scholarly journals Oral Health Literacy in Migrant and Ethnic Minority Populations: A Systematic Review

2021 ◽  
Author(s):  
R. Valdez ◽  
K. Spinler ◽  
C. Kofahl ◽  
U. Seedorf ◽  
G. Heydecke ◽  
...  
Keyword(s):  
Systematic Review ◽  
Oral Health ◽  
Health Literacy ◽  
Ethnic Minority ◽  
Health Beliefs ◽  
Health Knowledge ◽  
Minority Populations ◽  
Oral Health Literacy ◽  
Pubmed Database ◽  
Ethnic Minority Populations

AbstractCultural background influences how migrants and ethnic minority populations view and assess health. Poor oral health literacy (OHL) may be a hindrance in achieving good oral health. This systematic review summarizes the current quantitative evidence regarding OHL of migrants and ethnic minority populations. The PubMed database was searched for original quantitative studies that explore OHL as a holistic multidimensional construct or at least one of its subdimensions in migrants and ethnic minority populations. 34 publications were selected. Only 2 studies specifically addressed OHL in migrant populations. Generally, participants without migration background had higher OHL than migrant and ethnic minority populations. The latter showed lower dental service utilization, negative oral health beliefs, negative oral health behavior, and low levels of oral health knowledge. Due to its potential influence on OHL, oral health promoting behavior, attitudes, capabilities, and beliefs as well as the cultural and ethnic background of persons should be considered in medical education and oral health prevention programs.

scholarly journals Bereavement care for ethnic minority communities: A systematic review of access to, models of, outcomes from, and satisfaction with, service provision

2021 ◽  
Author(s):  
Catriona Rachel Mayland ◽  
Richard A. Powell ◽  
Gemma Clarke ◽  
Bassey Ebenso ◽  
Matthew J Allsop
Keyword(s):  
Systematic Review ◽  
Ethnic Minority ◽  
Service Provision ◽  
Models Of Care ◽  
Cochrane Library ◽  
Minority Populations ◽  
Minority Communities ◽  
Ethnic Minority Populations ◽  
Bereavement Care

AbstractObjectivesTo review and synthesize the existing evidence on bereavement care, within the United Kingdom (UK), for ethnic minority communities in terms of barriers and facilitators to access; models of care; outcomes from, and satisfaction with, service provision.DesignA systematic review adopting a framework synthesis approach was conducted. An electronic search of the literature was undertaken in MEDLINE, Embase, PsycINFO, Social Work Abstract and CINAHL via EBSCO, Global Health, Cochrane library, the Trip database and ProQuest between 2000 and 2020. Search terms included bereavement care, ethnic minority populations and the UK setting.ResultsFrom 3,185 initial records, following screening for eligibility, and full-text review of 164 articles, seven studies were identified. There was no research literature outlining the role of family, friends and existing networks; and a real absence of evidence about outcomes and levels of satisfaction for those from an ethnic minority background who receive bereavement care. From the limited literature, the overarching theme for barriers to bereavement care was ‘unfamiliarity and irregularities’. Four identified subthemes were ‘lack of awareness’; ‘variability in support’; ‘type and format of support’; and ‘culturally specific beliefs’. The overarching theme for facilitators for bereavement care was ‘accessibility’ with the two subthemes being ‘readily available information’ and ‘inclusive approaches’. Three studies reported on examples of different models of care provision.ConclusionsThis review reveals a stark lack of evidence about bereavement care for ethnic minority populations. In particular, understanding more about the role of family, friends and existing support systems, alongside outcomes and satisfaction will begin to develop the evidence base underpinning current provision. Direct user-representation through proactive engagement and co-design approaches may begin to determine the most appropriate models and format of bereavement care for ethnic minority communities to inform service design and delivery.

A New Comprehensive Oral Health Literacy Scale: Development and Psychometric Evaluation

2020 ◽  
Author(s):  
Yue Sun ◽  
Jing Sun ◽  
Yan Zhao ◽  
Aixiao Cheng ◽  
Junhong Zhou
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Concurrent Validity ◽  
Discriminant Validity ◽  
Health Knowledge ◽  
Item Pool ◽  
Oral Health Literacy ◽  
Oral Health Knowledge ◽  
Four Dimensions ◽  
Test Retest Reliability

Abstract Background: It has been widely accepted that oral health status is related to oral health literacy. The need to measure oral health literacy has led to the development of measurement instruments. This study aimed to develop a comprehensive instrument for adults and to examine its reliability and validity in China.Methods: A three-step design process was used. First, a literature review and expert panel discussion were used to draw up a 37-item pool covering oral health knowledge, belief, practice, skill and functional oral health literacy. The Delphi method was used to delete and modify questions in the item pool. The draft instrument was evaluated by nine experts and the consensus among them was calculated using the content validity index. The scale was then used to conduct a psychometric study among 370 participants from community health centers in Beijing. Construct validity, discriminant validity and concurrent validity were examined. The Cronbach’s alpha coefficient, and test–retest methods were used to assess reliability.Results: The final scale included 30 items in four dimensions. The item–level content validity index was 0.90. Exploratory factor analysis extracted four fixed factors, and the Kaiser–Meyer–Olkin and Bartlett’s tests came to 0.752, with the model explaining 35.21% of the total variance. The four dimensions were associated with oral health knowledge, perceptions of oral health issues, oral health practice and skills, and functional oral health literacy. The mean score of the lowest 27% was significantly lower than the highest 27% (p < 0.01), suggesting adequate discriminant validity. The associations between comprehensive oral health literacy scores and educational level, income and self-reported literacy level were significant (P < 0.001), showing adequate overall concurrent validity. Internal consistency and test–retest reliability were acceptable, with a Cronbach’s alpha of 0.72 and a total test–retest reliability coefficient of 0.979. Conclusions: Initial testing of the comprehensive oral health literacy instrument suggested that it is a valid and reliable instrument to evaluate individuals’ oral health literacy, with four dimensions for evaluating knowledge, belief, skill and functional oral health literacy.

scholarly journals Influence of Health Beliefs on COVID-19 Vaccination among Individuals with Cancer and Other Comorbidities in Puerto Rico

Vaccines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 994
Author(s):  
McClaren Rodriguez ◽  
Andrea López-Cepero ◽  
Ana P. Ortiz-Martínez ◽  
Emma Fernández-Repollet ◽  
Cynthia M. Pérez
Keyword(s):  
Puerto Rico ◽  
Ethnic Minority ◽  
Health Beliefs ◽  
Cancer Diagnosis ◽  
Online Survey ◽  
Vaccine Uptake ◽  
Minority Populations ◽  
Diagnosis Of Cancer ◽  
Ethnic Minority Populations ◽  
Chronic Comorbidities

Ethnic minority populations are more likely to suffer from chronic comorbidities, making them more susceptible to the poor health outcomes associated with COVID-19 infection. Therefore, ensuring COVID-19 vaccination among vulnerable populations is of utmost importance. We aimed to investigate health behaviors and perceptions of COVID-19 vaccination among adults self-reporting diagnosis of cancer and of other chronic comorbidities in Puerto Rico (PR). This secondary analysis used data from 1911 participants who completed an online survey from December 2020 to February 2021. The Health Belief Model was used to measure perceptions surrounding COVID-19 vaccination among individuals self-reporting diagnosis of cancer and of other chronic comorbidities, and healthy adults. Among study participants, 76% were female, 34% were 50 years or older, 5% self-reported cancer diagnosis, and 70% had other chronic comorbidities. Participants self-reporting a cancer diagnosis had two times higher odds of getting vaccinated than healthy individuals (95% CI: 1.00–4.30). Compared to healthy participants, those self-reporting being diagnosed with cancer and those with chronic conditions other than cancer had significantly higher perceived COVID-19 susceptibility and severity. Our findings elucidate the effect of disease status on health-related decision-making and highlights information needed to be included in education campaigns to increase vaccine uptake among ethnic minority populations.

Health Literacy and Ethnic Minority Populations

2018 ◽  
pp. 210-227
Author(s):  
Dela Idowu ◽  
Gillian King
Keyword(s):  
Adverse Effect ◽  
Health Literacy ◽  
National Health Service ◽  
Health Service ◽  
Life Expectancy ◽  
Ethnic Minority ◽  
Minority Populations ◽  
Delivery Of Healthcare ◽  
Population Groups ◽  
Ethnic Minority Populations

This chapter will show how optimizing health literacy can benefit the delivery of healthcare to the population in a way that materially addresses the inequalities in the National Health Service (NHS). These inequalities adversely impact different population groups in different ways, for various reasons. However, ethnic minority populations are especially vulnerable to inequalities having an adverse effect on the delivery of healthcare to the population, thereby adversely affecting their access, engagement, and healthcare benefits and consequently their general health, wellbeing, and life expectancy. Optimizing health literacy in these populations will enable increased engagement and participation, thereby delivering healthcare more effectively to the population by tailoring it to their needs and addressing current inequalities.

scholarly journals A new comprehensive oral health literacy scale: development and psychometric evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yue Sun ◽  
Jing Sun ◽  
Yan Zhao ◽  
Aixiao Cheng ◽  
Junhong Zhou
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Concurrent Validity ◽  
Discriminant Validity ◽  
Health Knowledge ◽  
Item Pool ◽  
Oral Health Literacy ◽  
Oral Health Knowledge ◽  
Four Dimensions ◽  
Test Retest Reliability

Abstract Background It has been widely accepted that oral health status is related to oral health literacy. The need to measure oral health literacy has led to the development of measurement instruments. This study aimed to develop a comprehensive instrument for adults and to examine its reliability and validity in China. Methods A three-step design process was used. First, a literature review and expert panel discussion were used to draw up a 37-item pool covering oral health knowledge, belief, practice, skill, and functional oral health literacy. The Delphi method was used to delete and modify questions in the item pool. The draft instrument was evaluated by nine experts and the consensus among them was calculated using the content validity index. The scale was then used to conduct a psychometric study among 370 participants from community health centers in Beijing. Construct validity, discriminant validity and concurrent validity were examined. The Cronbach’s alpha coefficient, and test–retest methods were used to assess reliability. Results The final scale included 30 items across four dimensions. The item–level content validity index was 0.90. Exploratory factor analysis extracted four fixed factors, and the result of the Kaiser–Meyer–Olkin and Bartlett’s tests was 0.752, with the model explaining 35.21% of the total variance. The four dimensions were associated with oral health knowledge, perceptions of oral health issues, oral health practice and skills, and functional oral health literacy. The mean score of the lowest 27% was significantly lower than the highest 27% (P < 0.01), suggesting adequate discriminant validity. The associations between comprehensive oral health literacy scores and educational level, income and self-reported literacy level were significant (P < 0.001), showing adequate overall concurrent validity. Internal consistency and test–retest reliability were acceptable, with a Cronbach’s alpha of 0.72 and a total test–retest reliability coefficient of 0.979. Conclusions Initial testing of the comprehensive oral health literacy instrument suggested that it is a valid and reliable instrument to evaluate individuals’ oral health literacy, with four dimensions for evaluating knowledge, belief, skills, and functional oral health literacy.

scholarly journals Bereavement care for ethnic minority communities: A systematic review of access to, models of, outcomes from, and satisfaction with, service provision

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252188
Author(s):  
Catriona R. Mayland ◽  
Richard A. Powell ◽  
Gemma C. Clarke ◽  
Bassey Ebenso ◽  
Matthew J. Allsop
Keyword(s):  
Systematic Review ◽  
Ethnic Minority ◽  
Service Provision ◽  
Models Of Care ◽  
Cochrane Library ◽  
Minority Populations ◽  
Minority Communities ◽  
Ethnic Minority Populations ◽  
Bereavement Care

Objectives To review and synthesize the existing evidence on bereavement care, within the United Kingdom (UK), for ethnic minority communities in terms of barriers and facilitators to access; models of care; outcomes from, and satisfaction with, service provision. Design A systematic review adopting a framework synthesis approach was conducted. An electronic search of the literature was undertaken in MEDLINE, Embase, PsycINFO, Social Work Abstract and CINAHL via EBSCO, Global Health, Cochrane library, the Trip database and ProQuest between 1995 and 2020. Search terms included bereavement care, ethnic minority populations and the UK setting. Results From 3,185 initial records, following screening for eligibility, and full-text review of 164 articles, seven studies were identified. There was no research literature outlining the role of family, friends and existing networks; and a real absence of evidence about outcomes and levels of satisfaction for those from an ethnic minority background who receive bereavement care. From the limited literature, the overarching theme for barriers to bereavement care was ‘unfamiliarity and irregularities’. Four identified subthemes were ‘lack of awareness’; ‘variability in support’; ‘type and format of support’; and ‘culturally specific beliefs’. The overarching theme for facilitators for bereavement care was ‘accessibility’ with the two subthemes being ‘readily available information’ and ‘inclusive approaches’. Three studies reported on examples of different models of care provision. Conclusions This review reveals a stark lack of evidence about bereavement care for ethnic minority populations. In particular, understanding more about the role of family, friends and existing support systems, alongside outcomes and satisfaction will begin to develop the evidence base underpinning current provision. Direct user-representation through proactive engagement and co-design approaches may begin to determine the most appropriate models and format of bereavement care for ethnic minority communities to inform service design and delivery.

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