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Association of integration with oral health among Indian migrants living in the Netherlands

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  • Amandeep Pabbla
  • Charles Agyemang
  • Geert van der Heijden
  • Denise Duijster

Abstract

Background: Limited data exist about the relationship between acculturation and oral health. Hence, the aim of this study was to assess the association of integration with self-reported oral health, behaviours, and oral healthcare utilization among Indian migrants living in the Netherlands, a cross sectional survey study. Methods: Between February and April 2021, a random sample from Dutch municipalities was obtained for the Indian migrants living in the Netherlands (n = 147). A validated questionnaire was used to collect information on independent variables, namely socio-demographic, integration assessment tool: Immigration Policy Lab (IPL-12) and everyday discrimination scale (EDS). The outcome variables were self-reported oral health, oral health behaviours, and oral healthcare utilization. Multiple regression analysis was used to assess the associations. Results: Higher integration among Indian migrants was associated with longer stay in the Netherlands, having a Dutch passport, intention to settle in the Netherlands, and having a permanent residence. After adjusting for covariates such as age, gender, marital status, education, income, occupation, and dental insurance, regression analysis showed that Indians with higher integration had lower odds of reporting their oral health as fair to poor [OR = 0.92(95%CI:0.0.85;0.99)] than the Indians with low integration scores. Also, Indians with higher integration had lower odds of using a manual toothbrush as compared to an electric toothbrush or use of both [OR = 0.86(95%CI:0.76;0.97)]. Highly integrated Indians had lower odds of consuming Indian sweets than lower integrated Indians (OR = 0.91; 95%CI:0.86;0.97). Indians with higher integration had 1.15 times (95% CI:1.03;1.29) higher odds of visiting a Dutch dental professional than visiting a dentist in both places (India and the Netherlands). No significant association was found between discrimination and the three outcome variables. Conclusion: Integration is positively association with self-reported oral health outcomes among the Indian migrants. Measure to improve integration among Indian migrants may help to promote healthy oral health behaviours and improve their oral health care utilization.

Suggested Citation

  • Amandeep Pabbla & Charles Agyemang & Geert van der Heijden & Denise Duijster, 2024. "Association of integration with oral health among Indian migrants living in the Netherlands," PLOS ONE, Public Library of Science, vol. 19(3), pages 1-12, March.
    • Handle: RePEc:plo:pone00:0298768
    DOI: 10.1371/journal.pone.0298768
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    References listed on IDEAS

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    1. Elena Riza & Pania Karnaki & Alejandro Gil-Salmerón & Konstantina Zota & Maxwell Ho & Maria Petropoulou & Konstantinos Katsas & Jorge Garcés-Ferrer & Athena Linos, 2020. "Determinants of Refugee and Migrant Health Status in 10 European Countries: The Mig-HealthCare Project," IJERPH, MDPI, vol. 17(17), pages 1-13, August.
    2. Rana Dahlan & Ebtehal Ghazal & Humam Saltaji & Bukola Salami & Maryam Amin, 2019. "Impact of social support on oral health among immigrants and ethnic minorities: A systematic review," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-21, June.
    3. repec:plo:pone00:0212891 is not listed on IDEAS
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