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

被引:4
作者
Li, Qianqian [1 ]
Wang, Yu [2 ]
Knight, John C. [1 ]
Yi, Yanqing [1 ]
Ozbek, Sara [1 ]
Shariati, Matin [1 ]
Wang, Peizhong Peter [1 ,3 ,4 ]
Zhu, Yun [2 ]
机构
[1] Mem Univ Newfoundland, Fac Med, Div Community Hlth & Humanities, St John, NF A1B 3V6, Canada
[2] Tianjin Med Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Tianjin 300070, Peoples R China
[3] Univ Toronto, Dalla Lana Sch Publ Hlth, 155 Coll St,Room 534, Toronto, ON M5T 3M7, Canada
[4] Ctr New Immigrant Wellbeing, 200-80 Acadia Ave, Markham, ON L3R 9V1, Canada
基金
中国国家自然科学基金;
关键词
Dental health; Dental care utilization; Dental health insurance; Self-perceived oral health; Asian immigrants; ORAL-HEALTH; CHINESE IMMIGRANTS; WOMEN; CARE; BEHAVIORS;
D O I
10.1186/s12939-023-01863-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
ObjectiveThis 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.MethodsWe 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.ResultsThe 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.ConclusionAsian immigrants showed lower dental care utilization and oral health than native-born Canadians.
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页数:14
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