June 2019

Volume 36, Issue 2

A qualitative study on the oral health of humanitarian migrants in Canada

Authors: Mark Keboa Belinda Nicolau Richard Hovey Shahrokh Esfandiari Franco Carnevale Mary Ellen Macdonald
doi: 10.1922/CDH_4455Keboa06


Objectives: There is limited evidence to guide oral health policy and services for the 25,000 refugees and asylum seekers who arrive in Canada yearly. The purpose of this study was to explore and understand the pre-migration use of dental services, oral health knowledge, and the effects of oral disease among newly arrived humanitarian migrants in order to inform policy and practice for the population. Methods: Using focused ethnography and the public health model of the dental care process, we conducted face-to-face interviews (50- 60 minutes) with a purposive sample of humanitarian migrants who had indicated the need for dental care. We observed mobile dental clinics that provided care to underserved communities in Montreal. Data were analyzed using a thematic and contextual approach that combined inductive and deductive frameworks. Results: Participants included 25 humanitarian migrants from four global geographical regions. Five major thematic categories were explored: problem-based dental consultation, self-assessed oral health status, causes of oral diseases, personal oral hygiene, and good oral health for wellbeing. In their countries of origin, participants consulted a dentist when oral symptoms persisted. They cited excessive sugar consumption and inadequate oral hygiene as causes of oral diseases, and reported signifi cant oral diseases impacts that limited their daily functions and wellbeing once in Canada. Conclusions: Humanitarian migrants were knowledgeable about causes of oral disease and the importance of good oral health, yet poor oral health continued to affect their lives in Canada in important ways. Keywords: Oral health knowledge, oral disease effects, humanitarian migrants, Canada


Other articles in this issue

Article Pages Access
Editorial - How soon is soon enough? The challenge of implementing behaviours conducive to good oral health in at-risk infants and toddlers 89-90 Download
Dental Public Health in Action - Patient and professional engagement in the procurement of dental services 91-94 Download
A qualitative study on the oral health of humanitarian migrants in Canada 95-100 Download
What influences use of dental services by the Korean disabled people? The role of perceived barriers in dental care system 101-105 Download
In-school toothbrushing programs in Aboriginal communities in New South Wales, Australia: A thematic analysis of teachers’ perspectives 106-110 Download
Relationship between Caregivers’ Oral Health Literacy and their Child’s Caries Experience 111-117 Download
What evidence do economic evaluations in dental care provide? A scoping review 118-125 Download
The Effectiveness of Reform in the Dental Health Systems of Transitional Countries: The Case of Montenegro Health Reform (pilot study) 126-130 Download
Costs of dental care and its financial impacts on patients in a population with low availability of services 131-136 Download
Identifying the barriers and facilitators for homeless people to achieve good oral health 137-142 Download
Comparison of two measures to determine the oral health-related quality of life in elders with periodontal disease 143-149 Download
Transnational corporations and oral health inequalities; an introduction 151-151 Download
Political economy, trade relations and health inequalities: lessons from general health 152-156 Download
Transnational corporations and oral health: examples from the sugar industry 157-162 Download
The Transnational Tobacco Industry and Oral Health 163-168 Download
Transnational corporations, oral health and human agency: a sociological perspective 169-174 Download


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