Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada
Abstract Objective This study examined the dental care utilization and self-preserved dental health of Asian immigrants relative to non-immigrants in Canada. Factors associated with oral health-related disparities between Asian immigrants and other Canadians were further examined. Methods We analyze...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-01863-0 |
| _version_ | 1827956879904473088 |
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| author | Qianqian Li Yu Wang John C. Knight Yanqing Yi Sara Ozbek Matin Shariati Peizhong Peter Wang Yun Zhu |
| author_facet | Qianqian Li Yu Wang John C. Knight Yanqing Yi Sara Ozbek Matin Shariati Peizhong Peter Wang Yun Zhu |
| author_sort | Qianqian Li |
| collection | DOAJ |
| description | Abstract Objective This study examined the dental care utilization and self-preserved dental health of Asian immigrants relative to non-immigrants in Canada. Factors associated with oral health-related disparities between Asian immigrants and other Canadians were further examined. Methods We analyzed 37,935 Canadian residents aged 12 years and older in the Canadian Community Health Survey 2012–2014 microdata file. Factors (e.g., demographics, socioeconomic status, lifestyles, dental insurance coverage, and year of immigration) associated with disparities in dental health (e.g., self-perceived teeth health, dental symptoms during past one month, and teeth removed due to decay in past one year) and service utilization (e.g., visiting dentist within the last three years, visiting dentist more than once per year) between Asian immigrants and other Canadians were examined using multi-variable logistic regression models. Results The frequency of dental care utilization was significantly lower in Asian immigrants than their non-immigrant counterparts. Asian immigrants had lower self-perceived dental health, were less likely to be aware of recent dental symptoms, and more likely to report tooth extractions due to tooth decay. Low education (OR = 0.42), male gender(OR = 1.51), low household income(OR = 1.60), non-diabetes(OR = 1.87), no dental insurance(OR = 0.24), short immigration length (OR = 1.75) may discourage Asian immigrants from dental care utilization. Additionally, a perceived lack of necessity to dentist-visiting was a crucial factor accounting for the disparities in dental care uptake between Asian immigrants and non-immigrants. Conclusion Asian immigrants showed lower dental care utilization and oral health than native-born Canadians. |
| first_indexed | 2024-04-09T15:11:36Z |
| format | Article |
| id | doaj.art-3a2cab6c36ac4d9cba3b1f0306171089 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-04-09T15:11:36Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-3a2cab6c36ac4d9cba3b1f03061710892023-04-30T11:10:38ZengBMCInternational Journal for Equity in Health1475-92762023-04-0122111410.1186/s12939-023-01863-0Dental health status, dentist visiting, and dental insurance of Asian immigrants in CanadaQianqian Li0Yu Wang1John C. Knight2Yanqing Yi3Sara Ozbek4Matin Shariati5Peizhong Peter Wang6Yun Zhu7Division of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical UniversityDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of NewfoundlandDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical UniversityAbstract Objective This study examined the dental care utilization and self-preserved dental health of Asian immigrants relative to non-immigrants in Canada. Factors associated with oral health-related disparities between Asian immigrants and other Canadians were further examined. Methods We analyzed 37,935 Canadian residents aged 12 years and older in the Canadian Community Health Survey 2012–2014 microdata file. Factors (e.g., demographics, socioeconomic status, lifestyles, dental insurance coverage, and year of immigration) associated with disparities in dental health (e.g., self-perceived teeth health, dental symptoms during past one month, and teeth removed due to decay in past one year) and service utilization (e.g., visiting dentist within the last three years, visiting dentist more than once per year) between Asian immigrants and other Canadians were examined using multi-variable logistic regression models. Results The frequency of dental care utilization was significantly lower in Asian immigrants than their non-immigrant counterparts. Asian immigrants had lower self-perceived dental health, were less likely to be aware of recent dental symptoms, and more likely to report tooth extractions due to tooth decay. Low education (OR = 0.42), male gender(OR = 1.51), low household income(OR = 1.60), non-diabetes(OR = 1.87), no dental insurance(OR = 0.24), short immigration length (OR = 1.75) may discourage Asian immigrants from dental care utilization. Additionally, a perceived lack of necessity to dentist-visiting was a crucial factor accounting for the disparities in dental care uptake between Asian immigrants and non-immigrants. Conclusion Asian immigrants showed lower dental care utilization and oral health than native-born Canadians.https://doi.org/10.1186/s12939-023-01863-0Dental healthDental care utilizationDental health insuranceSelf-perceived oral healthAsian immigrants |
| spellingShingle | Qianqian Li Yu Wang John C. Knight Yanqing Yi Sara Ozbek Matin Shariati Peizhong Peter Wang Yun Zhu Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada International Journal for Equity in Health Dental health Dental care utilization Dental health insurance Self-perceived oral health Asian immigrants |
| title | Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada |
| title_full | Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada |
| title_fullStr | Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada |
| title_full_unstemmed | Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada |
| title_short | Dental health status, dentist visiting, and dental insurance of Asian immigrants in Canada |
| title_sort | dental health status dentist visiting and dental insurance of asian immigrants in canada |
| topic | Dental health Dental care utilization Dental health insurance Self-perceived oral health Asian immigrants |
| url | https://doi.org/10.1186/s12939-023-01863-0 |
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