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Racial Discrimination and Uptake of Dental Services among American Adults

Bibliographic Data

ID8099759
AuthorsWael Sabbah (0000-0002-6339-9480), Aswathikutty Gireesh (0000-0002-8215-2387), Malini Chari (0000-0002-6696-9469), Elsa K Delgado‐Angulo (0000-0002-8286-0324), Elsa K Delgado-Angulo, Eduardo Bernabé (0000-0002-1858-3713, corresponding author)
Year2019
Volume16
Issue9
Pages1558-1558
Publication date2019-05-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMDPI AG (PUBLISHER • IT)
DOI10.3390/ijerph16091558
PMID31060202
OpenAlexW2943414252
LanguageEN
Citations received14
References cited32

This study examined the relationship between racial discrimination and use of dental services among American adults. We used data from the 2014 Behavioral Risk Factor Surveillance System, a health-related telephone cross-sectional survey of a nationally representative sample of adults in the United States. Racial discrimination was indicated by two items, namely perception of discrimination while seeking healthcare within the past 12 months and emotional impact of discrimination within the past 30 days. Their association with dental visits in the past year was tested in logistic regression models adjusting for predisposing (age, gender, race/ethnicity, income, education, smoking status), enabling (health insurance), and need (missing teeth) factors. Approximately 3% of participants reported being discriminated when seeking healthcare in the past year, whereas 5% of participants reported the emotional impact of discrimination in the past month. Participants who experienced emotional impact of discrimination were less likely to have visited the dentist during the past year (Odds Ratios (OR): 0.57; 95% CI 0.44-0.73) than those who reported no emotional impact in a crude model. The association was attenuated but remained significant after adjustments for confounders (OR: 0.76, 95% CI 0.58-0.99). There was no association between healthcare discrimination and last year dental visit in the fully adjusted model. Emotional impact of racial discrimination was an important predictor of use of dental services. The provision of dental health services should be carefully assessed after taking account of racial discrimination and its emotional impacts within the larger context of social inequalities

Behavioral Risk Factor Surveillance System · Confounding · Context (archaeology · Environmental health · Ethnic group · Health care · Logistic regression · Odds · Odds ratio · Population · Medical Education and Admissions · Medicine · Migration, Health and Trauma · Psychology · Racial and Ethnic Identity Research · Demography · Gerontology

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    Open Access•Tanja Gangarova, Melike Yildiz et al.•Frontiers in Public Health•2025

  • From Clinics to Communities

    Open Access•Kamran Ali, Daniel Zahra et al.•Health Expectations•2025

  • Is Racial Discrimination Associated with Number of Missing Teeth Among American Adults

    Open Access•Malini Muralikrishnan, Wael Sabbah•Journal of Racial and Ethnic…•2021

  • Association between racial iniquities and oral health status

    Open Access•Laila Araújo de Oliveira dos Reis, Samilly Silva Miranda et al.•Ciência & Saúde Coletiva•2024

  • Associação entre iniquidades raciais e condição de saúde bucal

    Open Access•Laila Araújo de Oliveira dos Reis, Samilly Silva Miranda et al.•Ciência & Saúde Coletiva•2024

  • An Exploration of Black Men’s Attitudes and Experiences Communicating with Dentists about Oral and Pharyngeal Cancer

    Open Access•Patrick D Smith, Darien Weatherspoon et al.•International Journal of…•2023

  • Analysis of the association between racial inequities and edentulism in Brazil

    Open Access•Bianca Oliveira de Carvalho, Rodrigo Galo et al.•Cadernos de Saude Publica•2025

  • Association Between Perceived Racial Discrimination, Socioeconomic Status, and Oral Health Among Children

    Open Access•Linnea Evans, Catria Gadwah‐Meaden et al.•Journal of Public Health Dentistry•2026

  • Race disparities in dental care use from adolescence to middle adulthood in the USA

    Alexander Testa, Luis Mijares et al.•Journal of Epidemiology and…•2025

  • Perceived racial discrimination partially mediates racial‐ethnic disparities in dental utilization and oral health

    Open Access•Astha Singhal, John W Jackson•Journal of Public Health Dentistry•2022

  • Racism in oral healthcare settings

    Open Access•Kalo C Sokoto, L F Platt et al.•Journal of Public Health Dentistry•2022

  • From describing disparities to understanding why disparities exist

    Open Access•Eleanor B Fleming, Sarah E Raskin et al.•Journal of Public Health Dentistry•2022

  • Discrimination and Dignity Experiences in Prior Oral Care Visits Predict Racialized Oral Health Inequities Among Nationally Representative US Adults

    Open Access•Sarah E Raskin, Madhuli Thakkar-Samtani et al.•Journal of Racial and Ethnic…•2024

  • Racial and ethnic disparities in the use of health services

    Carol M Ashton, Paul Haidet et al.•Journal of General Internal…•2003

  • Perceptions of Race/Ethnicity-Based Discrimination

    Open Access•Nancy R Kressin, Kristal L Raymond et al.•Journal of Health Care for the…•2008

  • Racism and health service utilisation

    Open Access•J Ben, Donna Cormack et al.•PLoS ONE•2017

  • Structural racism and health inequities in the USA

    Open Access•Zinzi D Bailey, Nancy Krieger et al.•The Lancet•2017

  • Discrimination and racial disparities in health

    Open Access•David R Williams, Selina A Mohammed•Journal of Behavioral Medicine•2009

  • Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes

    William J Hall, Mimi V Chapman et al.•American Journal of Public Health•2015

  • Fear, black people and mental illness

    Open Access•Frank Keating, David Robertson•Health & Social Care in the…•2004

  • Barriers to Care-Seeking for Children’s Oral Health Among Low-Income Caregivers

    Kelly, Susan E Kelly et al.•American Journal of Public Health•2005

  • Problems With Access to Dental Care for Medicaid-Insured Children

    Mahyar Mofidi, R Gary Rozier et al.•American Journal of Public Health•2002

  • National Health Surveys and the Behavioral Model of Health Services Use

    Ronald Max Andersen•Medical Care•2008

  • Self‐reported racism and experience of toothache among pregnant A boriginal A ustralians

    Open Access•Jehonathan Ben, Yin Paradies et al.•Journal of Public Health Dentistry•2014

  • The Social Psychology of Stigma

    Brenda Major, Lia O’brien et al.•Annual Review of Psychology•2004

  • Discrimination Comes in Many Forms

    Open Access•Fred L Pincus•American Behavioral Scientist•1996

  • Revisiting the Behavioral Model and Access to Medical Care

    Ronald Andersen, Ronald M Andersen•Journal of Health and Social…•1995

  • Is Racism a Fundamental Cause of Inequalities in Health

    Jo C Phelan, Jo Phelan et al.•Annual Review of Sociology•2015

  • The Impact of Racism on Clinician Cognition, Behavior, and Clinical Decision Making

    Open Access•Michelle Van Ryn, Diana Jill Burge et al.•Du Bois Review Social Science…•2011

  • Unfair Treatment and Periodontitis Among Adults in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

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Unique citing works14
Citations per year2,8
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14

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