Oral health needs of older migrants with culturally and linguistically diverse backgrounds in developed countries: A systematic review

Hoang, Ha; Feike, Suzanne; Lynden, Tanya; Barnett, Tony; Crocombe, Leonard

doi:10.1111/ajag.12759

Cited by 10 publications

(13 citation statements)

References 49 publications

(163 reference statements)

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“…This phenomenon of immigrant period effect on dental health practices was also observed in a previous study [ 14 ]. On the other hand, by using the latest census data, we did not find that a language barrier acted as a key barrier to receiving dental services usage as found in previous literature in the 1980s, 1990s [ 14 ] as well as in a recent study on older migrants in Canada [ 49 ].…”

Section: Discussionsupporting

confidence: 46%

Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada

Wang

Knight

et al. 2023

Int J Equity Health

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Objective This study examined the dental care utilization and self-preserved dental health of Asian immigrants relative to non-immigrants in Canada. Factors associated with oral health-related disparities between Asian immigrants and other Canadians were further examined. Methods We analyzed 37,935 Canadian residents aged 12 years and older in the Canadian Community Health Survey 2012–2014 microdata file. Factors (e.g., demographics, socioeconomic status, lifestyles, dental insurance coverage, and year of immigration) associated with disparities in dental health (e.g., self-perceived teeth health, dental symptoms during past one month, and teeth removed due to decay in past one year) and service utilization (e.g., visiting dentist within the last three years, visiting dentist more than once per year) between Asian immigrants and other Canadians were examined using multi-variable logistic regression models. Results The frequency of dental care utilization was significantly lower in Asian immigrants than their non-immigrant counterparts. Asian immigrants had lower self-perceived dental health, were less likely to be aware of recent dental symptoms, and more likely to report tooth extractions due to tooth decay. Low education (OR = 0.42), male gender(OR = 1.51), low household income(OR = 1.60), non-diabetes(OR = 1.87), no dental insurance(OR = 0.24), short immigration length (OR = 1.75) may discourage Asian immigrants from dental care utilization. Additionally, a perceived lack of necessity to dentist-visiting was a crucial factor accounting for the disparities in dental care uptake between Asian immigrants and non-immigrants. Conclusion Asian immigrants showed lower dental care utilization and oral health than native-born Canadians.

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Section: Discussionsupporting

confidence: 46%

Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada

Wang

Knight

et al. 2023

Int J Equity Health

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“…Psychosocial stressors such as stress, fear, depression, anxiety, and diminished self-esteem have been reported in relation to oral health in later life (Martins et al 2011;Mao et al 2019). Older immigrants are especially susceptible to poor oral health and high oral health needs due to acculturative stress, lack of social support, and stigma related to social assistance in accessing dental care (Hoang et al 2019). How psychosocial stressors are related to oral health largely remains unanswered.…”

Section: Knowledge Gaps and Discussionmentioning

confidence: 99%

Immigration and Oral Health in Older Adults: An Integrative Approach

Mao

et al. 2021

J Dent Res

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The aim of this study was to develop an integrative framework on aging, immigration, and oral health. The methodology was a critical review that used immigration as a social determinant framework through which to evaluate its impact on the oral health of older immigrants. We reviewed recent empirical evidence on factors related to oral health in older immigrants. In a systematic search across multiple databases, we identified 12 eligible studies in this review. Among the eligible studies, most were conducted among East Asian immigrants (8 articles), followed by non-Hispanic White/European origin (2 articles), Mexican origins (1 article), and Iran and other Middle East regions (1 article). The research revealed knowledge gaps in the evidence base, including the dynamic relationship between acculturation and oral health, the role of environmental factors on oral health for immigrants, psychosocial stressors and their relationship with oral health, and oral health literacy, norms, and attitude to dental care utilization and oral hygiene practices. The development of the integrative framework suggests the pathways/mechanisms through which immigration exerts influences on oral health in later life. This provides opportunities for researchers, practitioners, and policy makers to gain greater insights into the complex associations between immigration and oral health among older adults.

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“…Bad oral health could affect the quality of life, as it could interfere with daily activities such as eating and talking. In addition, untreated oral health problems may pose severe risks to the health of older people, including malnutrition, strokes, heart disease, pneumonia, and oral and pharyngeal cancers [6]. For all these reasons, new intervention strategies, such as the PROTECT (Patologie del distRettO TEsta-Collo nei migranTi.…”

Section: Introductionmentioning

confidence: 99%

Oral Pathologies in Migrants: The Experience of the “PROTECT” Project in 3023 Patients

et al. 2022

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Introduction: The number of people with migrant status living in Europe is proliferating. Most of the refugees in Italy come from war zones, and many of them denounce having been victims of persecutory acts in their country of origin. Highly cultured migrant populations have shown better results and oral health behaviour than those who were poorly cultured. The PROTECT project aimed to build a network for the early management of head and neck pathologies among refugees and migrants, promoting the dissemination of correct information about the prevention and treatment of these pathologies. Materials and methods: A national cross-sectional study among the refugees and migrant population in the Lazio region, Italy, from February 2018 to September 2021 was performed. The oral health of 3023 participants was investigated within a network of 56 reception centres and cultural associations. Data collected via an oral health survey questionnaire gathered information on participants’ demographic factors, migration status and dental behaviours and clinical examinations of the participants with the help of mouth mirrors, periodontal probes and artificial light. Results: The mean age was 31.6 ± 13.1, and among all the subjects, 2058 were male (68.1%) and 965 were women (41.9%). Most participants were born in Nigeria, followed by Bangladesh, Pakistan, Somalia, Mali and Senegal. The overall oral pain prevalence was 48.2%. The prevalence of patients claiming poor oral hygiene was 32.4%; 36.2% of the subjects consumed high amounts of sugar; and 26.7% saw their dentist for a check-up in the last year. At the clinical examination, 68.9% of patients had caries experience (considering decay of deciduous teeth, and caries of permanent teeth and teeth with fillings), with 32.2% showing pulpal involvement. Low levels of oral hygiene were also found at the clinical examination, with 46.5% of patients presenting plaque and calculus. The trend of the DMFT index was found to be 5.41. Good periodontal health (CPI = 0) was present in approximately 33.5% of patients. The CPI = 1 index reported bleeding from gingivitis in 37% of patients; tartar was found in 27% of patients (CPI = 2). The percentage of patients with CPI = 3 was 3.6%. Just over half (52.2%) of the migrants examined had malocclusion, and only 0.7% had a malocclusion in treatment. Conclusions: The goal to be achieved is to develop education and prevention programs for head–neck diseases, and perhaps even more. The first step towards this goal can be removing the obstacles migrants encounter in accessing health care.

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Oral health needs of older migrants with culturally and linguistically diverse backgrounds in developed countries: A systematic review

Cited by 10 publications

References 49 publications

Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada

Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada

Immigration and Oral Health in Older Adults: An Integrative Approach

Oral Pathologies in Migrants: The Experience of the “PROTECT” Project in 3023 Patients

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