Health literacy and oral health status of African refugees

非洲难民的健康素养和口腔健康状况

• 批准号: 8033096
• 负责人: PAUL L GELTMAN
• 金额: $ 49.36万
• 依托单位: MASSACHUSETTS STATE DEPT OF PUB HEALTH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-03 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8033096
• 关键词: Acculturation; Adoption; Adult; Affect; Africa; African; Area; Behavior; Caring; Child; Clinical; Communications Media; Communities; Country; Cross-Sectional Studies; Decision Making; Dental; Dental Care; Dental caries; Documentation; Education; Educational Background; English Language; Gingivitis; Health; Health Services Accessibility; Health Status; Healthcare; Hygiene; Immigrant; Improve Access; Individual; Information Services; Institute of Medicine (U.S.); Intervention; Knowledge; Lead; Life; Linguistics; Link; Massachusetts; Medical; National Institute of Dental and Craniofacial Research; Oral; Oral health; Outcome; Outcome Study; Pattern; Perception; Performance at work; Population; Preventive; Process; Qualitative Methods; Refugees; Research; Research Methodology; Research Personnel; Role; Schools; Screening procedure; Services; Somalia; Theoretical model; Time; United States; United States National Institutes of Health; United States Public Health Service; Writing; base; behavioral/social science; cost; design; experience; functional health literacy; health disparity; health literacy; high risk; improved; instrument; literacy; member; skills; social; socioeconomics; stressor

DESCRIPTION (provided by applicant): Refugees often arrive in the United States (U.S.) with unmet health needs and significant barriers to care related to linguistic and cultural access. In particular, oral health problems have been identified as the most common health problem of newly arrived refugee children and second most common among refugee adults. Oral health disparities seen among U.S. populations are therefore also likely to be common among refugees and similar immigrant populations entering the U.S. From 1995 - 2005, 21,868 total refugees entered Massachusetts from an increasingly diverse array of countries, particularly in Africa. Most recent refugees from Africa in Massachusetts arrive with rudimentary English literacy skills. While low health literacy contributes significantly to poor oral health status in the U.S., its relationship with oral health status among refugees is unclear. In previous research, we have found that on arrival in the U.S., African refugees have less tooth decay than other refugees while still having high rates of other oral health problems such as gingivitis. Very little is known about how refugees' English literacy levels affect oral health status over time in the U.S. Lastly, it is unclear to what extent refugees' oral health problems improve, persist, or worsen once in the U.S. These findings and issues suggest the need to evaluate the impact of health literacy on oral health outcomes among refugees and immigrants. Therefore, the investigators propose to use mixed quantitative and qualitative methods in a cross-sectional study of newly arrived Somali refugees to determine the relationship between basic English language literacy and oral health status. They hypothesize that increased English literacy may lead to better oral health status independently of the adoption of Western cultural and social factors affecting oral health status, i.e. acculturation. The study will evaluate the impact of English functional health literacy on oral screening examination findings, experience with dental care, and perceptions and knowledge of other key factors that are known to impact on oral health status. Qualitative assessments will focus on experiences with resettlement, oral health, and literacy/education as well as the role of life stressors in determining oral health practices. Findings subsequently may be used to help design culturally acceptable preventive services and public health interventions directed at refugees and immigrants in the U.S. PUBLIC HEALTH RELEVANCE: No previous study has investigated the relationships between literacy, acculturation, and oral health clinical outcomes among refugees. This study represents an important opportunity to define these relationships and identify areas in which preventive oral health interventions may be directed. Preventive oral health interventions directed toward the growing immigrant and refugee populations in the U.S. will be important for reducing oral health disparities and their associated personal and societal costs for these communities and the larger U.S. population.

描述（由申请人提供）：难民经常到达美国（美国）的健康需求和与语言和文化通道有关的重大护理障碍。特别是，口腔健康问题已被确定为新来的难民儿童最常见的健康问题，在难民成年人中是第二常见的。因此，在美国人口中看到的口腔健康差异也很可能在难民中很普遍，并且从1995年至2005年开始进入美国的类似移民人口，共21,868名难民从越来越多样化的国家进入马萨诸塞州，尤其是在非洲。来自马萨诸塞州非洲的最新难民以基本的英国扫盲技巧到达。尽管低健康素养在美国的口腔健康状况较差，但其与难民中口腔健康状况的关系尚不清楚。在先前的研究中，我们发现，到达美国时，非洲难民的蛀牙比其他难民较少，同时仍然存在其他口腔健康问题（例如牙龈炎）。关于难民的英国识字水平如何影响到美国的口腔健康状况几乎没有什么了解，目前尚不清楚难民在美国的口腔健康问题在多大程度上改善，持续或恶化，这些发现和问题表明，需要评估对健康素养对难民和移民中口腔健康的影响的必要性。因此，研究人员建议在新来的索马里难民的横断面研究中使用混合定量和定性方法，以确定基本的英语语言素养与口服健康状况之间的关系。他们假设提高的英国识字率可能会导致更好的口腔健康状况，而不是采用影响口腔健康状况的西方文化和社会因素，即适应。该研究将评估英国功能健康素养对口腔筛查检查结果的影响，牙科护理经验以及对已知影响口腔健康状况的其他关键因素的看法和知识。定性评估将集中于重新安置，口腔健康和识字/教育的经验，以及生活压力源在确定口腔健康实践中的作用。随后发现结果可用于帮助设计针对美国公共卫生相关性难民和移民的文化可接受的预防服务和公共卫生干预措施：以前没有研究研究难民之间识字，适应性和口腔健康临床成果之间的关系。这项研究代表了定义这些关系并确定可以指导预防性口腔健康干预措施的领域的重要机会。针对美国不断增长的移民和难民人口的预防性口腔健康干预措施对于降低口腔健康差异及其对这些社区以及美国较大人口的个人和社会成本至关重要。

项目成果

The cultural basis for oral health practices among Somali refugees pre-and post-resettlement in Massachusetts.

• DOI: 10.1353/hpu.2013.0154
• 发表时间: 2013-11
• 期刊: Journal of health care for the poor and underserved
• 影响因子: 1.4
• 作者: Adams JH;Young S;Laird LD;Geltman PL;Cochran JJ;Hassan A;Egal F;Paasche-Orlow MK;Barnes LL
• 通讯作者: Barnes LL

Relationships Between English Language Proficiency, Health Literacy, and Health Outcomes in Somali Refugees.

索马里难民的英语语言能力、健康素养和健康结果之间的关系。

• DOI: 10.1007/s10903-018-0765-y
• 发表时间: 2019
• 期刊: Journal of immigrant and minority health
• 影响因子: 1.9
• 作者: Murphy,JessicaE;Smock,Laura;Hunter-Adams,Jo;Xuan,Ziming;Cochran,Jennifer;Paasche-Orlow,MichaelK;Geltman,PaulL
• 通讯作者: Geltman,PaulL

Looking Islam in the Teeth: The Social Life of a Somali Toothbrush.

从牙齿里看伊斯兰教：索马里牙刷的社交生活。

• DOI: 10.1111/maq.12196
• 发表时间: 2015
• 期刊: Medical anthropology quarterly
• 影响因子: 2.2
• 作者: Laird,LanceD;Barnes,LindaL;Hunter-Adams,Jo;Cochran,Jennifer;Geltman,PaulL
• 通讯作者: Geltman,PaulL