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Racism and Oral Health Outcomes among Pregnant Canadian Aboriginal Women
Journal of Health Care for the Poor and Underserved
|October 21, 2016
Summary
Racism negatively impacts the oral health of pregnant Indigenous women in Canada. Experiencing racism was linked to poorer oral health, including fewer teeth and fear of dental visits, highlighting systemic barriers to care.
Area of Science:
- Indigenous Health
- Oral Health Research
- Social Determinants of Health
Background:
- Racism is a significant stressor impacting health outcomes.
- Oral health is crucial for overall well-being, especially during pregnancy.
- Indigenous women in Canada face unique systemic barriers to healthcare access.
Purpose of the Study:
- To examine the association between experienced racism and oral health outcomes in pregnant First Nations and Métis women.
- To identify specific oral health indicators affected by racism.
- To inform policy and program development for improved Indigenous maternal oral health.
Main Methods:
- Analysis of baseline data from 541 pregnant Aboriginal women (First Nations and Métis) in an early childhood caries preventive trial.
- Utilized logistic regression to assess links between racism (measured by the Measure of Indigenous Racism Experience) and various oral health variables.
- Included participants from urban and on-reserve communities in Ontario and Manitoba.
Main Results:
- One-third of participants reported experiencing racism in the past year.
- Racism was significantly associated with outcomes such as wearing dentures, seeking off-reserve dental care, perceived need for preventive care, flossing habits, number of natural teeth, dental fear, and orthodontic history.
- Perceived impact of oral conditions on quality of life was also linked to racism.
Conclusions:
- Racism acts as a substantial barrier to accessing and receiving adequate dental care for pregnant Indigenous women.
- Addressing racism within the healthcare system is essential for improving maternal and child oral health outcomes.
- Policy interventions should focus on mitigating the effects of racism on Indigenous women's oral health and overall well-being.
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