Research on racial/ethnic inequities in oral health over the past 80 years: the role of racism

Keller Celeste, R., Aquino Goulart, M. , L. Bastos, J. and Borrell, L. N. (2023) Research on racial/ethnic inequities in oral health over the past 80 years: the role of racism. Journal of Clinical Periodontology, (doi: 10.1111/jcpe.13868) (Early Online Publication)

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Abstract

Aim: This study aims to (1) describe trends in explanations provided for racial/ethnic inequities in dental caries and periodontitis, and (2) explore the patterns of relatedness among explanations for these inequities. Materials and Methods: Highly cited publications based on studies indexed in the Scopus database were retrieved and assessed for eligibility. Explanations for racial/ethnic inequities were classified into eight different, but interrelated domains. We assessed trends and examined the relations among explanations using multiple correspondence analysis. Results: A total of 200 articles among the most cited publications were selected. The proportion of studies invoking racism as an explanation for racial inequities in oral health increased from 0% to 14.3%, from 1937 to 2020. The proportions of individual socio-economic factors increased from 52.0% to 82.9%, and dental care from 28.0% to 62.9%. The remaining explanations were stable: psychological/behavioural processes (62.5%), biological factors (49.5%), contextual/area-level effects (24.0%) and immigrant paradox (4.0%). Multiple correspondence analysis revealed a smaller axial distance between racism and the following categories: studies from Brazil, recent publications and Blacks/Hispanics/mixed-race groups. Publications about immigrants were axially closer to the high-income countries category. Conclusions: Our findings call on dental researchers to consider racism as a cause for existing racial/ethnic inequities in oral health.

Item Type:Articles
Additional Information:Roger Keller Celeste and Joaõ L. Bastos have a fellowship (PQ 1D) from Q6 Brazilian National Research Council (processes number 308901/2022-3 and 303775/2021-1, respectively).
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Goulart, Ms Mariel
Authors: Keller Celeste, R., Aquino Goulart, M., L. Bastos, J., and Borrell, L. N.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:Journal of Clinical Periodontology
Publisher:Wiley
ISSN:0303-6979
ISSN (Online):1600-051X
Published Online:05 September 2023

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