Oral health-related cultural beliefs for four racial/ethnic groups: Assessment of the literature.
BACKGROUND
The purpose of this study was to assess information available in the dental literature on oral health-related cultural beliefs. In the US, as elsewhere, many racial/ethnic minority groups shoulder a disproportionate burden of oral disease. Cultural beliefs, values and practices are often implicated as causes of oral health disparities, yet little is known about the breadth or adequacy of literature about cultural issues that could support these assertions. Hence, this rigorous assessment was conducted of work published in English on cultural beliefs and values in relation to oral health status and dental practice. Four racial/ethnic groups in the US (African-American, Chinese, Filipino and Hispanic/Latino) were chosen as exemplar populations.


METHODS
The dental literature published in English for the period 1980-2006 noted in the electronic database PUBMED was searched, using keywords and MeSH headings in different combinations for each racial/ethnic group to identify eligible articles. To be eligible the title and abstract when available had to describe the oral health-related cultural knowledge or orientation of the populations studied.


RESULTS
Overall, the majority of the literature on racial/ethnic groups was epidemiologic in nature, mainly demonstrating disparities in oral health rather than the oral beliefs or practices of these groups. A total of 60 relevant articles were found: 16 for African-American, 30 for Chinese, 2 for Filipino and 12 for Hispanic/Latino populations. Data on beliefs and practices from these studies has been abstracted, compiled and assessed. Few research-based studies were located. Articles lacked adequate identification of groups studied, used limited methods and had poor conceptual base.


CONCLUSIONS
The scant information available from the published dental and medical literature provides at best a rudimentary framework of oral health related ideas and beliefs for specific populations.
Butani
Yogita
Y
Center to Address Disparities in Children's Oral Health at the University of California, San Francisco, CA, USA. yogita.butani@ucsf.edu
Weintraub
Jane A
JA
Barker
Judith C
JC
J Dent Hyg. 2003 Spring;77(2):85-96
12861788
ASDC J Dent Child. 1998 Jan-Feb;65(1):65-72
9559090
Int Dent J. 1993 Feb;43(1):9-16
8478130
J Am Dent Assoc. 2004 Nov;135(11):1550-8; quiz 1622
15622659
Int Dent J. 1993 Feb;43(1):2-8
8478125
Br Dent J. 1998 Aug 22;185(4):188-91
9769556
Int Dent J. 1998 Jun;48(3 Suppl 1):316-22
9779114
J Dent Res. 2001 May;80(5):1459-65
11437220
J Dent Child (Chic). 2005 May-Aug;72(2):61-6
16294934
Soc Sci Med. 1987;25(4):405-17
3686089
WDA J. 1989 Dec;65(12):695, 697
2638861
J Public Health Dent. 1995 Fall;55(4):205-9
8551459
Int Dent J. 1994 Dec;44(6):489-94
7851991
Community Dent Health. 1999 Mar;16(1):33-9
10697353
Int Dent J. 1984 Dec;34(4):257-60
6597131
J Public Health Dent. 2006 Spring;66(2):138-43
16711634
Pediatr Dent. 1997 Jan-Feb;19(1):22-7
9048409
Int Dent J. 2003 Oct;53(5):289-98
14560803
Int Dent J. 2005 Oct;55(5):302-6
16245465
Int Dent J. 2005 Aug;55(4):231-41
16167612
Spec Care Dentist. 2004 Nov-Dec;24(6):301-7
15686280
Am J Public Health. 2003 Aug;93(8):1210-3
12893597
Hawaii Dent J. 1994 Mar;25(3):8, 21
11910930
Am J Public Health. 2005 Aug;95(8):1345-51
16043666
Public Health Nurs. 2001 Sep-Oct;18(5):295-303
11559412
ASDC J Dent Child. 1994 Sep-Dec;61(5-6):342-6
7897003
Health Educ Res. 1999 Aug;14(4):453-60
10557516
Int Dent J. 2001 Aug;51(4):282-6
11570543
Gerodontology. 1997;14(2):106-12
10530175
J Gen Intern Med. 2003 Nov;18(11):908-13
14687276
Spec Care Dentist. 1997 May-Jun;17(3):100-4
9582712
J Public Health Dent. 1998 Summer;58(3):234-40
10101700
Community Dent Oral Epidemiol. 2001 Oct;29(5):319-28
11553104
Am J Clin Nutr. 1985 Feb;41(2 Suppl):423-35
3918434
Spec Care Dentist. 1986 May-Jun;6(3):120-3
3460185
Spec Care Dentist. 2005 May-Jun;25(3):158-63
15984179
J Dent Res. 1996 Jul;75(7):1439-50
8876595
Community Dent Oral Epidemiol. 1994 Oct;22(5 Pt 2):364-8
7835032
J Am Acad Dermatol. 1989 Oct;21(4 Pt 1):817-8
2624642
Community Dent Oral Epidemiol. 2004 Oct;32(5):363-73
15341621
Med Care. 1997 Mar;35(3):255-71
9071257
Acta Odontol Scand. 2005 Nov;63(6):343-52
16512107
Community Dent Oral Epidemiol. 1985 Jun;13(3):140-2
3860333
West J Nurs Res. 1994 Dec;16(6):623-38
7839680
Int Dent J. 2001 Jun;51(3):159-63
11563680
ASDC J Dent Child. 1992 Sep-Oct;59(5):376-83
1401413
Cleft Palate J. 1990 Jul;27(3):275-8
2372976
Community Dent Oral Epidemiol. 2007 Dec;35(6):429-38
18039284
BMJ. 2001 Oct 6;323(7316):765-6
11588065
Community Dent Oral Epidemiol. 1994 Oct;22(5 Pt 2):369-73
7835033
Int Dent J. 1992 Aug;42(4):234-40
1399041
Community Dent Health. 1987 Dec;4(4):367-81
3480771
J Dent Res. 2001 May;80(5):1466-70
11437221
Fam Med. 1998 Mar;30(3):196-205
9532442
J Public Health Dent. 1996 Winter;56(1):38-50
8667317
Community Dent Oral Epidemiol. 1993 Feb;21(1):31-5
8432102
Int Dent J. 1984 Dec;34(4):253-6
6597130
J Hist Dent. 1998 Nov;46(3):111-5
10388453
J Public Health Dent. 2008 Winter;68(1):22-9
18248338
Community Dent Oral Epidemiol. 1999 Feb;27(1):8-15
10086921
Pediatr Dent. 2005 Nov-Dec;27(6):505-12
16532893
Annu Rev Public Health. 1998;19:173-202
9611617
J Public Health Dent. 2002 Summer;62(3):132-9
12180040
Community Dent Oral Epidemiol. 1994 Oct;22(5 Pt 2):358-63
7835031
Community Dent Oral Epidemiol. 1994 Oct;22(5 Pt 2):374-80
7835034
Int Dent J. 2001 Aug;51(4):305-12
11570547
Pediatr Dent. 2005 Sep-Oct;27(5):422-8
16435644
Med Care. 1982 Sep;20(9):883-91
7121094
Future Child. 1994 Winter;4(3):43-72
7859043
ASDC J Dent Child. 1999 Nov-Dec;66(6):395-403, 366
10656122
Br Dent J. 1999 Jul 10;187(1):6-12
10452185