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Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups

BACKGROUND: Migrants in many European countries including Germany tend to utilize preventive measures less frequently than the majority population. Little is known about the dental health of migrants as well as about their oral health behaviour, particularly in the adult population. The aim of this...

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Autores principales: Erdsiek, Fabian, Waury, Dorothee, Brzoska, Patrick
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437560/
https://www.ncbi.nlm.nih.gov/pubmed/28526074
http://dx.doi.org/10.1186/s12903-017-0377-2
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author Erdsiek, Fabian
Waury, Dorothee
Brzoska, Patrick
author_facet Erdsiek, Fabian
Waury, Dorothee
Brzoska, Patrick
author_sort Erdsiek, Fabian
collection PubMed
description BACKGROUND: Migrants in many European countries including Germany tend to utilize preventive measures less frequently than the majority population. Little is known about the dental health of migrants as well as about their oral health behaviour, particularly in the adult population. The aim of this study was to examine differences in the uptake of annual dental check-ups in adult migrants and non-migrants in Germany. METHODS: We used data from the cross-sectional survey ‘German Health Update 2010’ conducted by the Robert Koch Institute (n = 22,050). Data from 21,741 German-speaking respondents with information on the use of dental check-ups was available, of which 3404 (15.7%) were migrants. Multiple logistic regression models were applied to adjust for demographic and socioeconomic confounders, including the place of residence as well as type of health insurance. RESULTS: Migrants were generally younger, had a lower socioeconomic status and showed a lower utilization of dental check-ups. The unadjusted odds ratio (OR) for utilization was 0.67 (95%-CI = 0.61–0.73). After adjusting for demographic and socioeconomic confounders the chance only increased slightly (adjusted OR = 0.71; 95%-CI = 0.65–0.77). CONCLUSIONS: The analysis shows that migration status is associated with a reduced chance of attending dental check-ups, independently of demographic and socioeconomic factors. The influence of other factors, such as type of health insurance and place of residence had also no influence on the association. Migrants are exposed to different barriers in the health care system, comprising the patient, provider and system level. Further studies need to examine the relevant barriers for the uptake of preventive dental services in order to devise appropriate migrant- sensitive measures of dental prevention.
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spelling pubmed-54375602017-05-19 Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups Erdsiek, Fabian Waury, Dorothee Brzoska, Patrick BMC Oral Health Research Article BACKGROUND: Migrants in many European countries including Germany tend to utilize preventive measures less frequently than the majority population. Little is known about the dental health of migrants as well as about their oral health behaviour, particularly in the adult population. The aim of this study was to examine differences in the uptake of annual dental check-ups in adult migrants and non-migrants in Germany. METHODS: We used data from the cross-sectional survey ‘German Health Update 2010’ conducted by the Robert Koch Institute (n = 22,050). Data from 21,741 German-speaking respondents with information on the use of dental check-ups was available, of which 3404 (15.7%) were migrants. Multiple logistic regression models were applied to adjust for demographic and socioeconomic confounders, including the place of residence as well as type of health insurance. RESULTS: Migrants were generally younger, had a lower socioeconomic status and showed a lower utilization of dental check-ups. The unadjusted odds ratio (OR) for utilization was 0.67 (95%-CI = 0.61–0.73). After adjusting for demographic and socioeconomic confounders the chance only increased slightly (adjusted OR = 0.71; 95%-CI = 0.65–0.77). CONCLUSIONS: The analysis shows that migration status is associated with a reduced chance of attending dental check-ups, independently of demographic and socioeconomic factors. The influence of other factors, such as type of health insurance and place of residence had also no influence on the association. Migrants are exposed to different barriers in the health care system, comprising the patient, provider and system level. Further studies need to examine the relevant barriers for the uptake of preventive dental services in order to devise appropriate migrant- sensitive measures of dental prevention. BioMed Central 2017-05-19 /pmc/articles/PMC5437560/ /pubmed/28526074 http://dx.doi.org/10.1186/s12903-017-0377-2 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Erdsiek, Fabian
Waury, Dorothee
Brzoska, Patrick
Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title_full Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title_fullStr Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title_full_unstemmed Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title_short Oral health behaviour in migrant and non-migrant adults in Germany: the utilization of regular dental check-ups
title_sort oral health behaviour in migrant and non-migrant adults in germany: the utilization of regular dental check-ups
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437560/
https://www.ncbi.nlm.nih.gov/pubmed/28526074
http://dx.doi.org/10.1186/s12903-017-0377-2
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