Rory Meyers College of Nursing and College of Dentistry, New York University, New York, NY, USA.
School of Social Work, University of Nevada, Reno, NV, USA.
J Dent Res. 2021 Jul;100(7):686-692. doi: 10.1177/0022034521990649. Epub 2021 Feb 4.
The aim of this study was to develop an integrative framework on aging, immigration, and oral health. The methodology was a critical review that used immigration as a social determinant framework through which to evaluate its impact on the oral health of older immigrants. We reviewed recent empirical evidence on factors related to oral health in older immigrants. In a systematic search across multiple databases, we identified 12 eligible studies in this review. Among the eligible studies, most were conducted among East Asian immigrants (8 articles), followed by non-Hispanic White/European origin (2 articles), Mexican origins (1 article), and Iran and other Middle East regions (1 article). The research revealed knowledge gaps in the evidence base, including the dynamic relationship between acculturation and oral health, the role of environmental factors on oral health for immigrants, psychosocial stressors and their relationship with oral health, and oral health literacy, norms, and attitude to dental care utilization and oral hygiene practices. The development of the integrative framework suggests the pathways/mechanisms through which immigration exerts influences on oral health in later life. This provides opportunities for researchers, practitioners, and policy makers to gain greater insights into the complex associations between immigration and oral health among older adults.
本研究旨在构建一个关于老龄化、移民和口腔健康的综合框架。研究方法是进行批判性回顾，通过移民这一社会决定因素框架，评估其对老年移民口腔健康的影响。我们回顾了有关老年移民口腔健康相关因素的最新实证证据。通过在多个数据库中进行系统搜索，我们在本次综述中确定了 12 项符合条件的研究。在符合条件的研究中，大多数是针对东亚移民进行的（8 篇文章），其次是非西班牙裔白人/欧洲血统（2 篇文章）、墨西哥裔（1 篇文章）、伊朗和其他中东地区（1 篇文章）。研究结果揭示了证据基础中的知识空白，包括文化适应与口腔健康之间的动态关系、环境因素对移民口腔健康的影响、心理社会压力及其与口腔健康的关系，以及口腔健康素养、口腔保健利用和口腔卫生习惯的规范和态度。综合框架的构建表明了移民对晚年口腔健康产生影响的途径/机制。这为研究人员、从业者和政策制定者提供了更多机会，以深入了解老年移民中移民与口腔健康之间的复杂关联。
