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Updated: Jan 27, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Assessing Oral Health Awareness Among Arab Immigrants & Refugees
Razan Al-Obaidy1,2, Taj Najjar3, Israa Al-Jumaa2
1Department of Obstetrics and Gynecology, UCI School of Medicine, University of California, Irvine, School of Medicine, Irvine, California, USA.
Background:
There is limited information about oral health awareness among Arab immigrants and refugees (AIR) in the United States, though research conducted on this demographic globally has shown a major correlation between poor oral health outcomes and sociodemographic factors. This study examined oral health practices and awareness of the increased gingivitis risk during pregnancy among AIR in Southern California.
Methods:
This was a cross-sectional survey on oral health knowledge and access barriers among male and female AIR participants recruited via community organizations and dental clinics. Bivariate and multivariate analyses evaluated the association between oral health awareness and demographics, oral health literacy, general health knowledge, and knowledge of pregnancy-related gingivitis risk.
Results:
The sample included 73 participants (31 males, 42 females), mostly aged 18-30; 67% held bachelor's degrees or higher, and 41% had immigrated due to war or violence. Females showed higher Oral Health Risk Awareness Scores than males (0.75 vs. 0.61, p < 0.006), with no significant differences by age or ethnicity. Most respondents reported financial and language barriers to dental care. Although over 75% recognized a link between oral and general health, only 38% knew of the increased periodontal risk during pregnancy.
Conclusion:
The financial, linguistic, and educational obstacles that AIR populations must overcome to obtain dental care pose challenges and have an impact on their awareness of the risks to their oral health. These findings highlight the importance of culturally sensitive health education and outreach efforts.
Practical Implications:
Culturally appropriate programs and multilingual materials are necessary to improve care by addressing AIR's knowledge of gingivitis risks and promoting preventative dental care.
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