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Oral Health, Health Service Utilization, and Age at Arrival to the U.S. among Safety Net Patients

Author

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  • Sarah E. Raskin

    (L. Douglas Wilder School of Government and Public Affairs, Virginia Commonwealth University, 1001 W. Franklin St., Richmond, VA 23284, USA
    VCU Institute for Inclusion, Inquiry and Innovation (iCubed) Oral Health Core, Virginia Commonwealth University, 912 West Grace St., Richmond, VA 23284, USA)

  • R. Rasnick

    (Department of Biostatistics, VCU School of Medicine, Virginia Commonwealth University, 830 East Main Street, Richmond, VA 23219, USA)

  • Tatiana Kohlmann

    (Department of Health Behavior & Policy, VCU School of Medicine, Virginia Commonwealth University, 830 East Main Street, Richmond, VA 23219, USA)

  • Martin Zanin

    (CrossOver Healthcare Ministry, 8600 Quioccasin Rd., Richmond, VA 23229, USA)

  • Julie Bilodeau

    (CrossOver Healthcare Ministry, 8600 Quioccasin Rd., Richmond, VA 23229, USA)

  • Aderonke Akinkugbe

    (VCU Institute for Inclusion, Inquiry and Innovation (iCubed) Oral Health Core, Virginia Commonwealth University, 912 West Grace St., Richmond, VA 23284, USA
    Department of Dental Public Health and Policy, VCU School of Dentistry, Virginia Commonwealth University, 1101 East Leigh Street, Richmond, VA 23298, USA)

Abstract

Background: Immigrants’ oral health disparities have not been adequately investigated using a lifecourse approach, which investigates the cumulative effects of risk and protective exposures among other considerations. Methods: We examined self-reported oral health outcomes and health care appointment outcomes among a sample of patients enrolled at a federally qualified health center in Richmond Virginia (N = 327) who were categorized into three groups by approximate age at arrival to the U.S. Results: Study participants who arrived to the U.S. prior to age 18 had better retention of natural dentition, better oral health related quality of life, and a lower proportion of dental appointments to address pain than those who arrived after age 18 or were born in the U.S. Conclusions: Im/migrants’ differentiated oral health outcomes by age at arrival to the U.S. suggest the relevance of lifecourse factors, for example the cumulative effects of risk and protective exposures, and confirm the merits of lifecourse studies of im/migrants’ oral health.

Suggested Citation

  • Sarah E. Raskin & R. Rasnick & Tatiana Kohlmann & Martin Zanin & Julie Bilodeau & Aderonke Akinkugbe, 2022. "Oral Health, Health Service Utilization, and Age at Arrival to the U.S. among Safety Net Patients," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1477-:d:736542
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    References listed on IDEAS

    as
    1. Cruz, G.D. & Chen, Y. & Salazar, C.R. & Le Geros, R.Z., 2009. "The association of immigration and acculturation attributes with oral health among immigrants in New York City," American Journal of Public Health, American Public Health Association, vol. 99(S2), pages 474-480.
    2. Carmen B. Rodriguez & Ying Wei & Mary Beth Terry & Katarzyna Wyka & Shweta Athilat & Sandra S. Albrecht & Parisa Tehranifar, 2020. "Associations of Nativity, Age at Migration, and Percent of Life in the U.S. with Midlife Body Mass Index and Waist Size in New York City Latinas," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    Full references (including those not matched with items on IDEAS)

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