Oral Health, Health Service Utilization, and Age at Arrival to the U.S. among Safety Net Patients

Sarah E. Raskin, R. Rasnick, Tatiana Kohlmann, Martin Zanin, Julie Bilodeau, Aderonke Akinkugbe

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Immigrants’ oral health disparities have not been adequately investigated using a lifecourse approach, which investigates the cumulative effects of risk and protective exposures among other considerations. Methods: We examined self-reported oral health outcomes and health care appointment outcomes among a sample of patients enrolled at a federally qualified health center in Richmond Virginia (N= 327) who were categorized into three groups by approximate age at arrival to the U.S. Results: Study participants who arrived to the U.S. prior to age 18 had better retention of natural dentition, better oral health related quality of life, and a lower proportion of dental appointments to address pain than those who arrived after age 18 or were born in the U.S. Conclusions: Im/migrants’ differentiated oral health outcomes by age at arrival to the U.S. suggest the relevance of lifecourse factors, for example the cumulative effects of risk and protective exposures, and confirm the merits of lifecourse studies of im/migrants’ oral health.

Original languageEnglish
Article number1477
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number3
DOIs
StatePublished - 1 Feb 2022
Externally publishedYes

Keywords

  • Dental care
  • Health care safety net
  • Health service utilization
  • Immigration
  • Lifecourse
  • Migration
  • Oral health
  • Oral health related quality of life (OHRQoL)

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