Experiences of discrimination and oral health‐related quality of life among foreign‐born older Chinese Americans: Does resilience play a mediating role?

Mao, Weiyu; Wu, Bei; Chi, Iris; Yang, Wei; Dong, XinQi

doi:10.1111/cdoe.12723

Cited by 8 publications

(7 citation statements)

References 39 publications

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“…A summated score with a theoretical range from 12 to 60 was calculated. Satisfactory reliability of the scale in this population was suggested (Cronbach’s α = .85; Mao et al 2023). Higher scores suggest higher levels of behavioral acculturation.…”

Section: Methodsmentioning

confidence: 81%

Factors of Dental Care Utilization in Foreign-Born Older Chinese Americans

Mao

Wang

et al. 2023

J Dent Res

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Good oral health is essential for healthy aging. Regular dental care utilization is instrumental to good oral health. Older immigrants tend to experience poorer oral health and less dental care use as compared with their native-born counterparts in the host country. Older immigrants are particularly vulnerable to interrupted or lost social ties and acculturation challenges after immigration to a new country. This study examined whether and to what extent social relations, acculturation, and perceived oral health needs are associated with dental care utilization in foreign-born older Chinese Americans. Data came from the Population Study of Chinese Elderly in Chicago, which were collected between 2017 and 2019 ( N = 3,000). Dental care utilization was dichotomized into “yes” versus “no” in the past 2 y. Social relations were measured by positive and negative relations with spouse, family, and friends. Acculturation was measured by length of stay, behavioral acculturation, and residence in Chinatown. Perceived oral health needs were measured by the presence of problems related to teeth, gums, or bleeding. As guided by the Andersen model, separate logistic regression models were used to investigate factors of dental care utilization. An overall 23.1% reported dental care utilization. Individuals with no negative relations with spouse, family, and friends were 31%, 36%, and 38% less likely to visit a dentist, respectively. Individuals with higher levels of behavioral acculturation were 4% more likely to visit a dentist; individuals living in Chinatown were 45% less likely; and individuals with perceived oral health needs were 2.5 times more likely. Findings illustrate the importance of understanding social relations, immigration-related factors, and perceived oral health needs in dental care utilization in older immigrants.

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Section: Methodsmentioning

confidence: 81%

Factors of Dental Care Utilization in Foreign-Born Older Chinese Americans

Mao

Wang

et al. 2023

J Dent Res

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“…Among the scales, the Connor Davidson Resilience Scale (Four domains—grit, active coping self-efficacy, accommodative coping self-efficacy e spirituality) [ 35 , 36 , 40 , 41 , 46 , 54 , 56 , 68 , 76 , 80 , 81 , 90 , 95 , 97 , 100 , 104 , 108 , 110 , 116 , 123 , 124 , 129 ]; The Resilience Scale (Two domains—personal competence; acceptance of self and life) [ 33 , 49 , 51 , 58 , 66 , 75 , 78 , 83 , 103 , 106 , 116 , 125 ]; Simplified Resilience Score = Leave Behind Questionnaire + Resilience Scale [ 43 , 105 , 118 ]; Brief Resilient Coping Scale [ 35 , 44 , 49 , 56 , 79 , 91 , 102 , 110 , 123 , 130 ]; Dispositional Resilience Scale [ …”

Section: Resultsmentioning

confidence: 99%

“…The empirical elements of “resilience in older people” are available in a quantitative approach (scales, inventories, and surveys) and a qualitative approach (interviews, dialogues, and guiding questions). In both, the characteristics presented in Figure 3 are evaluated, such as coping [ 31 , 35 , 36 , 40 , 41 , 46 , 54 , 56 , 65 , 68 , 76 , 80 , 81 , 90 , 95 , 97 , 100 , 104 , 108 , 110 , 116 , 122 , 123 , 124 , 129 ], self-efficacy [ 31 , 35 , 36 , 40 , 41 , 46 , 54 , 56 , 65 , 68 , 76 , 80 , 81 , 90 , 95 , 97 , 100 , 104 , 108 , 110 , 116 , 122 , 123 , 124 , 129 ], personal competences [ …”

Section: Discussionmentioning

confidence: 99%

“…,50,53,54,59,67-69,79,80,82,88,95,96,100,126]; positive perspective and experience of ageing (active aging; independence and autonomy; values socialization; personal behaior)[11,21,22,25,26,29,31,34,39,40,44,45,[47][48][49][50]60,61,63,64,69,70,73,75,78,81,82,85,86,88,95,97,100,101,103,104,[106][107][108][109]111,112,116,121,[127][128][129]; grief and loss experience[42,43,51,…”

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confidence: 99%

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Resilience in Older People: A Concept Analysis

Lima,

Figueira,

Carvalho

et al. 2023

Healthcare

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(1) Background: Resilience has been presented as a potential protective factor to be promoted in difficult experiences in older people. However, further clarification of the concept of resilience for this population is required, as this is of critical interest for nursing care. (2) Aim: To develop the concept of resilience in older people to establish the elements that refer to the nursing outcome. Personal resilience (1309) from the Nursing Outcomes Classification (NOC), specifically in older people. (3) Methods: Concept analysis using Beth Rodgers’ evolutionary model. The attributes, antecedents, consequents, and empirical elements were described in the integrative review, with searches in PubMed, CINAHL, PsycINFO, LILACS, and Embase databases. A total of 2431 citations have been identified, and 110 studies were included. (4) Results: The concept of “resilience in older people” is composed of two attributes, available resources and positive behaviors, and is defined as positive attitudes of older people with the assistance of resources available from experiences of adversity. Conclusion: This analysis and concept development of resilience in older people provided sensitive indicators for nursing care in the context of adversity, considering available resources and with positive attitudes during this phase of life span.

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“…Previous studies have shown that perceived discrimination due to race, skin color, or ethnicity in different settings, including healthcare facilities, is associated with poorer oral health-related quality of life among older Chinese immigrants in the United States [ 15 ] and with greater oral health disability (toothache, discomfort due to the appearance of the mouth, and food limitations) among Australian adults [ 16 ]. Similarly, perceived experiences of discrimination in healthcare services were associated with worse oral health-related quality of life among older Brazilian adults [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Experience of Discrimination and Oral Health Self-Perception: A Cross-Sectional Study among Brazilian Adults

Vieira,

Cruz,

Alencar

et al. 2024

IJERPH

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This cross-sectional study investigated the association between experiences of discrimination and oral health self-perception among a probabilistic cluster sample of Brazilian adults who participated in the 2013 National Health Survey. Oral health self-perception was categorized into three groups (very good + good; fair; poor + very poor). Reported experiences of discrimination included attributions based on the respondent’s race/skin color, social class, income, occupation, illness, sexual orientation, religion, sex, and age. Covariates included sociodemographic data, oral health conditions, access to healthcare services, health habits, mental health, and participation in social and/or religious activities. Data were analyzed using ordinal logistic regression for non-proportional odds, considering sample weights and complex samples. Among 60,202 adults, 5.84% perceived their oral health as poor + very poor, with a significantly higher proportion among those experiencing discrimination (9.98%). Adults who experienced discrimination were 1.39 times more likely to report a “poor/very poor/fair” oral health self-perception compared to those who did not experience discrimination. Those who suffered discrimination were 1.28 times more likely to have a “very poor/poor” oral health self-perception than their counterparts who were not affected by discrimination. These findings underscore the importance of considering discrimination experiences as part of the social determinants influencing oral health.

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Experiences of discrimination and oral health‐related quality of life among foreign‐born older Chinese Americans: Does resilience play a mediating role?

Cited by 8 publications

References 39 publications

Factors of Dental Care Utilization in Foreign-Born Older Chinese Americans

Factors of Dental Care Utilization in Foreign-Born Older Chinese Americans

Resilience in Older People: A Concept Analysis

Experience of Discrimination and Oral Health Self-Perception: A Cross-Sectional Study among Brazilian Adults

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