Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study

Objectives: This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immigrant women of childbearing age. Potential barrier...

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Main Authors: Qianqian Li, Meizhi Du, John C. Knight, Yanqing Yi, Qi Wang, Peizhong Peter Wang, Yun Zhu
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/19/2666
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author Qianqian Li
Meizhi Du
John C. Knight
Yanqing Yi
Qi Wang
Peizhong Peter Wang
Yun Zhu
author_facet Qianqian Li
Meizhi Du
John C. Knight
Yanqing Yi
Qi Wang
Peizhong Peter Wang
Yun Zhu
author_sort Qianqian Li
collection DOAJ
description Objectives: This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immigrant women of childbearing age. Potential barriers to dental care services among Asian immigrant women were explored. Methods: This analysis utilized data from the combined Canadian Community Health Survey from 2011 to 2014. The analytical sample consisted of 5737 females whose age was between 20 and 39 years. Multivariable logistic regression models assessed immigrant status and other factors in relation to the indicators of dental health (i.e., dental visit, self-perceived oral health, acute teeth issue, and teeth removed due to decay). Results: Amongst Asian women immigrants of childbearing age, there was a significantly lower frequency of dentist visits compared to non-immigrant counterparts (OR = 0.53; 95% CI: 0.37–0.76). The most commonly reported reason for not seeking dental care in the last three years was that the “respondent did not think it was necessary”. Relative to Canadian born women of same age bracket, Asian women of childbearing age reported fewer acute teeth issues (OR = 0.67; 95% CI: 0.49–0.91) and had a greater risk of tooth extracted due to tooth decay (OR = 3.31; 95% CI: 1.64–6.68). Furthermore, for Asian women immigrants, their major barriers to dental care included low household income (≤$39,999 vs. $40,000–$79,999 OR = 0.26) and a lack of dental insurance (no vs. yes OR = 0.33). Conclusions: Asian immigrant women showed lower utilization of dental services than non-immigrant women. A perceived lack of necessity, lower household income, and dental insurance coverage were major barriers to professional dental usage for most Asian immigrants of childbearing age.
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spelling doaj.art-f5302ac117e347c2ad7f40bd11689b772023-11-19T14:25:33ZengMDPI AGHealthcare2227-90322023-10-011119266610.3390/healthcare11192666Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative StudyQianqian Li0Meizhi Du1John C. Knight2Yanqing Yi3Qi Wang4Peizhong Peter Wang5Yun Zhu6Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL A1B 3V6, CanadaDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin 300070, ChinaDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL A1B 3V6, CanadaDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL A1B 3V6, CanadaCentre for New Immigrant Wellbeing, Markham, ON L3R 9V1, CanadaDivision of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL A1B 3V6, CanadaDepartment of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin 300070, ChinaObjectives: This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immigrant women of childbearing age. Potential barriers to dental care services among Asian immigrant women were explored. Methods: This analysis utilized data from the combined Canadian Community Health Survey from 2011 to 2014. The analytical sample consisted of 5737 females whose age was between 20 and 39 years. Multivariable logistic regression models assessed immigrant status and other factors in relation to the indicators of dental health (i.e., dental visit, self-perceived oral health, acute teeth issue, and teeth removed due to decay). Results: Amongst Asian women immigrants of childbearing age, there was a significantly lower frequency of dentist visits compared to non-immigrant counterparts (OR = 0.53; 95% CI: 0.37–0.76). The most commonly reported reason for not seeking dental care in the last three years was that the “respondent did not think it was necessary”. Relative to Canadian born women of same age bracket, Asian women of childbearing age reported fewer acute teeth issues (OR = 0.67; 95% CI: 0.49–0.91) and had a greater risk of tooth extracted due to tooth decay (OR = 3.31; 95% CI: 1.64–6.68). Furthermore, for Asian women immigrants, their major barriers to dental care included low household income (≤$39,999 vs. $40,000–$79,999 OR = 0.26) and a lack of dental insurance (no vs. yes OR = 0.33). Conclusions: Asian immigrant women showed lower utilization of dental services than non-immigrant women. A perceived lack of necessity, lower household income, and dental insurance coverage were major barriers to professional dental usage for most Asian immigrants of childbearing age.https://www.mdpi.com/2227-9032/11/19/2666dental healthdentist visitingdental health insurance coverageself-perceived oral healthAsian women immigrants
spellingShingle Qianqian Li
Meizhi Du
John C. Knight
Yanqing Yi
Qi Wang
Peizhong Peter Wang
Yun Zhu
Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
Healthcare
dental health
dentist visiting
dental health insurance coverage
self-perceived oral health
Asian women immigrants
title Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
title_full Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
title_fullStr Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
title_full_unstemmed Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
title_short Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study
title_sort dental insurance coverage dentist visiting and oral health status among asian immigrant women of childbearing age in canada a comparative study
topic dental health
dentist visiting
dental health insurance coverage
self-perceived oral health
Asian women immigrants
url https://www.mdpi.com/2227-9032/11/19/2666
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