Social support associated with restorative treatment, professionally applied fluoride and flossing: A cross-sectional analysis including recent immigrants from Central America and Mexico in the Midwest USA

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2023-10-01 DOI:10.1111/cdoe.12912

Caroline V. Brooks, Gerardo Maupomé

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引用次数: 0

Abstract

Objectives

This study examined how Mexican and Central American immigrants' social support was associated with three selected dental outcomes among recent immigrants, prior to the 2020 COVID-19 pandemic.

Methods

Using baseline wave data from the 2017–2022 VidaSana study about the health and social networks of Mexican and Central American immigrants living in Indiana, this study utilized logistic and ordinal logistic regression to predict lifetime fluoride use, lifetime dental restoration and flossing frequency, across levels of social support and differences between Mexican and Central American immigrants.

Results

Data from 547 respondents were included in the present analysis (68% women; mean age 34.4 years [SD 11.2]; Central American 42%; Mexican 58%). Results show a high level of social support was associated with increased probability of fluoride use, dental restoration and higher flossing frequency for Mexican immigrants. However, social support for Central American immigrants was associated with a decreased likelihood of fluoride use, more infrequent flossing, and had no significant association with dental restorations experience. What would be a negative association between Central American immigrants and dental restoration was accounted for by education level and never having been to a dentist.

Conclusions

While higher social support was linked to beneficial outcomes for oral health in Mexican immigrants, the opposite was found in Central Americans. These findings highlighted the complexities of social relationships among new immigrants, and potential heterogeneity within the Hispanic population, particularly regarding social and behavioural measures as they pertain to oral health. Further research is needed to identify the underlying mechanisms producing both differences in social support and oral health outcomes.

查看原文本刊更多论文

与恢复性治疗、专业使用氟化物和牙线相关的社会支持：一项横断面分析，包括来自美国中西部中美洲和墨西哥的新移民。

目的：本研究调查了在2020年新冠肺炎大流行之前，墨西哥和中美洲移民的社会支持与最近移民中三种选定的牙科结果之间的关系。方法：使用2017-2022年VidaSana关于居住在印第安纳州的墨西哥和中美洲移民的健康和社会网络研究的基线波数据，本研究使用逻辑和有序逻辑回归来预测终身氟化物使用、终身牙齿修复和使用牙线频率，墨西哥和中美洲移民之间的社会支持水平和差异。结果：本分析包括547名受访者的数据（68%为女性；平均年龄34.4岁年[SD 11.2]；中美洲42%；墨西哥58%）。结果显示，墨西哥移民使用氟化物、牙齿修复和使用牙线频率较高的概率增加与高水平的社会支持有关。然而，对中美洲移民的社会支持与使用氟化物的可能性降低、使用牙线的频率降低有关，并且与牙齿修复经验没有显著关联。中美洲移民与牙齿修复之间的负面联系是由教育水平和从未看过牙医造成的。结论：虽然较高的社会支持与墨西哥移民口腔健康的有益结果有关，但中美洲人的情况恰恰相反。这些发现突出了新移民之间社会关系的复杂性，以及西班牙裔人口中潜在的异质性，特别是与口腔健康相关的社会和行为措施。需要进一步的研究来确定产生社会支持和口腔健康结果差异的潜在机制。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.