Oral Health Disparities of Children among Southeast Asian Immigrant Women in Arranged Transnational Marriages in TaiwanLin Y.C.a · Yen Y.Y.b · Chang C.S.c · Ting C.C.a · Chen P.H.a · Chen C.C.b · Peng W.D.d · Chen F.L.e · Hu C.Y.f · Huang H.L.b
aSchool of Dentistry, College of Dental Medicine, bDepartment of Oral Hygiene, College of Dental Medicine, cGlobal Center of Excellence for Oral Health Research and Development, dDepartment of Medical Sociology and Social Work, College of Humanities and Social Science, Kaohsiung Medical University, Kaohsiung, eDepartment of Public Health, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan; fSchool of Public Health, Louisiana State University Health Sciences Center, New Orleans, La., USA
Do you have an account?
- Rent for 48h to view
- Buy Cloud Access for unlimited viewing via different devices
- Synchronizing in the ReadCube Cloud
- Printing and saving restrictions apply
Rental: USD 8.50
Cloud: USD 20.00
Article / Publication Details
This study assessed the oral health disparities and oral health care needs of children whose parents are Southeast Asian immigrant women in arranged transnational marriages. We used the baseline data of the Lay Health Advisor Approach to Promote Oral Health Program (LHA-POHP) to explore the disparities in oral health between immigrant and native children, and the factors associated with their oral health. A cross-sectional community-based study was conducted to collect data from mothers and their preschool children in Southern Taiwan in 2011. A total of 590 (440 natives, 150 immigrants) children aged 4-6 years and their mothers completed the questionnaire and oral examination. Multiple regression models were used to analyze the association between children's oral health and their related factors. The caries index was 6.05 in immigrant children and 3.88 in native children (p < 0.001). The caries prevalence of maxillary anterior teeth in the labial surfaces was higher among immigrants, ranging from 14.7 to 22%. The factor associated with children's caries index was maternal tooth brushing frequency (adjusted odds ratio [aOR] = 8.95, 95% confidence interval [CI] 1.95-41.05). When the mothers did not direct children to brush teeth after eating sweets, their children were more likely to have decayed teeth (aOR = 3.54, 95% CI 1.04-12.03). Children's filled teeth were related to their dental regular check-ups (aOR = 2.28, 95% CI 1.26-4.10). Disparities in oral health among immigrant and native children were observed. The findings suggest that culturally adequate oral health promotion intervention programs should be implemented for immigrants.
© 2014 S. Karger AG, Basel
- Acs G, Shulman R, Chussid S, Ng M: The effect of dental rehabilitation on the body weight of children with early childhood caries. Pediatr Dent 1999;21:109-113.
- Chawla HS, Gauba K, Goyal A: Trend of dental caries in children of Chandigarh over the last sixteen years. J Indian Soc Pedod Prev Dent 2000;18:41-45.
- Chinn CH, Cruz GD, Chan A: Caries experience among Chinese-American children in Manhattan Chinatown. N Y State Dent J 2011;77:43-47.
- Do LG, Spencer AJ, Roberts-Thomson KF, Trinh HD, Nguyen TT: Oral health status of Vietnamese children: findings from the National Oral Health Survey of Vietnam 1999. Asia Pac J Public Health 2011;23:217-227.
- Dutta-Bergman MJ: Reaching unhealthy eaters: Applying a strategic approach to media vehicle choice. Health Commun 2004;16:493-506.
- Ebersole JL, D'Souza R, Gordon S, Fox CH: Oral health disparities and the future face of America. J Dent Res 2012;91:997-1002.
- Finlayson TL, Siefert K, Ismail AI, Delva J, Sohn W: Reliability and validity of brief measures of oral health-related knowledge, fatalism, and self-efficacy in mothers of African American children. Pediatr Dent 2005;27:422-428.
- Finlayson TL, Siefert K, Ismail AI, Sohn W: Maternal self-efficacy and 1- to 5-year-old children's brushing habits. Community Dent Oral Epidemiol 2007;35:272-281.
- Kim S, Koniak-Griffin D, Flaskerud JH, Guarnero PA: The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach. J Cardiovasc Nurs 2004;19:192-199.
- Koloway B, Kailis DG: Caries, gingivitis and oral hygiene in urban and rural pre-school children in Indonesia. Community Dent Oral Epidemiol 1992;20:157-158.
- Lin HC, Wong MC, Wang ZJ, Lo EC: Oral health knowledge, attitudes, and practices of Chinese adults. J Dent Res 2001;80:1466-1470.
- Lin SL, Hsiao YL: Social segregation and the health care of female immigrants in Taiwan (in Chinese). J Nurs 2007;54:67-72.
- Low W, Tan S, Schwartz S: The effect of severe caries on the quality of life in young children. Pediatr Dent 1999;21:325-326.
- Maserejian NN, Trachtenberg F, Hayes C, Tavares M: 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;68:14-21.
- Matsson L, Hjersing K, Sjodin B: Periodontal conditions in Vietnamese immigrant children in Sweden. Swed Dent J 1995;19:73-81.
- Mendoza FS: Health disparities and children in immigrant families: a research agenda. Pediatrics 2009;124:S187-S195.
Ministry of the Interior: Taiwan area: the number of marriages by nationality of bride and groom. Taipei, Republic of China, Ministry of the Interior, 2012.
- Mouradian WE, Wehr E, Crall JJ: Disparities in children's oral health and access to dental care. JAMA 2000;284:2625-2631.
- Nguyen TC, Witter DJ, Bronkhorst EM, Truong NB, Creugers NH: Oral health status of adults in southern Vietnam - a cross-sectional epidemiological study. BMC Oral Health 2010;10:2.
- Plescia M, Groblewski M, Chavis L: A lay health advisor program to promote community capacity and change among change agents. Health Promot Pract 2008;9:434-439.
- Sheiham A: Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006;201:625-626.
- Skeie MS, Riordan PJ, Klock KS, Espelid I: Parental risk attitudes and caries-related behaviours among immigrant and western native children in Oslo. Community Dent Oral Epidemiol 2006;34:103-113.
- Tapias-Ledesma MA, Garrido PC, Y Peña ME, Hernánez-Barrera V, de Miguel AG, Jiménez-Garcia R: Use of dental care and prevalence of caries among immigrant and Spanish-born children. J Dent Child (Chic) 2011;78:36-42.
- Valencia A, Damiano P, Qian F, Warren JJ, Weber-Gasparoni K, Jones M: Racial and ethnic disparities in utilization of dental services among children in Iowa: the Latino experience. Am J Public Health 2012;102:2352-2359.
- Wigen TI, Wang NJ: Caries and background factors in Norwegian and immigrant 5-year-old children. Community Dent Oral Epidemiol 2010;38:19-28.
- Wong HM, McGrath CP, King NM, Lo EC: Oral health-related quality of life in Hong Kong preschool children. Caries Res 2011;45:370-376.
World Health Organization: Oral Health Surveys: Basic Methods. Geneva, World Health Organization, 1997.
- Yang YM, Wang HH: Life and health concerns of Indonesian women in transnational marriages in Taiwan. J Nurs Res 2003;11:167-176.
Article / Publication Details
Copyright / Drug Dosage / DisclaimerCopyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.