Jack Brockhoff Child Health and Wellbeing Program, McCaughey VicHealth Centre for Community Wellbeing, The University of Melbourne, Melbourne, Vic., Australia; Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Melbourne, Vic., Australia.
Community Dent Oral Epidemiol. 2014 Feb;42(1):43-52. doi: 10.1111/cdoe.12058. Epub 2013 Jul 22.
Traditional assessment of research quality addresses aspects of scientific rigor, however, ensuring barriers to participation by people of different cultural backgrounds are addressed requires cultural competence. The aim of this research was to assess the cultural competence of oral health research conducted with migrant children.
A protocol was developed with explicit inclusion and exclusion criteria. Electronic databases were searched from 1995 to 2009. Each study was assessed for cultural competence using the assessment criteria and a template developed as a proof-of-concept approach.
Of the 2059 articles identified, 58 met inclusion criteria (n = 48 studies). There were four (8.3%) cohort studies, five (10.4%) intervention studies, 37 (77.1%) quantitative cross-sectional studies, and two (4.2%) were qualitative studies. Overall, migrant children had worse oral health outcomes in all studies compared with their host-country counterparts. All studies rated poorly in the cultural competence assessment.
Appropriate inclusion of all potentially vulnerable groups in research will result in better estimates and understandings of oral health, and more reliable recommendations for prevention and management.
传统的研究质量评估涉及科学严谨性的各个方面，但是，要确保不同文化背景的人参与研究的障碍得到解决，就需要具备文化能力。本研究旨在评估针对移民儿童开展的口腔健康研究的文化能力。
制定了一份具有明确纳入和排除标准的方案。从 1995 年到 2009 年，对电子数据库进行了搜索。使用评估标准和作为概念验证方法开发的模板对每项研究进行文化能力评估。
在确定的 2059 篇文章中，有 58 篇符合纳入标准（n=48 项研究）。其中，有四项（8.3%）为队列研究，五项（10.4%）为干预研究，37 项（77.1%）为定量横断面研究，两项（4.2%）为定性研究。总体而言，与东道国儿童相比，所有研究中的移民儿童口腔健康结果都更差。所有研究在文化能力评估中的评分都较低。
适当纳入所有潜在弱势群体参与研究，将有助于更好地估计和了解口腔健康，并为预防和管理提供更可靠的建议。
