Evidence map›Paper›PMID 31060202›Full record

ArticleInternational journal of environmental research and public health2019

Racial Discrimination and Uptake of Dental Services among American Adults.

Wael Sabbah, Aswathikutty Gireesh, Malini Chari, Elsa K Delgado-Angulo, Eduardo Bernabé

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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  9. From Clinics to Communities: Understanding Public Perceptions of Dental Services in Pakistan.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Wael SabbahFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Bessemer Road, London SE5 9RS, UK. wael.sabbah@kcl.ac.uk.ORCID 0000-0002-6339-9480
Aswathikutty GireeshInstitute of Child Health, Department of Population, Policy and Practice, University College London, 30 Guilford St, London WC1N 1EH, UK. a.aswathikutty-gireesh@ucl.ac.uk.
Malini ChariFaculty of Dentistry, University of Toronto, 124 Edward St, Toronto, ON M5G 1G6, Canada. malini.chari@mail.utoronto.ca.
Elsa K Delgado-AnguloFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Bessemer Road, London SE5 9RS, UK. elsa.delgado_angulo@kcl.ac.uk.
Eduardo BernabéFaculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Bessemer Road, London SE5 9RS, UK. Eduardo.bernabe@kcl.ac.uk.ORCID 0000-0002-1858-3713
King's College London · GBUniversity of London · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examined the relationship between racial discrimination and use of dental services among American adults. We used data from the 2014 Behavioral Risk Factor Surveillance System, a health-related telephone cross-sectional survey of a nationally representative sample of adults in the United States. Racial discrimination was indicated by two items, namely perception of discrimination while seeking healthcare within the past 12 months and emotional impact of discrimination within the past 30 days. Their association with dental visits in the past year was tested in logistic regression models adjusting for predisposing (age, gender, race/ethnicity, income, education, smoking status), enabling (health insurance), and need (missing teeth) factors. Approximately 3% of participants reported being discriminated when seeking healthcare in the past year, whereas 5% of participants reported the emotional impact of discrimination in the past month. Participants who experienced emotional impact of discrimination were less likely to have visited the dentist during the past year (Odds Ratios (OR): 0.57; 95% CI 0.44-0.73) than those who reported no emotional impact in a crude model. The association was attenuated but remained significant after adjustments for confounders (OR: 0.76, 95% CI 0.58-0.99). There was no association between healthcare discrimination and last year dental visit in the fully adjusted model. Emotional impact of racial discrimination was an important predictor of use of dental services. The provision of dental health services should be carefully assessed after taking account of racial discrimination and its emotional impacts within the larger context of social inequalities.

Indexed as

AdultAgedAged, 80 and overCross-Sectional StudiesDental CareDental Health ServicesFemaleHumansMaleMiddle AgedRacismUnited Statesdental health servicesracismsocial determinants of healthsocioeconomic factors

Identifiers

PMID31060202
PMCPMC6540199
OpenAlexW2943414252

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.