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Published in: Journal of Immigrant and Minority Health 1/2008

01-02-2008 | Original Paper

Hmong Adults Self-Rated Oral Health: A Pilot Study

Authors: Christopher Okunseri, Marcie Yang, Cesar Gonzalez, Warren LeMay, Anthony M. Iacopino

Published in: Journal of Immigrant and Minority Health | Issue 1/2008

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Abstract

Since 1975, the Hmong refugee population in the U.S. has increased over 200%. However, little is known about their dental needs or self-rated oral health (SROH). The study aims were to: (1) describe the SROH, self-rated general health (SRGH), and use of dental/physician services; and (2) identify the factors associated with SROH among Hmong adults. A cross-sectional study design with locating sampling methodology was used. Oral health questionnaire was administered to assess SROH and SRGH, past dental and physician visits, and language preference. One hundred twenty adults aged 18–50+ were recruited and 118 had useable information. Of these, 49% rated their oral health as poor/fair and 30% rated their general health as poor/fair. Thirty-nine percent reported that they did not have a regular source of dental care, 46% rated their access to dental care as poor/fair, 43% visited a dentist and 66% visited a physician within the past 12 months. Bivariate analyses demonstrated that access to dental care, past dental visits, age and SRGH were significantly associated with SROH (P < 0.05). Multivariate analyses demonstrated a strong association between access to dental care and good/excellent SROH. About half of Hmong adults rated their oral health and access to dental care as poor. Dental insurance, access to dental care, past preventive dental/physician visits and SRGH were associated with SROH.
Literature
1.
go back to reference Nationally aggregated Hmong data: U.S. Census 2000. Available at http://ww.hmongcenter.org/nataghmondat.html accessed May 10, 2006. Nationally aggregated Hmong data: U.S. Census 2000. Available at http://​ww.​hmongcenter.​org/​nataghmondat.​html accessed May 10, 2006.
2.
go back to reference U.S. Census Bureau, American FactFinder. Race alone or in combination for American Indian, Alaska native, and for selected categories of Asian and of Native Hawaiian and other Pacific Islander: 2000. Available at http://factfinder.census.gov/servlet/QTTable?_bm = y&-content = qt&-qr_name = DEC_2000 accessed June 24, 2005. U.S. Census Bureau, American FactFinder. Race alone or in combination for American Indian, Alaska native, and for selected categories of Asian and of Native Hawaiian and other Pacific Islander: 2000. Available at http://​factfinder.​census.​gov/​servlet/​QTTable?​_​bm = y&-content = qt&-qr_name = DEC_2000 accessed June 24, 2005.
3.
go back to reference The Hmong People in the U.S by Jeff Lindsay. Available at http://www.jefflindsay.com/Hmong_tragedy.html accessed July 31, 2005. The Hmong People in the U.S by Jeff Lindsay. Available at http://​www.​jefflindsay.​com/​Hmong_​tragedy.​html accessed July 31, 2005.
4.
go back to reference The Asian Population: 2000. U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. Issued February 2002. The Asian Population: 2000. U.S. Department of Commerce, Economics and Statistics Administration, U.S. Census Bureau. Issued February 2002.
5.
go back to reference Yu ESH, Liu WT. United States National Health Data on Asian Americans and Pacific Islanders: A Research Agenda for the 1990s. Am J Public Health 1992;82:1645–52.PubMed Yu ESH, Liu WT. United States National Health Data on Asian Americans and Pacific Islanders: A Research Agenda for the 1990s. Am J Public Health 1992;82:1645–52.PubMed
6.
go back to reference Reeves T, Claudette B. The Asian and Pacific Islander Population in the United States: March 2002, Current Population Reports, P20-540, Washington, DC: U.S. Census Bureau; 2003. Reeves T, Claudette B. The Asian and Pacific Islander Population in the United States: March 2002, Current Population Reports, P20-540, Washington, DC: U.S. Census Bureau; 2003.
7.
go back to reference Hmong Task Force University of Wisconsin Extension & Applied Population Laboratory. Hmong educational needs assessment project, Wisconsin’s Hmong population: census 2000 population trends. Available at http://www.uwex.edu/ces/hmong/assessment.cfm accessed May 20, 2005. Hmong Task Force University of Wisconsin Extension & Applied Population Laboratory. Hmong educational needs assessment project, Wisconsin’s Hmong population: census 2000 population trends. Available at http://​www.​uwex.​edu/​ces/​hmong/​assessment.​cfm accessed May 20, 2005.
8.
go back to reference Wisconsin’s Hmong Resettlement Task Force Report. Report to Governor Doyle February 2005. Available at http://dwd.wisconsin.gov/hrtf/default.htm accessed May 9, 2007. Wisconsin’s Hmong Resettlement Task Force Report. Report to Governor Doyle February 2005. Available at http://​dwd.​wisconsin.​gov/​hrtf/​default.​htm accessed May 9, 2007.
9.
go back to reference Office of Global Health Affairs. Background on potential health issues for Hmong Refugees from Wat Tham Krabok. Available at http://www.dhfs.state.wi.us/international/refugee. Office of Global Health Affairs. Background on potential health issues for Hmong Refugees from Wat Tham Krabok. Available at http://​www.​dhfs.​state.​wi.​us/​international/​refugee.​
10.
go back to reference Gift HC, Atchison KA. Oral health, health and health-related quality of life. Medical Care 1995; 33(11 suppl):N57–77. Review. Gift HC, Atchison KA. Oral health, health and health-related quality of life. Medical Care 1995; 33(11 suppl):N57–77. Review.
11.
go back to reference Rice PL, Ly B, Lumley J. Childbirth and soul loss: the case of a Hmong woman. Med J Aus 1994;160:577–8. Rice PL, Ly B, Lumley J. Childbirth and soul loss: the case of a Hmong woman. Med J Aus 1994;160:577–8.
12.
go back to reference Gervais KG. Providing culturally competent health care to Hmong patients. Minnesota Med 1996;79: 49–51.PubMed Gervais KG. Providing culturally competent health care to Hmong patients. Minnesota Med 1996;79: 49–51.PubMed
13.
go back to reference Riedy CA, Weinstein P, Milgrom P. An ethnographic study for understanding children’s oral health in a multicultural community. Int Dent J 2001;51:305–12.PubMed Riedy CA, Weinstein P, Milgrom P. An ethnographic study for understanding children’s oral health in a multicultural community. Int Dent J 2001;51:305–12.PubMed
14.
go back to reference Ware JE Jr., Brook RH, Davies AR, et al. Choosing measures of health status for individuals in general populations. Am J Public Health 1981;71:620–5.PubMed Ware JE Jr., Brook RH, Davies AR, et al. Choosing measures of health status for individuals in general populations. Am J Public Health 1981;71:620–5.PubMed
15.
go back to reference Aday LA, Fleming G, Andersen R. Access to health study of access to medical care. Health Serv Res 1970;9:208–20. Aday LA, Fleming G, Andersen R. Access to health study of access to medical care. Health Serv Res 1970;9:208–20.
16.
go back to reference Gooch BF, Dolan TA, Bourqu LB. Correlates of self-reported dental health status upon enrollment in the Rand Health Insurance Experiment. J Dent Educ 1989;53:629–37.PubMed Gooch BF, Dolan TA, Bourqu LB. Correlates of self-reported dental health status upon enrollment in the Rand Health Insurance Experiment. J Dent Educ 1989;53:629–37.PubMed
17.
go back to reference Manor O, Matthews S, Power C. Self-rated health and limiting longstanding illness: inter-relationships with morbidity in early adulthood. Int J Epidemiol 2001;30:600–7.PubMedCrossRef Manor O, Matthews S, Power C. Self-rated health and limiting longstanding illness: inter-relationships with morbidity in early adulthood. Int J Epidemiol 2001;30:600–7.PubMedCrossRef
18.
go back to reference Culhane-Pera KA, Vawter DE, Xiong P, et al. editors. Healing by heart: clinical and ethical case stories of Hmong families and Western providers. Nashville: Vanderbilt University Press; 2003. Culhane-Pera KA, Vawter DE, Xiong P, et al. editors. Healing by heart: clinical and ethical case stories of Hmong families and Western providers. Nashville: Vanderbilt University Press; 2003.
19.
go back to reference Sudman S, Kalton G. New developments in the sampling of special populations. Annual Rev Socio 1986;12:401–29.CrossRef Sudman S, Kalton G. New developments in the sampling of special populations. Annual Rev Socio 1986;12:401–29.CrossRef
20.
go back to reference Kalton G, Anderson DW. Sampling rare populations. J R Stat Soc A 1986; 149:65–82.CrossRef Kalton G, Anderson DW. Sampling rare populations. J R Stat Soc A 1986; 149:65–82.CrossRef
21.
go back to reference Benyamini Y, Leventhal H, Leventhal EA. Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction. Soc Sci Med 2004;59:1109–16.PubMedCrossRef Benyamini Y, Leventhal H, Leventhal EA. Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction. Soc Sci Med 2004;59:1109–16.PubMedCrossRef
22.
go back to reference Gift HC. A look at oral health within the context of diverse populations: foreword. Adv Dent Res 1997;11(2):200–2.PubMedCrossRef Gift HC. A look at oral health within the context of diverse populations: foreword. Adv Dent Res 1997;11(2):200–2.PubMedCrossRef
23.
go back to reference Qiu Y, Ni H. Utilization of dental care services by Asians and native Hawaiian or other Pacific Islanders: United States, 1997–2000. Advance data from vital and health statistics; no 336. Hyattsville, Maryland: National Center for Health Statistics. 2003. Qiu Y, Ni H. Utilization of dental care services by Asians and native Hawaiian or other Pacific Islanders: United States, 1997–2000. Advance data from vital and health statistics; no 336. Hyattsville, Maryland: National Center for Health Statistics. 2003.
24.
go back to reference Newton JT, Corrigan M, Gibbons DE, et al. The self-assessed oral health status of individuals from White, Indian, Chinese and Black communities in south-east England. Community Dent Oral Epidemiol 2003;31:192–9.PubMedCrossRef Newton JT, Corrigan M, Gibbons DE, et al. The self-assessed oral health status of individuals from White, Indian, Chinese and Black communities in south-east England. Community Dent Oral Epidemiol 2003;31:192–9.PubMedCrossRef
25.
go back to reference Newton JT, Khan FA, Bhavnani V, et al. Self-assessed oral health status of ethnic minority residents of south London. Community Dent Oral Epidemiol 2000;28:424–34.PubMedCrossRef Newton JT, Khan FA, Bhavnani V, et al. Self-assessed oral health status of ethnic minority residents of south London. Community Dent Oral Epidemiol 2000;28:424–34.PubMedCrossRef
26.
go back to reference Cruz GD, Galvis DL, Kim M, et al. Self-perceived oral health among three subgroups of Asian-Americans in New York City: a preliminary study. Community Dent Oral Epidemiol 2001;29:99–106.PubMedCrossRef Cruz GD, Galvis DL, Kim M, et al. Self-perceived oral health among three subgroups of Asian-Americans in New York City: a preliminary study. Community Dent Oral Epidemiol 2001;29:99–106.PubMedCrossRef
27.
go back to reference Rosenberg D, Kaplan S, Senie R, et al. Relationships among dental functional status, clinical dental measures, and general health measures. J Dent Educ 1988;52:653–7.PubMed Rosenberg D, Kaplan S, Senie R, et al. Relationships among dental functional status, clinical dental measures, and general health measures. J Dent Educ 1988;52:653–7.PubMed
28.
go back to reference Norlen P, Ostberg H, Bjorn A. Relationship between general health, social factors and oral health in women at the age of retirement. Community Dent Oral Epidemiol 1991;19:296–301.PubMedCrossRef Norlen P, Ostberg H, Bjorn A. Relationship between general health, social factors and oral health in women at the age of retirement. Community Dent Oral Epidemiol 1991;19:296–301.PubMedCrossRef
29.
go back to reference Reisine ST, Bailit HL. Clinical oral health status, adult perceptions of oral health. Soc Sci Med 1980;14A:597–605. Reisine ST, Bailit HL. Clinical oral health status, adult perceptions of oral health. Soc Sci Med 1980;14A:597–605.
Metadata
Title
Hmong Adults Self-Rated Oral Health: A Pilot Study
Authors
Christopher Okunseri
Marcie Yang
Cesar Gonzalez
Warren LeMay
Anthony M. Iacopino
Publication date
01-02-2008
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2008
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-007-9054-x

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