Ethnicity, migration status and dental caries experience among adults in East London

Delgado‐Angulo, Elsa K.; Marcenes, Wagner; Harding, Seeromanie; Bernabé, Eduardo

doi:10.1111/cdoe.12381

Cited by 14 publications

(19 citation statements)

References 33 publications

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“…Japanese national health data showed that lower educational attainment and lower equivalent household expenditure were associated with fewer remaining teeth [ 27 ], while lower income was associated with poor dental status in Japanese older people [ 28 ]. Similarly, socioeconomic inequalities, number of remaining teeth [ 29 ], edentulism [ 30 ], dental caries [ 31 , 32 ] and periodontal disease [ 33 , 34 ] were reported in the UK. Using large cohort data with harmonised measures, our findings of oral health inequalities determined by income and education offer extended support to previous studies.…”

Section: Discussionmentioning

confidence: 99%

Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England

Ito

Cable

Yamamoto

et al. 2020

IJERPH

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Countries with different oral health care systems may have different levels of oral health related inequalities. We compared the socioeconomic inequalities in oral health among older adults in Japan and England. We used the data for adults aged 65 years or over from Japan (N = 79,707) and England (N = 5115) and estimated absolute inequality (the Slope Index of Inequality, SII) and relative inequality (the Relative Index of Inequality, RII) for edentulism (the condition of having no natural teeth) by educational attainment and income. All analyses were adjusted for sex and age. Overall, 14% of the Japanese subjects and 21% of the English were edentulous. In both Japan and England, lower income and educational attainment were significantly associated with a higher risk of being edentulous. Education-based SII in Japan and England were 9.9% and 26.7%, respectively, and RII were 2.5 and 4.8, respectively. Income-based SII in Japan and England were 9.2% and 14.4%, respectively, and RII were 2.1 and 1.9, respectively. Social inequalities in edentulous individuals exist in both these high-income countries, but Japan, with wider coverage for dental care, had lower levels of inequality than England.

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Section: Discussionmentioning

confidence: 99%

Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England

Ito

Cable

Yamamoto

et al. 2020

IJERPH

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“…These six articles included a critical review of income and oral health, which called for an intersectionality approach in its conclusion 33 . A further two papers mentioned intersectionality only in the discussion sections 34,35 . Wright presented a conference paper on intersectionality, oral health and tobacco use focusing on Black people in the United States 36 .…”

Section: What Do We Know About the Application Of Intersectionality Imentioning

confidence: 99%

“…For example, a study by Schwartz et al 6 on oral health inequalities associated with sexual orientation (divided as Gay/Lesbian, Bisexual, exclusively Heterosexual and “Homosexually experienced”) misses an opportunity to understand the complexity of how sexual orientation intersects with gender, race and ethnicity, income, and education to produce oral health problems. Similarly, while Delgado‐Angulo et al 34 used intersectionality theory to explore the association between ethnicity and immigration status and caries, in using adjusted regression models to identity independent effects and dominant identities, they applied a multiplicative approach 41 . In so doing, they ignore gender and miss the opportunity to understand how inequalities are experienced by different intersections (eg being a male, White, newly arrived immigrant in the UK subjected to discrimination).…”

Section: What Do We Know About the Application Of Intersectionality Imentioning

confidence: 99%

What is intersectionality and why is it important in oral health research?

Muirhead

Milner

Freeman

et al. 2020

Comm Dent Oral Epid

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This paper is the second of two reviews that seek to stimulate debate on new and neglected avenues in oral health research. The first commissioned narrative review, “Inclusion oral health: Advancing a theoretical framework for policy, research and practice”, published in February 2020, explored social exclusion, othering and intersectionality. In it, we argued that people who experience social exclusion face a “triple threat”: they are separated from mainstream society, stigmatized by the dental profession, and severed from wider health and social care systems because of the disconnection between oral health and general health. We proposed a definition of inclusion oral health and a theoretical framework to advance the policy, research and practice agenda. This second review delves further into the concept of intersectionality, arguing that individuals who are socially excluded experience multiple forms of discrimination, stigma and disadvantage that reflect intersecting social identities. We first provide a theoretical and historical overview of intersectionality, rooted in Black feminist ideologies in the United States. Our working definition of intersectionality, requiring the simultaneous appreciation of multiple social identities, an examination of power and inequality, and a recognition of changing social contexts, then sets the scene for examining existing applications of intersectionality in oral health research. A critique of the sparse application of intersectionality in oral health research highlights missed opportunities and shortcomings related to paradigmatic and epistemological differences, a lack of robust theoretically engaged quantitative and mixed methods research, and a failure to sufficiently consider power from an intersectionality perspective. The final section proposes a framework to guide future oral health research that embraces an intersectionality agenda consisting of descriptive research to deepen our understanding of intersectionality, and transformative research to tackle social injustice and inequities through participatory research and co‐production.

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“…These patients will seek help in an ED when suffering from an acute problem, as costs will then be covered by the compulsory health insurance. Especially immigrants from different cultural backgrounds are not familiar with preventive care services, such as routine screening, which can detect early oral health problems before they become symptomatic, expensive, and potentially damaging [27][28][29][30][31]. The key problem is that EDs are normally not equipped to provide definitive dental care.…”

Section: Oral Health Of Immigrantsmentioning

confidence: 99%

“…Those affected cannot obtain adequate information about where to seek help. These factors may result in the inappropriate usage of emergency services [25,29].…”

Section: Oral Health Of Immigrantsmentioning

confidence: 99%

Violence as the Most Frequent Cause of Oral and Maxillofacial Injuries among the Patients from Low- and Middle-Income Countries—A Retrospective Study at a Level I Trauma University Emergency Department in Switzerland

Loutroukis

Loutrouki

Klukowska‐Rötzler

et al. 2020

IJERPH

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Preventive strategies can be developed by gathering more information about oral and maxillofacial injuries and oral pathologies in immigrants from low- to middle-income countries (LMIC). Additional information on the quality of care can also improve the allocation of clinical resources for the management of these patients. We studied immigrants from LMIC who presented in the emergency department (ED) at Berne University Hospital with dental problems or oral or maxillofacial injuries. The patient data included age, gender, nationality, the etiology and type of trauma and infection in the oral-maxillofacial area, and overall costs. The greatest incidence of maxillofacial injuries was observed in the age group of 16–35 years (n = 128, 63.6%, p = 0.009), with males outnumbering females in all age groups. Trauma cases were most frequent in the late evening and were mostly associated with violence (n = 82, 55.4%, p = 0.001). The most common fracture was fracture of the nose (n = 31). The mean costs were approximately the same for men (mean = 2466.02 Swiss francs) and women (mean = 2117.95 Swiss francs) with maxillofacial injuries but were greater than for isolated dental problems. In conclusion, the etiology of dental and maxillofacial injuries in immigrants in Switzerland requires better support in the prevention of violence and continued promotion of oral health education.

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Ethnicity, migration status and dental caries experience among adults in East London

Abstract: Large inequalities in caries experience were found between foreign- and UK-born adults, with considerable variation across ethnic groups. Looking beyond cultural explanations, in favour of social and environmental factors, may help to explain those inequalities.

Cited by 14 publications

References 33 publications

Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England

Wider Dental Care Coverage Associated with Lower Oral Health Inequalities: A Comparison Study between Japan and England

What is intersectionality and why is it important in oral health research?

Violence as the Most Frequent Cause of Oral and Maxillofacial Injuries among the Patients from Low- and Middle-Income Countries—A Retrospective Study at a Level I Trauma University Emergency Department in Switzerland

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