Psychosocial Determinants of Adherence to Preventive Dental Attendance for Preschool Children Among Filipino Immigrants in Edmonton, Alberta

Badri, Parvaneh; Wolfe, Ruth; Farmer, Anna; Amin, Maryam

doi:10.1007/s10903-017-0599-z

Cited by 8 publications

(8 citation statements)

References 29 publications

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“…Regarding medical insurance, the reimbursement prevalence for oral diseases is notably low in China [29], and the public must pay out of pocket for clinical treatment. The low-income population is focused on meeting basic needs and is less likely to seek dental care [30]. Furthermore, a prior study confirmed that poverty associated with education leads to reduced knowledge and a poor attitude regarding oral health [31].…”

Section: Discussionmentioning

confidence: 99%

Utilization of dental services and associated factors among preschool children in China

Gao

Ding

et al. 2020

BMC Oral Health

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Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen's behavioural model to explore influencing factors, thereby providing a reference for future policy making.Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child's parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization.Results: The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6-19.4%) among 5year-old children. "No dental diseases" (71.3%) and "dental disease was not severe" (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor's degree or higher (OR: 2.29, 95%CI: 1.97-2.67, p < 0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p < 0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p < 0.001), think their child have worse or bad oral health (OR: 3.54, 95%CI: 2.84-4.40, p < 0.001), and children who often have toothaches (OR: 9.72, 95%CI: 7.81-12.09, p < 0.001) were more likely to go to the dentist in the past year. Conclusion:The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

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Section: Discussionmentioning

confidence: 99%

Utilization of dental services and associated factors among preschool children in China

Gao

Ding

et al. 2020

BMC Oral Health

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“…Additionally, even where patients have access to translators they are sometimes unavailable when patients have appointments or are deemed inappropriate by patients depending on the health concern being discussed, for instance, some female patients are reluctant to discuss issues pertaining to their reproductive system using male interpreters [25]. Another key barrier is the cost of services that are not covered by the government; some families do not have extended health insurance or other financial resources to pay for medical equipment or dental care for their children [17,[26][27][28][29][30]. Many families also lack information about the range of health services and funding support for health available to them [17,21].…”

Section: Introductionmentioning

confidence: 99%

Access to Healthcare for Immigrant Children in Canada

Salami

Mason

Salma

et al. 2020

IJERPH

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Immigrants experience poorer health outcomes than nonimmigrants in Canada for several reasons. A central contributing factor to poor health outcomes for immigrants is access to healthcare. Previous research on access to healthcare for immigrants has largely focused on the experience of immigrant adults. The purpose of this study was to investigate how immigrants access health services for their children in Alberta, Canada. Our study involved a descriptive qualitative design. Upon receiving ethics approval from the University of Alberta Research Ethics Board, we invited immigrant parents to participate in this study. We interviewed 50 immigrant parents, including 17 fathers and 33 mothers. Interviews were audio recorded, transcribed, and analyzed according to the themes that emerged. Findings reveal that systemic barriers contributed to challenges in accessing healthcare for immigrant children. Participants identified several of these barriers—namely, system barriers, language and cultural barriers, relationship with health professionals, and financial barriers. These barriers can be addressed by policymakers and service providers by strengthening the diversity of the workforce, addressing income as a social determinant of health, and improving access to language interpretation services.

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“…Regarding medical insurance, the reimbursement rate for oral diseases is notably low in China [27], and the public must pay out of pocket for clinical treatment. The low-income population is focused on meeting basic needs and is less likely to seek dental care [28]. Furthermore, a prior study confirmed that poverty associated with education leads to reduced knowledge and a poor attitude regarding oral health [29].…”

Section: Discussionmentioning

confidence: 99%

Utilization of dental services and associated factors among preschool children in China

Gao

Ding

et al. 2019

Preprint

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Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen’s behavioural model to explore influencing factors, thereby providing a reference for future policy making.Methods: A cross-sectional study utilizing data from the Fourth National Oral Health Survey was performed from August 2015 to December 2016. Survey data for children in the 3- to 5-year-old age groups were extracted. Patient data were collected using a questionnaire answered by the child’s parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and logistic regression results were then analysed to assess associations.Results : The oral health service utilization rates during the prior 12 months were 9.5% among 3-year-old children, 12.1% among 4-year-old children, and 17.5% among 5-year-old children. “No dental diseases” and “dental disease was not severe” were the principal reasons that children had not attended a dental visit in the past 12 months. Greater child age, increased parental educational level, and good oral health brief by parents was associated with an increased likelihood that the child received dental services within the past 12 months. Children who lived in urban areas and who belonged to families with high annual per capita incomes tended to have relatively higher oral health service utilization rates in the past 12 months. In addition, dental pain, evaluated dental health, and decayed, missing, and filled surface (DMFS) scores were significantly linked to dental visits. The results also demonstrated that children were more likely to see a dentist if they brushed their teeth more frequently or brushed their teeth with their parents’ help.Conclusion: The rate of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

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Psychosocial Determinants of Adherence to Preventive Dental Attendance for Preschool Children Among Filipino Immigrants in Edmonton, Alberta

Abstract: Filipino parents were open to the Western model of preventive oral healthcare, with the duration of their time in Canada playing a key role in promoting regular dental visits for their children.

Cited by 8 publications

References 29 publications

Utilization of dental services and associated factors among preschool children in China

Utilization of dental services and associated factors among preschool children in China

Access to Healthcare for Immigrant Children in Canada

Utilization of dental services and associated factors among preschool children in China

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