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Racism and Oral Health Outcomes among Pregnant Canadian Aboriginal Women
Journal of Health Care for the Poor and Underserved
|February 9, 2016
Summary
Racism negatively impacts pregnant Indigenous women's oral health in Canada. Experiencing racism was linked to poorer oral health outcomes and barriers in accessing dental care services.
Area of Science:
- Indigenous Health
- Oral Health Research
- Social Determinants of Health
Background:
- Racism is a significant stressor affecting Indigenous populations.
- Oral health is crucial for overall well-being, especially during pregnancy.
- Understanding the link between racism and oral health in pregnant Indigenous women is vital.
Purpose of the Study:
- To assess the association between racism and oral health outcomes.
- To identify specific oral health indicators affected by racism.
- To inform interventions addressing racism's impact on maternal and child oral health.
Main Methods:
- Analysis of baseline data from 541 pregnant First Nations and Métis women in a Canadian caries preventive trial.
- Utilized the Measure of Indigenous Racism Experience to quantify racism.
- Employed logistic regression to determine associations between racism and oral health outcomes.
Main Results:
- One-third of participants reported experiencing racism in the past year.
- Racism was significantly associated with outcomes such as needing dentures, seeking off-reserve dental care, perceived need for preventive care, flossing habits, natural tooth count, dental fear, orthodontic history, and quality of life impacts.
- Racism acts as a barrier to accessing dental care services for Indigenous women.
Conclusions:
- Racism is demonstrably linked to a range of negative oral health outcomes in pregnant Indigenous women.
- Addressing racism is essential for improving oral health equity and access to care.
- Policy and program development must consider the pervasive effects of racism on maternal and child oral health.
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