南南背景下移民口腔健康的范围综述

Andrés M Murillo-Pedrozo, E. Ronda-Pérez, E. Martínez-Herrera, A. Agudelo-Suárez
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摘要

目的收集有关南南移民口腔健康的现有科学证据。方法通过对科学文献和灰色文献数据库(PubMed/Medline、Scopus、LILACS、EMBASE、Google Scholar和国际移民、健康与发展中心)的全面搜索,应用了范围审查方法。对所选研究的特征进行了描述性分析。结果共检索到23篇论文。17项研究(17/23,73.9%)在亚洲大陆进行,91.3%(21/23)为横断面研究。研究的重点是口腔健康问题,如龋齿和牙周病,在比较移民和本地人时发现了不同的结果。一些研究发现,移民的口腔健康指数较差。移民在获得牙科保健服务方面面临障碍。研究中涉及的其他口腔健康变量包括口腔健康相关的生活质量、信念、口腔健康知识和实践。与口腔健康有关的决定因素得到了证明,如移民状况、社会人口、文化、心理、生活、经济和物质条件、社会支持、口腔卫生习惯以及以前的口腔和一般健康状况。研究报告了在解释结果时必须考虑的概念和方法上的差距和局限性。结论根据科学证据,南南移民背景下的移民人口口腔健康指标较差,这转化为该群体的社会脆弱性。需要进一步的研究来增加有关口腔健康的社会和环境决定因素的科学机构,并了解这一现象的社会结构。
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A Scoping Review about Migrants' Oral Health in South-South Contexts.
OBJECTIVE To gather the available scientific evidence about the oral health of migrants in south-south contexts. METHODS A scoping review methodology was applied through a comprehensive search in databases of scientific and grey literature: PubMed/Medline, Scopus, LILACS, EMBASE, Google Scholar and the International Centre for Migration, Health and Development. A descriptive analysis of the characteristics of the selected studies was conducted. RESULTS The search yielded 23 papers. Seventeen studies (17/23, 73.9%) were conducted on the Asian continent and 91.3% (21/23) were cross-sectional. Studies were focused on oral health problems such as dental caries and periodontal disease with diverse findings when comparing immigrants with natives. Some studies found poor oral health indexes in migrants. Migrants face barriers to dental health services. Other oral health variables addressed in the studies were oral health-related quality of life, beliefs, knowledge and practices in oral health. Determining factors related to oral health were evidenced, such as migration status, sociodemographic, cultural, psychological, living, economic and material conditions, social support, oral health practices and previous oral and general health status. Studies reported conceptual and methodological gaps and limitations that must be considered when interpreting the results. CONCLUSION According to the scientific evidence, immigrant populations in south-south migratory contexts show poor oral health indicators, and this translates into social vulnerability in this group. Further research is needed to increase the scientific body about the social and contextual determinants in oral health and understanding of the social construction of this phenomenon.
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