Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 2/2018

01-04-2018 | Original Paper

Acculturation and a Potential Relationship with Oral Health Outcomes Among Somali Refugees in Massachusetts

Authors: Jo Hunter-Adams, Jennifer Cochran, Lance D. Laird, Michael K. Paasche-Orlow, Paul L. Geltman

Published in: Journal of Immigrant and Minority Health | Issue 2/2018

Login to get access

Abstract

This paper explores the relationship between acculturation and oral health in a study of Somali refugees. This cross-sectional survey included structured surveys and dental examinations of a convenience sample of 439 Somali adults living in Massachusetts. Associations between an acculturation scale and: (1) lifetime history of caries and (2) access to oral health services were calculated. In bivariate analyses, many individual questions in the scale were associated with outcomes. In multivariate analysis, speaking English (OR 0.5, CI 0.28–0.84) was associated with better access to, and utilization of, dental health services while reading American books and newspapers in English was associated with increased lifetime history of dental disease (OR 2.6, CI 1.1–6.0). As specific elements of acculturation have different relationships with oral health among Somali refugees, a summary acculturation scale may have limited utility. Ongoing efforts to remove language barriers may improve oral health.
Literature
1.
go back to reference Beck CT, Froman RD, Bernal H. Acculturation level and postpartum depression in Hispanic mothers. MCN Am J Matern Child Nurs. 2005;30(5):299–304.CrossRefPubMed Beck CT, Froman RD, Bernal H. Acculturation level and postpartum depression in Hispanic mothers. MCN Am J Matern Child Nurs. 2005;30(5):299–304.CrossRefPubMed
2.
go back to reference Chakraborty B, Chakraborty R. Concept, measurement and use of acculturation in health and disease risk studies. Coll Antropol. 2010. 34:1179–91.PubMed Chakraborty B, Chakraborty R. Concept, measurement and use of acculturation in health and disease risk studies. Coll Antropol. 2010. 34:1179–91.PubMed
3.
go back to reference Johnson KL, Carroll JF, Fulda KG, Cardarelli K, Cardarelli R. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study. BMC Public Health. 2010;10(1):53.CrossRefPubMedPubMedCentral Johnson KL, Carroll JF, Fulda KG, Cardarelli K, Cardarelli R. Acculturation and self-reported health among Hispanics using a socio-behavioral model: the North Texas Healthy Heart Study. BMC Public Health. 2010;10(1):53.CrossRefPubMedPubMedCentral
4.
go back to reference Mariño R, Stuart GW, Wright FA, Minas IH, Klimidis S. Acculturation and dental health among Vietnamese living in Melbourne, Australia. Commun Dent Oral Epidemiol. 2001;29:107–19.CrossRef Mariño R, Stuart GW, Wright FA, Minas IH, Klimidis S. Acculturation and dental health among Vietnamese living in Melbourne, Australia. Commun Dent Oral Epidemiol. 2001;29:107–19.CrossRef
5.
go back to reference Cruz GD, Shore R, Le-Geros RZ, Tavares M. Effect of acculturation on objective measures of oral health in Haitian immigrants in New York City. J Dent Res. 2004;83(2):180–4.CrossRefPubMed Cruz GD, Shore R, Le-Geros RZ, Tavares M. Effect of acculturation on objective measures of oral health in Haitian immigrants in New York City. J Dent Res. 2004;83(2):180–4.CrossRefPubMed
6.
go back to reference Cruz GD, Chen Y, Salazar CR, Le Geros RZ. The association of immigration and acculturation attributes with oral health among immigrants in New York City. Am J Public Health. 2009;99(Suppl 2) S474–80CrossRefPubMedPubMedCentral Cruz GD, Chen Y, Salazar CR, Le Geros RZ. The association of immigration and acculturation attributes with oral health among immigrants in New York City. Am J Public Health. 2009;99(Suppl 2) S474–80CrossRefPubMedPubMedCentral
7.
go back to reference Choi H. Cultural marginality: a concept analysis With implications for immigrant adolescents. Issues Compr Pediatr Nurs. 2001;24(3):193–206.CrossRefPubMed Choi H. Cultural marginality: a concept analysis With implications for immigrant adolescents. Issues Compr Pediatr Nurs. 2001;24(3):193–206.CrossRefPubMed
8.
go back to reference Geltman PL, Hunter-Adams J, Cochran J, Doros G, Rybin D, Henshaw M, et al. The impact of functional health literacy and acculturation on the oral health status of somali refugees living in Massachusetts. Am J Public Health. 2013;103(8):1516–23.CrossRefPubMedPubMedCentral Geltman PL, Hunter-Adams J, Cochran J, Doros G, Rybin D, Henshaw M, et al. The impact of functional health literacy and acculturation on the oral health status of somali refugees living in Massachusetts. Am J Public Health. 2013;103(8):1516–23.CrossRefPubMedPubMedCentral
9.
go back to reference Geltman PL, Hunter-Adams J, Penrose KL, Cochran J, Rybin D, Doros G, et al. Health literacy, acculturation, and the use of preventive oral health care by Somali refugees living in Massachusetts. J Immigr Minor Health. 2014;16(4):622–30. Geltman PL, Hunter-Adams J, Penrose KL, Cochran J, Rybin D, Doros G, et al. Health literacy, acculturation, and the use of preventive oral health care by Somali refugees living in Massachusetts. J Immigr Minor Health. 2014;16(4):622–30.
10.
go back to reference Hunter-Adams J, Young S, Laird LD, Geltman PL, Cochran JJ, Hassan A, et al. The cultural basis for oral health practices among Somali refugees pre-and post-resettlement in Massachusetts. J Health Care Poor Underserved. 2013;24(4):1474–85.CrossRef Hunter-Adams J, Young S, Laird LD, Geltman PL, Cochran JJ, Hassan A, et al. The cultural basis for oral health practices among Somali refugees pre-and post-resettlement in Massachusetts. J Health Care Poor Underserved. 2013;24(4):1474–85.CrossRef
11.
go back to reference Laird LD, Barnes LL, Hunter-Adams J, Cochran J, Geltman PL. Looking Islam in the teeth: the social life of a Somali toothbrush. Med Anthropol Q. 2015;29(3):334–56.CrossRefPubMedPubMedCentral Laird LD, Barnes LL, Hunter-Adams J, Cochran J, Geltman PL. Looking Islam in the teeth: the social life of a Somali toothbrush. Med Anthropol Q. 2015;29(3):334–56.CrossRefPubMedPubMedCentral
12.
go back to reference Association of State and Territorial Dental Directors. Basic screening survey: an approach to monitoring community oral health, Screening Training Project. Ohio; 1999. Association of State and Territorial Dental Directors. Basic screening survey: an approach to monitoring community oral health, Screening Training Project. Ohio; 1999.
13.
go back to reference Center for Applied Linguistics. BEST Plus. Adult English Proficiency Assessments, Vol 2011. Center for Applied Linguistics; 2010. Center for Applied Linguistics. BEST Plus. Adult English Proficiency Assessments, Vol 2011. Center for Applied Linguistics; 2010.
14.
go back to reference Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33–42.CrossRefPubMed Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33–42.CrossRefPubMed
15.
go back to reference Lee JY, Rozier RG, Lee SYD, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30—a brief communication. J Public Health Dent. 2007;67(2):94–8.CrossRefPubMed Lee JY, Rozier RG, Lee SYD, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30—a brief communication. J Public Health Dent. 2007;67(2):94–8.CrossRefPubMed
16.
go back to reference Westermeyer J, Her C. Predictors of English fluency among Hmong refugees in Minnesota: a longitudinal study. Cult Divers Ment Health. 1996;2(2):125–32.CrossRefPubMed Westermeyer J, Her C. Predictors of English fluency among Hmong refugees in Minnesota: a longitudinal study. Cult Divers Ment Health. 1996;2(2):125–32.CrossRefPubMed
17.
go back to reference Riddle DL, Lee KT, Stratford PW. Use of SF-36 and SF-12 health status measures: a quantitative comparison for groups versus individual patients. Med Care. 2001;39(8):867–78.CrossRefPubMed Riddle DL, Lee KT, Stratford PW. Use of SF-36 and SF-12 health status measures: a quantitative comparison for groups versus individual patients. Med Care. 2001;39(8):867–78.CrossRefPubMed
18.
19.
go back to reference Spitzer RL, Kroenke K, Williams JBW. Group and the PHQPCS. Validation and utility of a self-report version of PRIME-MD. JAMA. 1999;282(18):1737–44.CrossRefPubMed Spitzer RL, Kroenke K, Williams JBW. Group and the PHQPCS. Validation and utility of a self-report version of PRIME-MD. JAMA. 1999;282(18):1737–44.CrossRefPubMed
20.
go back to reference Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD checklist (PCL). Behav Res Ther. 1996;34(8):669–73.CrossRefPubMed Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD checklist (PCL). Behav Res Ther. 1996;34(8):669–73.CrossRefPubMed
21.
go back to reference Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J. 1982;32(3):281–91.PubMed Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). Int Dent J. 1982;32(3):281–91.PubMed
23.
go back to reference Nasseh K, Vujicic M. Health reform in massachusetts increased adult dental care use, particularly among the poor. Health Aff. 2013;32(9):1639–45.CrossRef Nasseh K, Vujicic M. Health reform in massachusetts increased adult dental care use, particularly among the poor. Health Aff. 2013;32(9):1639–45.CrossRef
24.
go back to reference Parker RM, Ratzan SC, Lurie N. Health literacy: a policy challenge for advancing high-quality health care. Health Affairs. 2003; 147–53. Parker RM, Ratzan SC, Lurie N. Health literacy: a policy challenge for advancing high-quality health care. Health Affairs. 2003; 147–53.
25.
go back to reference Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65(4):237–51.CrossRefPubMedPubMedCentral Schwartz SJ, Unger JB, Zamboanga BL, Szapocznik J. Rethinking the concept of acculturation: implications for theory and research. Am Psychol. 2010;65(4):237–51.CrossRefPubMedPubMedCentral
26.
go back to reference Kim BSK, Abreu JM. Acculturation measurement: theory, current instruments, and future directions. In: Ponterotto JG, Casas JM, Suzuki LA, Alexander CM, editors. Handbook of multicultural counseling. (2nd ed): Thousand Oaks: Sage; 2010. pp. 394–424. Kim BSK, Abreu JM. Acculturation measurement: theory, current instruments, and future directions. In: Ponterotto JG, Casas JM, Suzuki LA, Alexander CM, editors. Handbook of multicultural counseling. (2nd ed): Thousand Oaks: Sage; 2010. pp. 394–424.
28.
go back to reference Barry DT. Development of a new scale for measuring acculturation: the East Asian Acculturation Measure (EAAM). J Immigr Health. 2001;3(4):193–7.CrossRefPubMed Barry DT. Development of a new scale for measuring acculturation: the East Asian Acculturation Measure (EAAM). J Immigr Health. 2001;3(4):193–7.CrossRefPubMed
29.
go back to reference Wang W, Yu N. Coping with a new health culture: acculturation and online health information seeking among chinese immigrants in the United States. J Immigr Minor Health. 2015;17(5):1427–35.CrossRefPubMed Wang W, Yu N. Coping with a new health culture: acculturation and online health information seeking among chinese immigrants in the United States. J Immigr Minor Health. 2015;17(5):1427–35.CrossRefPubMed
30.
go back to reference Cuellar I, Harris LC, Jasso R. An acculturation scale for Mexican American normal and clinical populations. Hisp J Behav Sci. 1980;2(3):199–217. Cuellar I, Harris LC, Jasso R. An acculturation scale for Mexican American normal and clinical populations. Hisp J Behav Sci. 1980;2(3):199–217.
31.
go back to reference Jimenez DE, Gray HL, Cucciare M, Kumbhani S, Gallagher-Thompson D. Using the revised acculturation rating scale for Mexican Americans (ARSMA-II) with older adults. Hisp Health Care Int. 2010;8(1):14–22.CrossRefPubMedPubMedCentral Jimenez DE, Gray HL, Cucciare M, Kumbhani S, Gallagher-Thompson D. Using the revised acculturation rating scale for Mexican Americans (ARSMA-II) with older adults. Hisp Health Care Int. 2010;8(1):14–22.CrossRefPubMedPubMedCentral
32.
go back to reference Szapocznik J, Kurtines WM, Fernandez T. Bicultural involvement and adjustment in Hispanic-American youths. Int J Intercult Relations. 1980;4(3–4):353–65.CrossRef Szapocznik J, Kurtines WM, Fernandez T. Bicultural involvement and adjustment in Hispanic-American youths. Int J Intercult Relations. 1980;4(3–4):353–65.CrossRef
33.
go back to reference Johnson-Agbakwu CE, Flynn P, Asiedu GB, Hedberg E, Breitkopf CR. Adaptation of an acculturation scale for African refugee women. J Immigr Minor Health. 2016;18(1):252–62.CrossRefPubMedPubMedCentral Johnson-Agbakwu CE, Flynn P, Asiedu GB, Hedberg E, Breitkopf CR. Adaptation of an acculturation scale for African refugee women. J Immigr Minor Health. 2016;18(1):252–62.CrossRefPubMedPubMedCentral
34.
go back to reference Lincoln AK, Lazarevic V, White MT, Ellis BH. The impact of acculturation style and acculturative hassles on the mental health of Somali adolescent refugees. J Immigr Minor Health. 2016;18(4):771–8.CrossRefPubMedPubMedCentral Lincoln AK, Lazarevic V, White MT, Ellis BH. The impact of acculturation style and acculturative hassles on the mental health of Somali adolescent refugees. J Immigr Minor Health. 2016;18(4):771–8.CrossRefPubMedPubMedCentral
35.
go back to reference Rudmin FW, Ahmadzadeh V. Psychometric critique of acculturation psychology: the case of Iranian migrants in Norway. Scand J Psychol. 2001;42(1):41–56.CrossRefPubMed Rudmin FW, Ahmadzadeh V. Psychometric critique of acculturation psychology: the case of Iranian migrants in Norway. Scand J Psychol. 2001;42(1):41–56.CrossRefPubMed
36.
go back to reference Samatar AI. Beginning again: from refugee to citizen. Bildhaan. 2004;4:1–17. Samatar AI. Beginning again: from refugee to citizen. Bildhaan. 2004;4:1–17.
37.
go back to reference Ali I. Staying off the bottom of the melting pot: Somali refugees respond to a changing US immigration climate. Bildhaan. 2011;9(1):11. Ali I. Staying off the bottom of the melting pot: Somali refugees respond to a changing US immigration climate. Bildhaan. 2011;9(1):11.
38.
go back to reference Huisman K, Hough M, Langellier K, Toner C. Somalis in Maine: crossing cultural currents. Berkeley: North Atlantic Books; 2011. Huisman K, Hough M, Langellier K, Toner C. Somalis in Maine: crossing cultural currents. Berkeley: North Atlantic Books; 2011.
39.
go back to reference Little P. Reflections on Somalia, or how to conclude an inconclusive story. Bildhaan. 2008;3(1):7. Little P. Reflections on Somalia, or how to conclude an inconclusive story. Bildhaan. 2008;3(1):7.
40.
go back to reference Kapteijns L, Arman A. Educating immigrant youth in the United States: an exploration of the Somali case. Bildhaan. 2004;4:18–43. Kapteijns L, Arman A. Educating immigrant youth in the United States: an exploration of the Somali case. Bildhaan. 2004;4:18–43.
Metadata
Title
Acculturation and a Potential Relationship with Oral Health Outcomes Among Somali Refugees in Massachusetts
Authors
Jo Hunter-Adams
Jennifer Cochran
Lance D. Laird
Michael K. Paasche-Orlow
Paul L. Geltman
Publication date
01-04-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-017-0650-0

Other articles of this Issue 2/2018

Journal of Immigrant and Minority Health 2/2018 Go to the issue