofahl, Christopher; Seedorf, Udo; Heydecke, Guido; Reißmann, Daniel R.; Lieske, Berit; Dingoyan, Demet; Aarabi, Ghazal

doi:10.1007/s10903-021-01266-9

Cited by 22 publications

(17 citation statements)

References 63 publications

(119 reference statements)

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“…This review highlighted, in agreement with the literature, that oral health is one of the greatest unmet health needs of migrants [89]. Since oral health strongly influences quality of life, training and education programs about oral health prevention should be implemented [90], considering individuals' attitudes, capabilities, beliefs and cultural/ethnic background [91].…”

Section: Discussionsupporting

confidence: 72%

Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review

Lauritano

Moreo

Campanella

et al. 2021

IJERPH

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Introduction. Economic inequality, political instability and globalization have contributed to the constant growth of the migration phenomenon in recent years. In particular, a total of 4.2 million people migrated to Europe during 2019 and most of them settled in Germany, France and Italy. Objectives. The objective of this study was to conduct a systematic review of studies analyzing the oral health condition among migrants from middle- and low-income countries to Europe and assessing the eventual association between their sociodemographic and socioeconomic characteristics and oral health status. Materials and Methods. A systematic review was conducted in PubMed, Cochrane Library, Scopus and Science Direct databases. After titles, abstracts and full-text examination, only 27 articles were selected on the basis of inclusion criteria and consequently included for quality assessments and data extraction. Results. Most of the studies reported a higher prevalence of caries experience, a poorer periodontal health and more difficulties in accessing dentalcare services among migrant groups compared with the non-migrant population. Inequalities were mostly associated with ethnic background, economic condition and social grade. Conclusion. Our review demonstrates the lack of dental health among migrants, underlining that their cultural beliefs and their social and economic living conditions could influence their oral health.

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Section: Discussionsupporting

confidence: 72%

Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review

Lauritano

Moreo

Campanella

et al. 2021

IJERPH

View full text Add to dashboard Cite

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“…13 Thus, several barriers are encountered by CALD groups, which are compounded by systemic barriers within the host country. 14,15 A synthesis of studies identifying these barriers and facilitators in CALD adults is absent within the literature.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Further, a systematic review and meta‐analysis conducted by Reda et al substantiated that preventive dental utilization varied across country contexts and between CALD groups 13 . Thus, several barriers are encountered by CALD groups, which are compounded by systemic barriers within the host country 14,15 . A synthesis of studies identifying these barriers and facilitators in CALD adults is absent within the literature.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to dental care among culturally and linguistically diverse carers: A mixed‐methods systematic review

Marcus

Balasubramanian

Short

et al. 2022

Comm Dent Oral Epid

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Objectives Culturally and linguistically diverse (CALD) communities experience widespread inequalities in dental care utilization. While, several studies have reported factors contributing to such inequalities, a synthesis of evidence is lacking for CALD carers. This review examined the barriers and facilitators to dental care utilization among CALD carers. Methods Medline, CINAHL, ProQuest, Scopus and Web of Science were searched for dental utilization and related factors, without geographic limitations. An integrated mixed‐method design was adopted, where both qualitative and quantitative findings were combined into a single synthesis. Critical appraisal was conducted using JBI tools, and a Universal Health Coverage (UHC) framework guided the synthesis approach. Reliability and researcher triangulation occurred throughout the conduct of this review. Results A total of 20 papers were included: qualitative (n = 8), quantitative (n = 8) and mixed method (n = 4). Studies were from Australia, Canada, South Korea, Trinidad and Tobago, United Kingdom and the United States. Three studies insufficiently reported confounding variables and nine qualitative papers lacked philosophical perspectives. Affordability was the foremost barrier at the system level, followed by psychosocial negative provider experiences and language/communication issues at the provider level. Cultural, knowledge, attitudes and beliefs were individual‐family level factors. Utilizing a UHC framework, the barriers and facilitators were aggregated at three levels; financial‐system, provider and individual‐family levels and illustrated in the rainbow model of CALD oral health. Conclusion The review strengthens evidence for multilayered, system‐related policies and culturally sensitive provision of services for reducing oral healthcare inequalities in CALD carers.

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Section: Discussionmentioning

confidence: 99%

“…There has been a rise in population of migrants from non-English speaking countries, whom oral health related behaviours and health literacy may be different to those raised in Australia [ 41 ]. Lower oral health literacy and poorer oral health were reported in migrant populations in Australia, Canada, and the US as a result of linguistic and cultural differences [ 41 , 42 ]. Poorer oral health, lack of oral health literacy, cultural and linguistic diversities are possible justification for the higher likelihood of seeking non-oral health professionals such as GPs for management of oral conditions.…”

Section: Discussionmentioning

confidence: 99%

Encounters and management of oral conditions at general medical practices in Australia

Cheng

Eberhard

Gordon

et al. 2022

BMC Health Serv Res

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Background Poor oral health has been widely recognised as an ongoing public health issue. Patients with oral conditions may visit either a general practitioner (GP) or a dental practitioner for management. The aims of this study are to report (i) the GP management rate of oral health conditions by patient and GP demographics, (ii) what specific oral conditions were managed, and (iii) how GPs managed oral conditions. Methods Data from the Bettering the Evaluation and Care of Health study (2006 to 2016 inclusive) were analysed. Descriptive statistics with 95% confidence intervals around point estimates were used to summarise data. Multivariate logistic regression was performed to determine the independent effect of patient and GP characteristics. Results A total of 972,100 GP encounters were included in the dataset, with oral condition-related encounters managed at a rate of 1.19 oral conditions per 100 GP encounters. Patients who were aged 54 years or younger, resided in a socioeconomically disadvantaged area, came from a non-English speaking background or Indigenous background were more likely to have oral conditions managed by GPs. The most commonly reported oral conditions were dental and oral mucosa-related. Over 60% of oral conditions were managed by GPs through prescribed medications. Conclusions This study provided an overview of management of oral conditions by GPs in Australia. Patients from certain vulnerable demographic groups were more likely to attend a GP for management of oral conditions. Common oral conditions and management approaches were identified. The findings of this study contribute to public health and health policy discussions around optimising primary care provision in oral health.

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Oral Health Literacy in Migrant and Ethnic Minority Populations: A Systematic Review

Cited by 22 publications

References 63 publications

Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review

Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review

Barriers and facilitators to dental care among culturally and linguistically diverse carers: A mixed‐methods systematic review

Encounters and management of oral conditions at general medical practices in Australia

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