Refugee child oral health

Riggs, Elisha; Rajan, Sadna; Casey, Sue; Kilpatrick, Nicky

doi:10.1111/odi.12530

Cited by 22 publications

(28 citation statements)

References 38 publications

(70 reference statements)

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“…Interestingly most previous studies were conducted in developed countries, while the present study was conducted in a developing country with limited resources and basic health care system. [6][7][8][9][10] Fluorosis was evident in nearly half of the children in the present study indicating a possible exposure to high fluoride levels in their home country. It might also be possible that the high fluoride concentration in water from the camp has contributed to fluorosis in some children especially those who stayed long enough to develop fluorosis.…”

Section: Discussionmentioning

confidence: 47%

“…These findings are in agreement with previous research about oral health in refugees. Interestingly most previous studies were conducted in developed countries, while the present study was conducted in a developing country with limited resources and basic health care system …”

Section: Discussionmentioning

confidence: 95%

“…Previous research indicated that children from refugee background had poor general and oral health and unmet treatment needs. [4][5][6] Reasons for poor health among refugees are variable, but include poor access to oral health care or common preventive oral health measures, such as a toothbrush or fluoridated toothpaste. 7 Further, families who arrive and subsequently have children in their new country, may be unaware of preventative oral health practices for their children.…”

Section: Discussionmentioning

confidence: 99%

“…The effect of refugee experience on oral health has been sparsely studied. In the main, previous studies were conducted in developed countries and showed higher burden of oral diseases and limited access to oral healthcare among refugees compared to populations in the host countries …”

Section: Introductionmentioning

confidence: 99%

“…In the main, previous studies were conducted in developed countries and showed higher burden of oral diseases and limited access to oral healthcare among refugees compared to populations in the host countries. [6][7][8][9][10] Dental caries is one of the most common chronic diseases of childhood affecting between 60% and 90% of children globally. 11 Poor oral health due to caries leads to chronic infection, pain, lack of sleep, missed school days, impaired social development and reduced oral and overall quality of life.…”

Section: Introductionmentioning

confidence: 99%

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The oral health status of Syrian refugee children in Jordan: An exploratory study

Makan

Gara

Abu-Awwad

et al. 2019

Special Care in Dentistry

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Objectives To examine the oral health status and dental treatment needs of children Syrian refugees in Jordan. Methods A convenience sample of Syrian refugee children who aged between 6 and 12 years at al‐Zaatari camp was used for the purpose of this study. Examination was performed according to the method proposed by WHO. DMFT and gingival indices were examined and reported by a trained dentist. Results A total of 125 children were examined. The mean DMFT score was 3.64 ± 9.83, and the mean dmft score was 2.98 ± 4.7. More than half of children (50.4%) were found to have high caries risk according to CAMBRA scale. Most of the DMFT score was contributed by decayed and missing teeth. Nearly, half of children (44.8%) showed fluorosis and almost all children had chronic gingivitis. More than half of the participants (55.2%) reported that they needed dental treatment during their stay at the camp, but only half (52%) received treatment mainly tooth extraction and prescription of medication. Only 6.4% of children received conservative dental treatment. Conclusion Syrian refugee children in Jordan were found to have high levels of unmet dental needs. Accessibility of dental services was found to be a primary barrier to care.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The oral health status of Syrian refugee children in Jordan: An exploratory study

Makan

Gara

Abu-Awwad

et al. 2019

Special Care in Dentistry

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The Risks and Repercussions of Poor Oral Health Among Immigrants

Kandahari,

Kayhani,

Farzal

2023

JAMA Otolaryngol Head Neck Surg

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Last year, the number of refugees in the world reached over 103 million for the first time on record. 1 In the US, the proportion and number of immigrants and their children has been rapidly increasing, reaching nearly 27% of the total population in 2022. 2 Despite the growing number of immigrants, however, there is a lack of readiness among health care professionals to understand and address their health care needs. As refugees, asylum seekers, and immigrants ourselves, we have experienced firsthand the permeating consequences of migration on health and life outcomes. We have seen how past war, unstable living conditions, political persecution, and lack of health care resources can foster distrust of the US health care institution. We have experienced the need to prioritize finding a home, obtaining an income, learning a new language, and filing for legal status before considering "preventive health care."We have faced adversity before, during, and after migration that directly harmed and harms health.While the number of studies about general immigrant health is beginning to increase, the research conducted on oral health among immigrants remains limited. From the few crosssectional studies that have been done, we know that immigrants have worse oral health and hygiene than people who are native born, of White race, citizens of the US, English language proficient, and insured. [3][4][5] For example, when asked to rate the health of their teeth and gums, only 14.46% of Spanishspeaking Hispanic respondents rated "excellent or very good" compared with 39.25% of non-Hispanic White people. 3 However, differences in health outcomes associated with socially constructed variables such as race or citizenship are explained by differences in social, economic, and legal treatment, namely racism and discrimination, rather than differences in biology or genetics. In fact, being foreign born is associated with lower educational attainment, financial well-being, and insurance coverage in the US, all of which independently portend worse oral health. 3 Therefore, we, as health care practitioners and researchers, must consider and address the ubiquitous structures that marginalize certain peoples.Oral health and hygiene are particularly important given the recent research showing the associations between the oral microbiome and oral cavity cancer. 6 Early studies examined bacterial cultures and metabolite levels, showing, for example, that people with more dental disease had nearly twice as much carcinogenic metabolite production and more complex bacterial composition. 6,7 More recent studies use nextgeneration sequencing; comparing healthy controls with patients with precancerous and cancerous lesions, they show that as cancer progresses to advanced stages, the oral microbiome also has increasingly higher complexity and expression of genes involved in carbohydrate metabolism. [6][7][8] Opinion EDITORIAL jamaotolaryngology.com (Reprinted) JAMA Otolaryngology-Head & Neck Surgery

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