Community Dentistry and Oral Epidemiology
Volume 43, Issue 5, 2015, Pages 424-432
The deterioration of Canadian immigrants' oral health: Analysis of the Longitudinal Survey of Immigrants to Canada (Article)
Calvasina P.* ,
Muntaner C. ,
Quiñonez C.
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a
Faculty of Dentistry and Global Health Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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b
Bloomberg Faculty of Nursing, Institute for Global Health Equity and Innovation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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c
Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, ON, Canada
Abstract
Objective To examine the effect of immigration on the self-reported oral health of immigrants to Canada over a 4-year period. Methods The study used Statistics Canada's Longitudinal Survey of Immigrants to Canada (LSIC 2001-2005). The target population comprised 3976 non-refugee immigrants to Canada. The dependent variable was self-reported dental problems. The independent variables were as follows: age, sex, ethnicity, income, education, perceived discrimination, history of social assistance, social support, and official language proficiency. A generalized estimation equation approach was used to assess the association between dependent and independent variables. Results After 2 years, the proportion of immigrants reporting dental problems more than tripled (32.6%) and remained approximately the same at 4 years after immigrating (33.3%). Over time, immigrants were more likely to report dental problems (OR = 2.77; 95% CI 2.55-3.02). An increase in self-reported dental problems over time was associated with sex, history of social assistance, total household income, and self-perceived discrimination. Conclusion An increased likelihood of reporting dental problems occurred over time. Immigrants should arguably constitute an important focus of public policy and programmes aimed at improving their oral health and access to dental care in Canada. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940899295&doi=10.1111%2fcdoe.12165&partnerID=40&md5=d33fe12e05148b461792ae464210b7a6
DOI: 10.1111/cdoe.12165
ISSN: 03015661
Cited by: 14
Original Language: English