Lawrence Herenia P, Cidro Jaime, Isaac-Mann Sonia, Peressini Sabrina, Maar Marion, Schroth Robert J, Gordon Janet N, Hoffman-Goetz Laurie, Broughton John R, Jamieson Lisa
J Health Care Poor Underserved. 2016;27(1A):178-206. doi: 10.1353/hpu.2016.0030.
This study assessed links between racism and oral health outcomes among pregnant Canadian Aboriginal women. Baseline data were analyzed for 541 First Nations (94.6%) and Métis (5.4%) women in an early childhood caries preventive trial conducted in urban and on-reserve communities in Ontario and Manitoba. One-third of participants experienced racism in the past year determined by the Measure of Indigenous Racism Experience. In logistic regressions, outcomes significantly associated with incidents of racism included: wearing dentures, off-reserve dental care, asked to pay for dental services, perceived need for preventive care, flossing more than once daily, having fewer than 21 natural teeth, fear of going to dentist, never received orthodontic treatment and perceived impact of oral conditions on quality of life. In the context of dental care, racism experienced by Aboriginal women can be a barrier to accessing services. Programs and policies should address racism's insidious effects on both mothers' and children's oral health outcomes.
本研究评估了加拿大原住民孕妇中种族主义与口腔健康结果之间的联系。在安大略省和曼尼托巴省城市及保留地社区开展的一项幼儿龋齿预防试验中，对541名第一民族（94.6%）和梅蒂斯（5.4%）妇女的基线数据进行了分析。根据《原住民种族主义经历量表》，三分之一的参与者在过去一年中经历过种族主义。在逻辑回归分析中，与种族主义事件显著相关的结果包括：佩戴假牙、在保留地以外接受牙科护理、被要求支付牙科服务费用、认为需要预防护理、每天使用牙线超过一次、天然牙少于21颗、害怕看牙医、从未接受过正畸治疗以及认为口腔状况对生活质量有影响。在牙科护理方面，原住民妇女所经历的种族主义可能成为获得服务的障碍。项目和政策应解决种族主义对母亲和儿童口腔健康结果的潜在危害。
