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关于南南背景下移民口腔健康的范围综述。

A Scoping Review about Migrants' Oral Health in South-South Contexts.

作者信息

Murillo-Pedrozo Andrés M, Ronda-Perez Elena, Martinez-Herrera Eliana, Agudelo-Suarez Andrés A

出版信息

Chin J Dent Res. 2022 Jun 10;25(2):139-148. doi: 10.3290/j.cjdr.b3116505.

Abstract

OBJECTIVE

To gather the available scientific evidence about the oral health of migrants in south-south contexts.

METHODS

A scoping review methodology was applied through a comprehensive search in databases of scientific and grey literature: PubMed/Medline, Scopus, LILACS, EMBASE, Google Scholar and the International Centre for Migration, Health and Development. A descriptive analysis of the characteristics of the selected studies was conducted.

RESULTS

The search yielded 23 papers. Seventeen studies (17/23, 73.9%) were conducted on the Asian continent and 91.3% (21/23) were cross-sectional. Studies were focused on oral health problems such as dental caries and periodontal disease with diverse findings when comparing immigrants with natives. Some studies found poor oral health indexes in migrants. Migrants face barriers to dental health services. Other oral health variables addressed in the studies were oral health-related quality of life, beliefs, knowledge and practices in oral health. Determining factors related to oral health were evidenced, such as migration status, sociodemographic, cultural, psychological, living, economic and material conditions, social support, oral health practices and previous oral and general health status. Studies reported conceptual and methodological gaps and limitations that must be considered when interpreting the results.

CONCLUSION

According to the scientific evidence, immigrant populations in south-south migratory contexts show poor oral health indicators, and this translates into social vulnerability in this group. Further research is needed to increase the scientific body about the social and contextual determinants in oral health and understanding of the social construction of this phenomenon.

摘要

目的

收集有关南南背景下移民口腔健康的现有科学证据。

方法

采用范围综述方法,通过全面检索科学文献数据库和灰色文献数据库:PubMed/Medline、Scopus、LILACS、EMBASE、谷歌学术以及国际移民、健康与发展中心。对所选研究的特征进行了描述性分析。

结果

检索共获得23篇论文。17项研究(17/23,73.9%)在亚洲大陆开展,91.3%(21/23)为横断面研究。研究聚焦于龋齿和牙周病等口腔健康问题,在比较移民和本地居民时得出了不同的结果。一些研究发现移民的口腔健康指标较差。移民在获得牙科保健服务方面面临障碍。研究中涉及的其他口腔健康变量包括口腔健康相关生活质量、口腔健康方面的信念、知识和行为。确定了与口腔健康相关的决定因素,如移民身份、社会人口学、文化、心理、生活、经济和物质条件、社会支持、口腔健康行为以及既往口腔和总体健康状况。研究报告了在解释结果时必须考虑的概念和方法上的差距与局限性。

结论

根据科学证据,南南移民背景下的移民群体口腔健康指标较差,这导致该群体在社会层面较为脆弱。需要进一步开展研究,以增加关于口腔健康社会和背景决定因素的科学知识,并加深对这一现象社会建构的理解。

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