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...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-10-01
|
Series: | Healthcare |
Subjects: | |
Online Access: | https://www.mdpi.com/2227-9032/11/19/2666 |
_version_ | 1797575858697797632 |
---|---|
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. |
first_indexed | 2024-03-10T21:45:15Z |
format | Article |
id | doaj.art-f5302ac117e347c2ad7f40bd11689b77 |
institution | Directory Open Access Journal |
issn | 2227-9032 |
language | English |
last_indexed | 2024-03-10T21:45:15Z |
publishDate | 2023-10-01 |
publisher | MDPI AG |
record_format | Article |
series | Healthcare |
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 |
work_keys_str_mv | AT qianqianli dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT meizhidu dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT johncknight dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT yanqingyi dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT qiwang dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT peizhongpeterwang dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy AT yunzhu dentalinsurancecoveragedentistvisitingandoralhealthstatusamongasianimmigrantwomenofchildbearingageincanadaacomparativestudy |