Evidence map›Paper›PMID 33238954›Full record

SynthesisBMC oral health2020

Barriers and facilitators to dental care access among asylum seekers and refugees in highly developed countries: a systematic review.

Martha Paisi, Rebecca Baines, Lorna Burns, Anastasios Plessas, Philip Radford, Jill Shawe, Robert Witton

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Canadian immigrants' oral health and oral health care providers' cultural competence capacity.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2024
    Pooled it
  4. Trial
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  6. Review
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  14. 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
    Article
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  16. Article
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  19. Newcomers' perceptions of their experiences with oral health care in Canada and the United States.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2024
    Review
  20. Article
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

7 authors at 3 institutions in 1 country.

Martha PaisiPeninsula Dental Social Enterprise (Derriford Dental Education Facility), University of Plymouth, 20 Research Way, Plymouth, PL6 8BT, UK. martha.paisi@plymouth.ac.uk.ORCID 0000-0001-5718-008X
Rebecca BainesCentre for Health Technology, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.ORCID 0000-0001-9857-1976
Lorna BurnsPeninsula Dental School, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.ORCID 0000-0002-9525-952X
Anastasios PlessasPeninsula Dental School, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.ORCID 0000-0002-6360-8895
Philip RadfordRotherham NHS Foundation Trust Community Dental Service, New Street Health Centre, Upper New Street, Barnsley, S70 1LP, UK.ORCID 0000-0002-6224-0611
Jill ShaweSchool of Nursing and Midwifery, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, UK.ORCID 0000-0002-2766-7302
Robert WittonPeninsula Dental Social Enterprise (Derriford Dental Education Facility), University of Plymouth, 20 Research Way, Plymouth, PL6 8BT, UK.ORCID 0000-0002-6424-4376
University of Plymouth · GBPeninsula College of Medicine and Dentistry · GBThe Rotherham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDental diseases are prevalent among asylum seekers and refugees (ASRs). Despite significant treatment needs, access to dental care in host countries is often limited. The aim of this systematic review was to identify the barriers and enablers to dental care access for ASRs in host countries of very high development.

methodsFive health and social care databases and eight grey literature sources of information were searched. The Critical Appraisal Skills Programme tool was used to critically appraise included studies. Thematic analysis was undertaken to identify common themes. These were then deductively organised according to Penchansky and Thomas's modified access model. All review stages were conducted by two independent reviewers.

resultsNine papers were included in the review. ASRs encounter significant challenges to accessing dental care in their host countries. These include affordability, communication difficulties, insufficient interpretation, limited knowledge of the healthcare systems and healthcare rights, and negative encounters with healthcare teams. The views and experiences of dental care teams providing care to ASRs were explored in only one study.

conclusionsBoth population and healthcare characteristics influence access to dental care for ASRs. Affordability, awareness and accommodation are most frequently described as barriers to dental access for this population. The diverse needs of this population need to be recognised by policy makers, commissioners and practitioners alike. Cultural competence needs to be incorporated into dental services and any interventions to improve access to dental care for this population. Registration PROSPERO- International prospective register of systematic reviews (CRD42019145570).

Indexed as

RefugeesDental CareDeveloped CountriesHealth Services AccessibilityHumansSocial SupportAccessAsylum seekerDental careDisplaced personsRefugee

Identifiers

PMID33238954
PMCPMC7687682
OpenAlexW3107177955

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.