The Association of Immigration and Acculturation Attributes With Oral Health Among Immigrants in New York City

Cruz, Gustavo D.; Chen, Yu; Salazar, Christian R.; Geros, Racquel Z. Le

doi:10.2105/ajph.2008.149799

Cited by 69 publications

(106 citation statements)

References 24 publications

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“…Additionally, evidence is emerging to show that oral microbial communities play a critical role in the pathogenesis of oral cancer [5], [6]. It has been established that susceptibility to these diseases varies among ethnicities after controlling for socioeconomic, dietary, and other environmental factors [7], suggesting that indigenous oral microbial communities differ between ethnicities and that these differences may underlie the differential disease susceptibilities. Therefore, we investigated if variations in the composition of health-compatible oral biofilms can be attributable to an individual’s ethnic affiliation.…”

Section: Introductionmentioning

confidence: 99%

Deep Sequencing Identifies Ethnicity-Specific Bacterial Signatures in the Oral Microbiome

et al. 2013

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Oral infections have a strong ethnic predilection; suggesting that ethnicity is a critical determinant of oral microbial colonization. Dental plaque and saliva samples from 192 subjects belonging to four major ethnicities in the United States were analyzed using terminal restriction fragment length polymorphism (t-RFLP) and 16S pyrosequencing. Ethnicity-specific clustering of microbial communities was apparent in saliva and subgingival biofilms, and a machine-learning classifier was capable of identifying an individual’s ethnicity from subgingival microbial signatures. The classifier identified African Americans with a 100% sensitivity and 74% specificity and Caucasians with a 50% sensitivity and 91% specificity. The data demonstrates a significant association between ethnic affiliation and the composition of the oral microbiome; to the extent that these microbial signatures appear to be capable of discriminating between ethnicities.

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Section: Introductionmentioning

confidence: 99%

Deep Sequencing Identifies Ethnicity-Specific Bacterial Signatures in the Oral Microbiome

et al. 2013

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“…Cruz et al also report that other studies among immigrants from developing countries have found that the positive association between dental caries and socio-economic position (SEP) diminishes as duration in the industrialized country increases (7). It has been stressed that accounting for the diversity of cultural backgrounds is critical for patient-provider communication and plays a significant role in enhancing the quality of care and improving population health outcomes (8).…”

Section: Introductionmentioning

confidence: 92%

“…Acculturation has been considered an important factor in immigrants’ health seeking and preventive behaviors, yet studies relating it to oral health have provided contradictory results – some finding immigrants with less dental caries experience but others finding immigrants with more dental caries than similar native populations (7). Cruz et al also report that other studies among immigrants from developing countries have found that the positive association between dental caries and socio-economic position (SEP) diminishes as duration in the industrialized country increases (7).…”

Section: Introductionmentioning

confidence: 99%

Language and literacy relate to lack of children’s dental sealant use

Mejía

Weintraub

Cheng

et al. 2010

Community Dentistry and Oral Epidemiology

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Mejia GC, Weintraub JA, Cheng NF, Grossman W, Han PZ, Phipps KR, Gansky SA. Language and literacy relate to lack of children’s dental sealant use. Community Dent Oral Epidemiol 2011; 39: 318–324. © 2010 John Wiley & Sons A/S Abstract Objectives: This study aimed to determine the percent of California’s third grade public school children lacking sealants by child and family factors and to measure social disparities for lacking sealants. Methods: The study analyzed data from the California Oral Health Needs Assessment (COHNA) 2004–2005, a complex stratified cluster sample of children (n = 10 450) from 182 randomly selected public elementary schools in California. The dependent variable was absence of sealants in first permanent molars. The independent variables included child race/ethnicity; socio‐economic position (SEP) measured as child’s participation in the free or reduced‐price lunch program at the individual and school level; acculturation measured as language spoken at home and school level percent of English language learners; and parent functional health literacy measured as correctly following questionnaire instructions. Absolute differences and health disparity indices (i.e. Slope Index of Inequality, Relative Index of Inequality‐mean, Absolute Concentration Index) were used to measure absolute and relative disparities. Results: The percent of children lacking sealants was high in all racial/ethnic groups; no child or school level SEP differences in lacking sealants were seen, but significant differences existed by acculturation (child and school level) and parental functional health literacy. Conclusions: NonEnglish language and poor parental functional health literacy are potential barriers that need to be addressed to overcome disparities in sealant utilization.

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“…Acculturation also may impact the ability of an individual to navigate the dental health care system (2, 6, 26, 27). Linguistic and cultural factors can play important roles in determining access to oral health services, as well as personal oral hygiene practices.…”

Section: How Acculturation Impacts Oral Health Of Immigrant Childrenmentioning

confidence: 99%

Acculturation and Pediatric Minority Oral Health Interventions

Tiwari

Albino

2017

Dental Clinics of North America

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Synopsis Immigrant populations are growing at a fast pace in the United States. Cultural variations can have implications on oral health of children form immigrant households. Length of stay in the US and language spoken at home, proxies for measuring acculturation, are some of the crucial factors determining the level of acculturation in families. Higher acculturation generally has a positive impact on oral health utilization. Improving cultural competency of the dental team and involving the stakeholders in intervention design and implementation are some strategies that may increase the trust of ethnic minority patients and reduce barriers to access to care.

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The Association of Immigration and Acculturation Attributes With Oral Health Among Immigrants in New York City

Cited by 69 publications

References 24 publications

Deep Sequencing Identifies Ethnicity-Specific Bacterial Signatures in the Oral Microbiome

Deep Sequencing Identifies Ethnicity-Specific Bacterial Signatures in the Oral Microbiome

Language and literacy relate to lack of children’s dental sealant use

Acculturation and Pediatric Minority Oral Health Interventions

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