解决美国移民和非英语西班牙裔之间口腔健康的社会决定因素、结构性种族主义和歧视以及相互交织的问题

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-06-21 DOI:10.1111/jphd.12524
Francisco Ramos-Gomez DDS, MS, MPH, Janni J. Kinsler PhD, MPH
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引用次数: 5

摘要

西班牙裔人口是美国人口最多(18.5%)和增长最快的非多数族裔群体,其中约一半是非美国出生的,并且承担着最高的口腔疾病负担之一。目前大多数关于西班牙裔人群口腔健康差异的知识都考察了文化、文化适应和社会经济地位等个体因素。然而,这种不平等的根本原因;口腔健康素养(OHL)、健康的社会决定因素(SDOH)、结构性种族主义和歧视(SRD)以及三者之间的相互关系尚未得到充分研究。解决这一重大差距对于促进卫生公平和减少西班牙裔人口,特别是移民和非英语西班牙裔人口中口腔健康方面的差距至关重要。未来针对西班牙裔人群的口腔健康OHL/SDOH/ srd相关研究的建议应包括:(1)研究口腔健康、口腔健康和口腔健康相关因素的直接和间接影响;(2)利用邮政编码水平的测量方法评估口腔健康对口腔健康的影响;(3)研究口腔健康和口腔健康在口腔健康和口腔健康之间的潜在影响调节作用;(4)进行二次数据分析,确定人口统计学、社会和结构层面的变量以及变量之间和变量之间的相关性,以预测口腔健康结果。(5)深入了解西班牙移民和外来人口中OHL/SDOH和SRD因素的经历。结论希望这些建议能够更好地理解OHL、SDOH和SRD对美国最大少数民族人群口腔健康结果的影响机制,从而解决这些问题。
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Addressing social determinants of oral health, structural racism and discrimination and intersectionality among immigrant and non-English speaking Hispanics in the United States

Background

The Hispanic population is the largest (18.5%) and fastest growing non-majority ethnic group in the United States (US), about half of whom are non-US born, and bears one of the highest oral disease burdens. Most current knowledge around oral health disparities in Hispanic populations examine the individual factors of culture, acculturation, and socioeconomic status. However, the root causes of this inequity; oral health literacy (OHL), social determinants of health (SDOH), structural racism and discrimination (SRD) and the intersectionality among the three, have not been well-studied. Addressing this critical gap will be central to advancing health equity and reducing oral health-related disparities in the Hispanic population, especially among immigrant and non-English speaking Hispanics.

Results

Recommendations for future OHL/SDOH/SRD-related research in oral health targeting Hispanic populations should include: (1) examining the direct and indirect effects of OHL/SDOH/SRD-related factors and intersectionality, (2) assessing the impact of SRD on oral health using zip-code level measures, (3) examining the role of OHL and SDOH as potential effect modifiers on the relationship between SRD and oral health outcomes, (4) conducting secondary data analysis to identify demographic, social and structural-level variables and correlations between and among variables to predict oral health outcomes, and (5) obtaining a deeper understanding of how OHL/SDOH and SRD factors are experienced among Hispanic immigrant and migrant populations.

Conclusion

It is hoped these recommendations will lead to a better understanding of the mechanisms through which OHL, SDOH and SRD impact oral health outcomes among the largest minority population in the US so they can be addressed.

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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
期刊最新文献
Issue Information Associations between disability type and untreated dental decay among community dwelling US adults Evaluating the harmonization potential of oral health-related questionnaires in national longitudinal birth and child cohort surveys Educating long-term care staff on older adult oral health: Maine's oral team-based initiative vital access to education (MOTIVATE) program Integration of dental therapists in safety net practice increases access to oral health care in Minnesota
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