文化对新亚洲移民获得口腔保健的影响：范围综述。
The impact of culture on new Asian immigrants' access to oral health care: a scoping review.
机构信息
School of Dental Hygiene, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada.
Alumna, Dental Hygiene Degree Program, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada.
出版信息
Can J Dent Hyg. 2023 Feb 1;57(1):33-43. eCollection 2023 Feb.
BACKGROUND
Immigration has accounted for three-quarters of Canada's population growth since 2016, more than half of which has been from Asian countries. Newcomers from Asia have been reported to experience oral health disparities. The objective of this scoping review was to examine the literature discussing how culture affects access to oral health care for new immigrants from Asia and to identify knowledge gaps.
METHODS
The review was conducted from December 2021 to April 2022 following the Arskey and O'Malley approach and PRISMA-ScR guideline. Five databases were searched using the search parameter "Asian+ AND Immigrant+ AND oral care+". Only peer-reviewed articles published in English between 2011 and 2021 were included.
RESULTS
The search strategy yielded 736 articles. Duplicates were removed, titles and abstracts were reviewed, and the full text of 69 articles examined, leaving 26 articles that met eligibility criteria: 18 quantitative studies, 4 qualitative studies, and 4 reviews.
DISCUSSION
Four themes were identified: language barriers, oral health care access and service utilization, oral health beliefs and behaviour, and immigrant children's oral health. Most new immigrants from Asia have limited English proficiency, are of low socioeconomic status, and have difficulty developing trusting relationships with care providers. Immigrant children's oral health is impacted by their parents' beliefs.
CONCLUSION
More research is needed on cultural barriers to and facilitators of access to oral health care for newcomers from Asia to Canada to aid in the development and implementation of policies and to inform practice and curriculum.
背景
自 2016 年以来，移民占加拿大人口增长的四分之三，其中超过一半来自亚洲国家。据报道，来自亚洲的新移民存在口腔健康差距。本研究旨在考察文献，探讨文化如何影响亚洲新移民获得口腔保健服务，并确定知识空白。
方法
本研究遵循阿斯基和奥马利的方法和 PRISMA-ScR 指南，于 2021 年 12 月至 2022 年 4 月进行。使用“亚洲+和移民+和口腔护理+”的搜索参数在五个数据库中进行搜索。仅纳入 2011 年至 2021 年间发表的英文同行评议文章。
结果
搜索策略产生了 736 篇文章。去除重复项，对标题和摘要进行了审查，并对 69 篇文章的全文进行了审查，最终符合入选标准的文章有 26 篇：18 项定量研究、4 项定性研究和 4 项综述。
讨论
确定了四个主题：语言障碍、口腔保健服务的可及性和利用、口腔保健信念和行为以及移民儿童的口腔健康。大多数来自亚洲的新移民英语水平有限，社会经济地位较低，难以与医疗服务提供者建立信任关系。移民儿童的口腔健康受到其父母信念的影响。
结论
需要进一步研究亚洲新移民获得加拿大口腔保健服务的文化障碍和促进因素，以帮助制定和实施政策，并为实践和课程提供信息。
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