期刊论文详细信息
BMC Oral Health
Immigrant-native differences in caries-related knowledge, attitude, and oral health behaviors: a cross-sectional study in Taiwan
Hsiao-Ling Huang9  Ya-Ying Lin1  Chin-Shun Chang5  Ted Chen3  Chien-Hung Lee8  Fu-Li Chen6  Chih-Cheng Hsu4  Ying-Chun Lin7  Chun-Chan Ting7  Shang-Jyh Chiou1,10  Chih-Chang Chen2 
[1] Department of Nursing, Shu-Zen College of Medicine and Management, Kaohsiung, Taiwan;Institute of Occupational Safety and Health, Council of Labor Affairs, Executive Yuan, New Taipei City, Taiwan;Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, Tulane University, 70112 New Orleans, LA, USA;Institute of Population Health Sciences, National Health Research Institutes, Miaoli County 350, Taiwan;Global Center of Excellence for Oral Health Research and Development, Kaohsiung Medical University, Kaohsiung, Taiwan;Department of Public Health, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan;School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;Department of Public Health, College of Health Science, Kaohsiung Medical University, Kaohsiung, Taiwan;Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 80708, Taiwan;Department of Health Care Management, College of Healthcare Administration and Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
关键词: Health care;    Immigrants;    Dental caries;    Behavior;    Attitudes;   
Others  :  1121500
DOI  :  10.1186/1472-6831-14-3
 received in 2013-08-13, accepted in 2014-01-07,  发布年份 2014
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【 摘 要 】

Background

With the growing number of transnational marriages in Taiwan, oral health disparities have become a public health issue. This study assessed immigrant-native differences in oral health behaviors of urban mothers and their children.

Methods

We used the baseline data of an oral health promotion program to examine the immigrant-native differences in caries-related knowledge, attitude, and oral health behaviors. A cross-sectional study was conducted to collect data from mothers in urban area, Taiwan. A total of 150 immigrant and 440 native mothers completed the self-report questionnaires. Logistic regression models analyzed the racial differences in oral health behaviors.

Results

Approximately 37% of immigrant mothers used dental floss, 25% used fluoride toothpaste, and only 13.5% of them regularly visited a dentist. Less that 40% of immigrant mothers brush their children’s teeth before aged one year, 45% replaced child’s toothbrush within 3 months, and only half of the mothers regularly took their child to the dentist. Immigrant mothers had lower level of caries-related knowledge and attitudes than native mothers (p < .001). Compared to native group, the immigrant mothers were less likely to use of dental floss ([Adjusted odds ratio (aOR) =0.35], fluoride toothpaste (aOR = 0.29), visit a dentist in the past 2 years (aOR = 0.26), and take their children to regular dental check-up (aOR = 0.38); whereas, they were more likely to not consume sweeten beverages (aOR = 3.13).

Conclusions

The level of caries-related knowledge, attitudes and oral health behaviors were found lower in immigrant mothers than native ones. The findings suggested cross-cultural caries prevention programs aimed at reducing immigrant-native disparities in child oral health care must be developed for these immigrant minorities.

【 授权许可】

   
2014 Chen et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Sheiham A: Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006, 201(10):625-626.
  • [2]Kranz S, et al.: Adverse effect of high added sugar consumption on dietary intake in American preschoolers. J Pediatr 2005, 146(1):105-111.
  • [3]Hobdell M, et al.: Global goals for oral health 2020. Int Dent J 2003, 53(5):285-288.
  • [4]MOI Ministry of the Interior: Taiwan area the number of marriages by nationality of bride and groom. Republic of China: Taipei: Ministry of the Interior; 2012.
  • [5]Tapias-Ledesma MA, et al.: Use of dental care and prevalence of caries among immigrant and Spanish-born children. J Dent Child 2011, 78(1):36-42.
  • [6]Maserejian NN, et al.: Oral health disparities in children of immigrants: dental caries experience at enrollment and during follow-up in the New England Children’s Amalgam Trial. J Public Health Dent 2008, 68(1):14-21.
  • [7]Werneck RI, et al.: Early childhood caries and access to dental care among children of Portuguese-speaking immigrants in the city of Toronto. J Can Dent Assoc 2008, 74(9):805.
  • [8]Lin YC, et al.: Oral health disparities of children among southeast Asian immigrant women in arranged transnational marriages in Taiwan. Caries Resin press
  • [9]Skeie MS, et al.: Parental risk attitudes and caries-related behaviours among immigrant and western native children in Oslo. Community Dent Oral Epidemiol 2006, 34(2):103-113.
  • [10]Finlayson TL, et al.: Maternal self-efficacy and 1-5-year-old children’s brushing habits. Community Dent Oral Epidemiol 2007, 35(4):272-281.
  • [11]Yang YM, Wang HH: Life and health concerns of Indonesian women in transnational marriages in Taiwan. J Nurs Res 2003, 11(3):167-176.
  • [12]Buss PM: Globalization and disease: in an unequal world, unequal health! Cad Saude Publica 2002, 18(6):1783-1788.
  • [13]ILO World Commission on the Social Dimension of Globalization: A fair globalization: Creating opportunities for all. Geneva: International Labour Organization (ILO); 2004.
  • [14]Lin SL, Hsiao YL: Social segregation and the health care of female immigrants in Taiwan [Article in Chinese]. J Nurs 2007, 54(4):67-72.
  • [15]Manski RJ, Cooper PF: Dental care use: does dental insurance truly make a difference in the US? Community Dent Health 2007, 24(4):205-212.
  • [16]Zuvekas SH, Weinick RM: Changes in access to care, 1977–1996: the role of health insurance. Health Serv Res 1999, 34(1 Pt 2):271-279.
  • [17]Tsai WC, Kung PT, Chang WC: Influences of market competition on dental care utilization under the global budget payment system. Community Dent Oral Epidemiol 2007, 35(6):459-464.
  • [18]Plescia M, Groblewski M, Chavis L: A lay health advisor program to promote community capacity and change among change agents. Health Promot Pract 2008, 9(4):434-439.
  • [19]Schulz AJ, et al.: The east side village health worker partnership: integrating research with action to reduce health disparities. Public Health Report 2001, 116(6):548-557.
  • [20]Glanz K, Rimer BK, Viswanath K: Health behavior and health education: theory, research, and practice. 4th edition. San Francisco: Jossey-Bass Inc; 2008.
  • [21]Ajzen I: The theory of planned behavior. Org Behav and human Decis Processes 1991, 50(2):179-211.
  • [22]Sundby A, Petersen PE: Oral health status in relation to ethnicity of children in the municipality of Copenhagen, Denmark. Int J Paediatr Dent 2003, 13(3):150-157.
  • [23]Pine CM, et al.: International comparisons of health inequalities in childhood dental caries. Community Dent Health 2004, 21(1 Suppl):121-130.
  • [24]Ebersole JL, et al.: Oral health disparities and the future face of America. J Dent Res 2012, 91:997-1002.
  • [25]Mouradian WE, Wehr E, Crall JJ: Disparities in children’s oral health and access to dental care. JAMA 2000, 284(20):2625-2631.
  • [26]Dutta-Bergman MJ: Reaching unhealthy eaters: applying a strategic approach to media vehicle choice. Health Commun 2004, 16(4):493-506.
  • [27]Gillespie A, Robins K: Geographic inequalities: the spatial bias of the new communication technologies. J Commun 1989, 39(3):7-18.
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