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Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference?
Gerontologist. 2020 02 24; 60(2):219-228.G

Abstract

BACKGROUND AND OBJECTIVES

Despite an increasing, yet still limited amount of research on social determinants of oral health, the influences of neighborhood characteristics remain understudied, especially within the context of immigration. Acculturation is multidimensional, and its influences on the oral health of immigrants vary across age and ethnic groups. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants, and whether and to what extent acculturation indicators moderate the relationship between such cohesion and oral health.

METHODS

The research design and working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Neighborhood cohesion was measured by a six-item scale. Oral health problems were measured by the presence or absence of such problems. Acculturation included residence in ethnic enclaves, length of stay, and behavioral acculturation. Stepwise logistic regression models with interaction terms (Neighborhood cohesion × Acculturation) were conducted to examine the association between neighborhood cohesion and oral health problems, accounting for sociodemographics, health conditions, and health behaviors.

RESULTS

Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown.

DISCUSSION AND IMPLICATIONS

To promote optimal oral health, interventions need to account for individuals' perceptions and levels of integration into their neighborhoods and communities.

Authors+Show Affiliations

School of Social Work, University of Nevada, Reno, Los Angeles.Rory Meyers College of Nursing, New York University, Los Angeles.Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles.School of Community Health Sciences, University of Nevada, Reno, New Brunswick, New Jersey.Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31565728

Citation

Mao, Weiyu, et al. "Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference?" The Gerontologist, vol. 60, no. 2, 2020, pp. 219-228.
Mao W, Wu B, Chi I, et al. Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference? Gerontologist. 2020;60(2):219-228.
Mao, W., Wu, B., Chi, I., Yang, W., & Dong, X. (2020). Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference? The Gerontologist, 60(2), 219-228. https://doi.org/10.1093/geront/gnz126
Mao W, et al. Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference. Gerontologist. 2020 02 24;60(2):219-228. PubMed PMID: 31565728.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neighborhood Cohesion and Oral Health Problems Among Older Chinese American Immigrants: Does Acculturation Make a Difference? AU - Mao,Weiyu, AU - Wu,Bei, AU - Chi,Iris, AU - Yang,Wei, AU - Dong,Xinqi, PY - 2019/05/10/received PY - 2019/10/1/pubmed PY - 2020/8/4/medline PY - 2019/10/1/entrez KW - Ethnic enclave KW - Oral health status KW - Social cohesion KW - U.S. older Chinese adults SP - 219 EP - 228 JF - The Gerontologist JO - Gerontologist VL - 60 IS - 2 N2 - BACKGROUND AND OBJECTIVES: Despite an increasing, yet still limited amount of research on social determinants of oral health, the influences of neighborhood characteristics remain understudied, especially within the context of immigration. Acculturation is multidimensional, and its influences on the oral health of immigrants vary across age and ethnic groups. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants, and whether and to what extent acculturation indicators moderate the relationship between such cohesion and oral health. METHODS: The research design and working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Neighborhood cohesion was measured by a six-item scale. Oral health problems were measured by the presence or absence of such problems. Acculturation included residence in ethnic enclaves, length of stay, and behavioral acculturation. Stepwise logistic regression models with interaction terms (Neighborhood cohesion × Acculturation) were conducted to examine the association between neighborhood cohesion and oral health problems, accounting for sociodemographics, health conditions, and health behaviors. RESULTS: Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. DISCUSSION AND IMPLICATIONS: To promote optimal oral health, interventions need to account for individuals' perceptions and levels of integration into their neighborhoods and communities. SN - 1758-5341 UR - https://www.unboundmedicine.com/medline/citation/31565728/Neighborhood_Cohesion_and_Oral_Health_Problems_Among_Older_Chinese_American_Immigrants:_Does_Acculturation_Make_a_Difference L2 - https://academic.oup.com/gerontologist/article-lookup/doi/10.1093/geront/gnz126 DB - PRIME DP - Unbound Medicine ER -