Dental service utilization and immigrant family structure

Okunseri, Christopher; Rota, Klea; Okunseri, Elaye; Patel, Kadam; García, Raúl I.; Zheng, Cheng; Szabó, Anikó

doi:10.1111/jphd.12432

Cited by 4 publications

(6 citation statements)

References 14 publications

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“…Immigrant children's oral health is a growing dental public health concern. The oral health of immigrant populations is influenced by the factors of individuals, communities, and healthcare systems both before and after immigration, yet it remains unclear how these factors contribute to overall oral health disparities 31 . According to our findings, the participants residing in Istanbul, which is the most populated city in Turkey, had greater difficulties accessing dental care than the participants in the other cities.…”

Section: Discussionmentioning

confidence: 59%

“…Parental education programs and accessible preventive treatment are the most cost‐effective strategies to reduce the health burden on dental healthcare services. The continuous implementation of policies and programs that increase the access to and utilization of preventive dental services for immigrant populations was supported by the findings of previous research 31 …”

Section: Discussionmentioning

confidence: 60%

“…The continuous implementation of policies and programs that increase the access to and utilization of preventive dental services for immigrant populations was supported by the findings of previous research. 31 The present study has the following limitations. First, because of the cross-sectional design, it was not possible to determine causal relationships between dental health service use, oral health problems, and socioeconomic and demographic variables.…”

Section: Discussionmentioning

confidence: 88%

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Accessibility to dental services by immigrant and refugee children residing in Turkey

Duman

Uslu

Çakmak

et al. 2022

Int J Paed Dentistry

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BackgroundTurkey is hosting the world's largest immigrant population under temporary and international protection. Due to the social inequalities contributing to early childhood dental caries, the effectiveness of dental care service for immigrant children should be evaluated.AimTo evaluate the accessibility of immigrant and refugee children residing in four different regions of Turkey to oral health products and dental treatment services.DesignA questionnaire consisting of 21 questions was administered: The first six questions elicited demographic data, and the remaining 15 questions asked about oral health habits, access to oral hygiene materials, and dental treatment services. Participants included the parents of 430 children under the age of 18, who were registered with migrant associations in the regions where they lived (Istanbul, Samsun, Hatay, or Ankara).ResultsThe majority of the participants were from Syria and Iraq. Of the participants, 42.1% reported that their children's oral hygiene habits had changed negatively after they migrated, 71.9% reported that they had not been to the dentist in the last year, and 82.8% reported that they had not been to the dentist for more than 12 months. Access to oral and dental hygiene products was not difficult for 68.4%. About 62.6%, however, reported that they had difficulty accessing dental treatment.ConclusionThe findings showed that this disadvantaged group had difficulty accessing dental treatment. Therefore, there is a need for national and international health strategies to ensure that immigrant and refugee children have effective access to dental treatment.

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 88%

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Accessibility to dental services by immigrant and refugee children residing in Turkey

Duman

Uslu

Çakmak

et al. 2022

Int J Paed Dentistry

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“…Systems‐level approaches to providing preventive dental, vision, and mental health care to immigrant children are limited. Immigrant children are less likely to receive preventive dental care and more likely to have restorative and surgical care 68,90,91 . Immigrant children may also be identified as failing vision screens but may not have access to appropriate ophthalmologic follow‐up care 92 .…”

Section: Models Of Care Deliverymentioning

confidence: 99%

Moving Toward Inclusion: Access to Care Models for Uninsured Immigrant Children

GIRTAIN,

SHAH,

MONTERREY

et al. 2023

Milbank Quarterly

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Policy Points Models for access to care for uninsured immigrant children that mitigate structural and sociopolitical barriers to inclusive health care include funding structures (e.g., state‐sponsored coverage) and care delivery systems (e.g., federally qualified health centers,). Although the quintessential model of access to care necessitates health coverage for all children regardless of immigration status or date of United States entry, incremental policy change may more realistically and efficiently advance equitable access to high‐quality health care. Intentional advocacy efforts should prioritize achievable goals that are grounded in data, are attentive to the sociopolitical milieu, are inclusive of diverse perspectives, and would meaningfully impact health care access and outcomes.

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“…20 The measures used in this study have been reported to have high internal consistency and strong correlation in existing acculturation scales, such as language spoken at home and proportion of life lived in the United States. 20 Language reported has been found to be the strongest single predictor of acculturation, [21][22][23] followed by the proportion of life lived in the United States as an assessment of the level of exposure to US culture. 24 This study examined changes in acculturation level and socio-economic status and their association with preventive dental service use, receipt of restorative or surgical care and unmet dental needs.…”

Section: Introductionmentioning

confidence: 99%

Acculturation and Children's dental service utilization in the United States

Okunseri

Zheng

Zhang

et al. 2023

Comm Dent Oral Epid

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Objective The study examined changes in acculturation level, socio‐economic status, and their association with preventive dental service use, receipt of restorative, or surgical care, and unmet dental needs. Methods Data from the Medical Expenditure Panel Survey (MEPS) for children aged 1 to 17 years from 2007 to 2015 were analysed. Firstly, a cross‐sectional structural equation model (SEM) that included both a measurement model and a structural model was fitted simultaneously to obtain predicted latent variables for acculturation, socio‐economic status (SES), dental service utilization, and unmet dental needs. Secondly, the change in acculturation, SES, dental service utilization, and unmet dental needs were calculated over two consecutive years within the same child. Finally, the structural model in these changes was fitted, and the indirect and direct pathways between acculturation and SES were tested with dental insurance as a mediator. Results Data for 33 507 children in both panel years were analysed. An increase in family acculturation resulted in lower utilization of preventive dental service and more unmet dental need, with socio‐economic status and dental insurance kept constant between the panel years, and after adjusting for race/ethnicity, gender, and age. In addition, increased acculturation was associated with higher SES, and a higher probability of having obtained dental insurance, both of which resulted in increased preventive dental service utilization and less unmet dental need. The positive direct effect and negative indirect effect of acculturation on unmet dental need cancelled each other out and resulted to almost zero total effect between acculturation and unmet dental need. Similarly, the negative direct effect and positive indirect effect of acculturation on preventive dental service cancelled each other out leading to a small increase in preventive dental service utilization. Conclusion Children of immigrant families are at risk of inadequate access to dental care as their families becomes more acculturated, without increase in SES and access to dental insurance. This study supports policies that promote immigrant family's adequate access to dental insurance and employment to improve their socio‐economic status.

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Dental service utilization and immigrant family structure

Cited by 4 publications

References 14 publications

Accessibility to dental services by immigrant and refugee children residing in Turkey

Accessibility to dental services by immigrant and refugee children residing in Turkey

Moving Toward Inclusion: Access to Care Models for Uninsured Immigrant Children

Acculturation and Children's dental service utilization in the United States

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