Population Oral Health, School of Dentistry, Faculty of Medicine & Health, The University of Sydney, Australia.
Health Care Management, College of Business, Government and Law, Flinders University, South Australia.
Community Dent Health. 2022 May 27;39(2):123-128. doi: 10.1922/CDH_00275Marcus06.
To examine the patterns and predictors of dental utilisation in culturally and linguistically diverse (CALD) and non-CALD groups in New South Wales.
Secondary analysis of the 2013 and 2015 NSW Adult Population Health Survey (n=24,707).
Dental utilisation, defined as a dental visit within the last 12 months. CALD groups were defined using country of birth and language. Andersen's theoretical model was used. Chi-square test and multivariate logistic regression analysis adjusted for potential confounding. Sample weights adjusted for sampling design.
Most (69%) of the population were Australian born; 20% spoke a language other than English at home. Dental utilisation was 58.9% and 63.9% for CALD and non-CALD groups respectively. The foreign-born non-English speaking group had the highest level of education (60%) but lower levels of dental utilisation (OR:0.81, CI 0.69-0.94) than all groups. Australian born non-English speakers had similar levels of dental utilisation to the reference group (OR:1.27, CI 0.99-1.63).
There are significant disparities in dental care utilisation among CALD populations. Foreign born, non-English speaking CALD migrants, and people experiencing socioeconomic disadvantage, are at greatest risk of inadequate dental utilisation. Furthermore, the combination of predisposing factors, language and cultural barriers compound disparities in oral health care utilisation. This data highlights the need for oral healthcare services that are sensitive to population needs, to reduce disparities among CALD communities residing in NSW.
研究新南威尔士州（NSW）文化和语言多样化（CALD）和非 CALD 群体的牙科利用模式和预测因素。
2013 年和 2015 年 NSW 成人人口健康调查（n=24707）的二次分析。
将牙科利用定义为过去 12 个月内的牙科就诊。使用出生国家和语言来定义 CALD 群体。使用安德森的理论模型。调整潜在混杂因素的卡方检验和多变量逻辑回归分析。对抽样设计进行了样本加权调整。
大多数（69%）人口为澳大利亚出生；20%在家中说英语以外的语言。CALD 和非 CALD 组的牙科利用率分别为 58.9%和 63.9%。非英语讲母语的外国出生群体的受教育程度最高（60%），但牙科利用率最低（OR：0.81，95%CI 0.69-0.94），低于所有群体。澳大利亚出生的非英语使用者与参考组的牙科利用率相似（OR：1.27，95%CI 0.99-1.63）。
CALD 人群在牙科保健利用方面存在显著差异。外国出生、非英语讲母语的 CALD 移民以及经济社会地位较低的人，最有可能无法充分利用牙科护理。此外，倾向因素、语言和文化障碍的结合加剧了口腔保健利用方面的差异。这些数据强调需要提供敏感于人口需求的口腔保健服务，以减少 NSW 居住的 CALD 社区之间的差异。
