The Oral Health Status of Recent Immigrants and Refugees in Nova Scotia, Canada
There are no published reports on the oral health status of adult immigrants and refugees in Canada. An oral health interview and clinical oral examination were conducted on 45 recent immigrants and 41 recent Bhutanese refugees, aged 18–67, in Nova Scotia, Canada. Over half (53 %) of the immigrants and 85 % of the refugees had untreated decay. Most (89 % of immigrants; 98 % of refugees) had moderate to severe gingivitis and the majority (73 % of immigrants; 85 % of refugees) had moderate to severe periodontitis. Despite these, 64 % of immigrants and 49 % of refugees rated their oral health as good, very good or excellent, and most believed they did not need fillings or periodontal treatment. Oral disease among the study sample was higher than the Canadian average and there was a striking discrepancy between self-reported and clinically determined need for dental care.
KeywordsImmigrants Refugees Canada Oral health Dental
This study was supported by a generous grant from the Nova Scotia Health Research Foundation. We express our sincere appreciation to the following individuals for their contribution to this project: Dr. Joanne Clovis, Associate Professor in the School of Dental Hygiene at Dalhousie University; Dr. Ingrid Waldron, Assistant Professor in the School of Occupational Therapy at Dalhousie University; Dr. Swarna Weerasinghe, Associate Professor in the Department of Community Health and Epidemiology at Dalhousie University and Dr. Ferne Kraglund, Assistant Professor at Dalhousie University Faculty of Dentistry. Last, but by no means least, we would like to thank the YMCA of Greater Halifax/Dartmouth and the Immigrant Settlement and Integration Services (ISIS) for their vital assistance in recruiting patients for the study.
- 1.Statistics Canada. Population by immigrant status and period of immigration, 2006 counts, for Canada, provinces and territories- 20% sample data (27 March 2009). Available at: http://www12.statcan.gc.ca/census-recensement/2006/dp-pd/hlt/97-557/T403-eng.cfm?Lang=E&T=403&GH=5&GF=61&G5=0&SC=1&S=0&O=A. Accessed 2 Aug 2012.
- 2.Citizenship and Immigration Canada. Preliminary tables—Permanent and temporary residents, 2010. Available at: http://www.cic.gc.ca/english/resources/statistics/facts2010-preliminary/01.asp. Accessed 14 Nov 2011.
- 6.Citizenship and Immigration Canada. Medical exam requirements for permanent residents. Available at: http://www.cic.gc.ca/english/information/medical/medexams-perm.asp. Accessed 16 Aug 2012.
- 9.Perez CE. Health status and health behaviour among immigrants. Health Rep Stat Can. 2002;13:89–100.Google Scholar
- 12.Woodward GL, Leake JL. Risk markers for new dental decay in eight-year-old North York children. Can J Community Dent. 1995;10:7–13.Google Scholar
- 17.Berkman ND, Center RTII-UONCE-BP, United States. Agency for Healthcare R and Quality. Literacy and health outcomes. Agency for Healthcare Research and Quality. 2004.Google Scholar
- 20.Devoretz D. Diminishing returns: the economics of immigration policy. Toronto: C.D. Howe Institute; 1995.Google Scholar
- 22.Dong M, Loignon C, Levine A, Bedos C. Perceptions of oral illness among Chinese immigrants in Montreal: a qualitative study. J Dent Edu. 2007;71:1340–7.Google Scholar
- 24.Health Canada. Report on the Findings of the Oral Health Component of the Canadian Health Measures Survey 2007–2009. Ottawa; 2010.Google Scholar
- 31.Helman CG. Culture, health and illness. London: Arnold, Hodder Headline Group; 2001.Google Scholar