Oral Health and Oral Health Service Utilization in Native and Immigrant Population: A Cross-Sectional Analysis from the PELFI Cohort in Spain

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This study analyzes associated factors to self-perceived oral health and use of oral health services in native and immigrant adults from the PELFI cohort in Spain. A cross-sectional analysis was conducted (401 adults ≥ 18 years, from Spain, Ecuador, Colombia and Morocco). Frequencies for sociodemographic, self-perceived general and oral health variables were calculated. The association between oral health/oral health services use and origin country was estimated by logistic regression (adjusted odds ratio-aOR-; 95% confidence intervals -95%CI-). Ecuadorian men were more likely to report dental caries (aPR 2.75; 95%CI 1.30–5.80) and Moroccan women were more likely to report gingival bleeding (aPR 3.61; 95%CI 1.83–7.15) and the use of oral health services ≥ 1 year/never (aPR 1.69; 95%CI 1.06–2.69). Colombian women were less likely to report missing teeth (aPR 0.73; 95%CI 0.56–0.95). Poor self-perceived oral health indicators were observed in immigrants and were modified for sociodemographic and general health variables.

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The authors would like to thank all the individuals and families from the PELFI cohort of the cities of Barcelona and Alicante that agreed to take part in this study.


Healthcare Research Fund of the Spanish Ministry of Health (Ref. PI14/01146-PI14/02005), Institute for Health Carlos III-FEDER. Immigration and Health Subprogram in the Center for Biomedical Network Research on Epidemiology and Public Health (CIBERESP-SIS), Spain.

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AAAS coordinated the design of the manuscript confection and drafted the manuscript. The rest of the authors made substantial contributions to the interpretation of data. All the authors contributed to the revision of the different versions of the manuscript and the approval of the final version to be submitted to the journal.

Correspondence to Andrés A. Agudelo-Suárez.

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Agudelo-Suárez, A.A., Muñoz-Pino, N., Vivares-Builes, A.M. et al. Oral Health and Oral Health Service Utilization in Native and Immigrant Population: A Cross-Sectional Analysis from the PELFI Cohort in Spain. J Immigrant Minority Health (2020).

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  • Emigrants and immigrants
  • Oral health
  • Dental caries
  • Periodontal diseases
  • Dental health surveys