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The Persistence of Oral Health Disparities for African American Children: A Scoping Review

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  • Dominique H. Como

    (Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA)

  • Leah I. Stein Duker

    (Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA)

  • José C. Polido

    (Children’s Hospital Los Angeles and Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA)

  • Sharon A. Cermak

    (Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA)

Abstract

Oral health is an important yet often neglected component of overall health, linked to heart disease, stroke, and diabetic complications. Disparities exist for many groups, including racial and ethnic minorities such as African Americans. The purpose of this study was to examine the potential factors that perpetuate oral health care disparities in African American children in the United States. A systematic search of three literature databases produced 795 articles; 23 articles were included in the final review. Articles were analyzed using a template coding approach based on the social ecological model. The review identified structural, sociocultural, and familial factors that impact the ability of African Americans to utilize oral care services, highlighting the importance of the parent/caregiver role and the patient–provider relationship; policy-level processes that impact access to quality care; the value of autonomy in treatment and prevention options; and the impact of sociocultural factors on food choices (e.g., food deserts, gestures of affection). In conclusion, oral health care remains an underutilized service by African American children, despite increasing access to oral care secondary to improvements in insurance coverage and community-based programs.

Suggested Citation

  • Dominique H. Como & Leah I. Stein Duker & José C. Polido & Sharon A. Cermak, 2019. "The Persistence of Oral Health Disparities for African American Children: A Scoping Review," IJERPH, MDPI, vol. 16(5), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:710-:d:209569
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    References listed on IDEAS

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    Cited by:

    1. Lucía I. Floríndez & Daniella C. Floríndez & Francesca M. Floríndez & Dominique H. Como & Elizabeth Pyatak & Lourdes Baezconde-Garbanati & Jose C. Polido & Sharon A. Cermak, 2019. "Oral Care Experiences of Latino Parents/Caregivers with Children with Autism and with Typically Developing Children," IJERPH, MDPI, vol. 16(16), pages 1-14, August.
    2. Dominique H. Como & Lucía I. Floríndez-Cox & Leah I. Stein Duker & Sharon A. Cermak, 2022. "Oral Health Barriers for African American Caregivers of Autistic Children," IJERPH, MDPI, vol. 19(24), pages 1-14, December.
    3. Carolina Marques Borges & Meghna Krishnamurthy, 2022. "Are We Getting Any Better? A Critical Analysis of Selected Healthy People 2020 Oral Health Indicators in 1999–2004 and 2013–2016, USA," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
    4. Meirong Liu & Dennis Kao & Xinbin Gu & Whittni Holland & Gail Cherry-Peppers, 2022. "Oral Health Service Access in Racial/Ethnic Minority Neighborhoods: A Geospatial Analysis in Washington, DC, USA," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    5. Tyrone C. Cheng & Celia C. Lo, 2024. "Factors Associated with Insured Children’s Use of Physician Visits, Dentist Visits, Hospital Care, and Prescribed Medications in the United States: An Application of Behavioral Model of Health-Service," IJERPH, MDPI, vol. 21(4), pages 1-11, March.

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