Acculturation and Dental Caries Among Children in Spain
This study explored the relationship between different indicators of acculturation and children’s caries experience. Data from 313 children attending the Dental Clinic of the European University of Madrid were analysed. Acculturation was measured via generational status, age at arrival, length of residence and language spoken at home. The association between each indicator of acculturation and caries experience was assessed in Poisson regression models adjusting for confounders. First- and second-generation migrant children had greater caries experience than Spanish-born children. These differences only persisted for first-generation migrant children after adjustment for confounders. Children who arrived in Spain before age 6 years, who lived in Spain for 10 or more years and who spoke a language other than Spanish at home had greater caries experience than Spanish-born children. Inequalities in caries experience between migrant and native children were evident (favouring the local children) and independent of family’s socioeconomic circumstances.
KeywordsMigration Acculturation Dental caries Children Public health dentistry
Compliance with Ethical Standards
Conflict of interest
The authors declare no conflicts of interest in relation to this study.
- 1.UNDP. Human development report 2009—overcoming barriers: human mobility and development. New York: United Nations Development Programme; 2009.Google Scholar
- 16.Llodra Calvo JC. Influencia del origen de nacimiento (Espana versus extranjero) en la salud oral de la poblacion infanto-juvenil en Espana 2010. RCOE 2010;17:47–61.Google Scholar
- 17.Bravo Pérez M, Almerich Silla JM, Ausina Márquez V, Avilés Gutiérrez P, Blanco González JM, Canorea Díaz E, Casals Peidró E, Gómez Santos G, Hita Iglesias C, Llodra Calvo JC. Monge Tàpies M, Montiel Company JM, Palmer Vich PJ, Sainz Ruiz C. Encuesta de Salud Oral en España 2015. RCOE. 2016;21:8–48.Google Scholar
- 18.GAAP. Estado de salud bucodental en la comunidad de Madrid 2015/2016. Madrid: Gerencia Asistencial de Atención Primaria de Madrid (GAAP); 2017.Google Scholar
- 30.Kassebaum NJ, Smith AGC, Bernabe E, Fleming TD, Reynolds AE, Vos T, Murray CJL, Marcenes W. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral Conditions for 195 Countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96:380–7.CrossRefGoogle Scholar