Oral Health of Foreign Domestic Workers Exploring the Social Determinants

• Published in: Journal of immigrant and minority health Vol. 16; no. 5; pp. 926 - 933
• Main Authors: Gao, Xiaoli, Chan, Chi Wai, Mak, Siu Lun, Ng, Zevon, Kwong, Wai Hang, Kot, Ching Ching Shirley
• Format: Journal Article
• Language: English
• Published: Boston Springer Science + Business Media 01.10.2014; Springer US; Springer Nature B.V
• Subjects: Acculturation; Adult; Asian people; Behavior; Central business districts; Comparative Law; Dental caries; Dental insurance; Dentistry; Developed Nations; Domestic service; Emigrants and Immigrants - statistics & numerical data; Employers; Employment agencies; Female; Foreign Workers; Health behavior; Health disparities; Health Knowledge, Attitudes, Practice - ethnology; Health Promotion; Hong Kong - epidemiology; Hospitals; Humans; Immigrants; Immigration; Indonesia - ethnology; Indonesian; Indonesian Languages; International & Foreign Law; Malayo Polynesian Languages; Medicine; Medicine & Public Health; Middle Aged; Migrant workers; National Surveys; Noncitizens; Oral diseases; Oral Health - ethnology; Oral Health - statistics & numerical data; Oral hygiene; Oral Hygiene - statistics & numerical data; ORIGINAL PAPER; Private International Law; Public Health; Questionnaires; Quotas; Sampling; Social Characteristics; Social Determinants of Health - ethnology; Social Determinants of Health - statistics & numerical data; Social Environment; Social studies; Sociology; State Surveys; Statistical analysis; Surveys and Questionnaires; Young Adult; Hong Kong; Indonesia; Hong Kong China; China; Behaviours; Social determinants; Immigrants; Oral health; Foreign workers
• ISSN: 1557-1912; 1557-1920
• DOI: 10.1007/s10903-013-9789-5

Foreign domestic helpers constitute a significant proportion of migrant workers worldwide. This population subgroup provides an opportunity for understanding social determinants of oral health in immigrant community. A random sample of 122 Indonesian domestic helpers in Hong Kong completed a questionnaire on their demographic background, social characteristics (competency in local languages, immigration history, living condition, social connections, and leisure activities) and oral health behaviours (knowledge, attitudes, practice and self-efficacy). Their tooth status and periodontal health were assessed. Participants tended to start flossing after settling in Hong Kong. Favourable oral health knowledge was found in more acculturated participants, as indicated by proficiency in local languages and immigration history. Engagement in social and/or religious activities and decent living condition provided by employers were associated with favourable oral health behaviours and/or better oral health. Social determinants explained 13.2 % of variance in caries severity. Our findings support the significant impact of social circumstances on oral health of domestic workers.