"A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"

Explanations for the social gradient in health status are informed by the rare exceptions. This cross-sectional observational study examined one such exception, the “Latino paradox” by investigating the presence of a Latino advantage in oral health-related quality of life and the effect of nativity...

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Idioma:en
Publicado em: 2010
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Acesso em linha:https://ncbi.nlm.nih.gov/pmc/articles/PMC2885514/
https://ncbi.nlm.nih.gov/pubmed/20434250
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.socscimed.2010.03.031
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id pubmed-2885514
record_format dspace
institution US National Library of Medicine
collection PubMed Central
language en
format Article
topic Article
spellingShingle Article
"A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
topic_facet Article
description Explanations for the social gradient in health status are informed by the rare exceptions. This cross-sectional observational study examined one such exception, the “Latino paradox” by investigating the presence of a Latino advantage in oral health-related quality of life and the effect of nativity status on this relationship. A nationally representative sample of adults (n = 4208) completed the National Health and Nutrition Examination Survey (NHANES) 2003–2004. The impact of oral disorders on oral health-related quality of life was evaluated using the NHANES Oral Health Impact Profile. Exposures of interest were race, ethnicity and nativity status. Covariates included sociodemographic characteristics, smoking status, self-rated health, access to dental care and number of teeth. Unconditional logistic regression models estimated odds of impaired oral health-related quality of life for racial/ethnic and nativity groups compared to the Non-Latino white population. Overall prevalence of impaired oral health-related quality of life was 15.1%. A protective effect of Latino ethnicity was modified by nativity status, such that Latino immigrants experienced substantially better outcomes than non-Latino whites. However the effect was limited to first-generation Latinos. U.S. born Latinos did not share the oral health-related quality of life advantage of their foreign-born counterparts. This advantage was not attributable to the healthy migrant phenomenon since immigrants of non-Latino origin did not differ from Non-Latino whites. The excess risk among Non-Hispanic Blacks was rendered non-significant after adjustment for socioeconomic position. A protective effect conferred by Latino nativity is unexpected given relatively disadvantaged socioeconomic position of this group, their language barrier and restrictions to needed dental care. As the Latino advantage in oral health-related quality of life is not explained by healthy immigrant selection, cultural explanations seem more likely than explanations based on characteristics of individuals.
author_sort Sanders, Anne E
title "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
title_short "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
title_full "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
title_fullStr "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
title_full_unstemmed "A Latino Advantage in Oral Health-Related Quality of Life is Modified by Nativity Status"
title_sort "a latino advantage in oral health-related quality of life is modified by nativity status"
publishDate 2010
url https://ncbi.nlm.nih.gov/pmc/articles/PMC2885514/
https://ncbi.nlm.nih.gov/pubmed/20434250
https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1016/j.socscimed.2010.03.031
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