Title: 0148 - Acculturation, Depression and Oral Health of Immigrants in the United States


Huabin Luo, East Carolina University
Celia Habels, Duke University
Bei Wu (Presenter)
New York University


Objectives: 1. To describe the oral health status of immigrants in the US.
2. To describe the association between acculturation and oral health by accounting for the effects of depression.
3. To explore the interaction effects between acculturation and depression on the oral health of immigrants.

Methods: Data were from the 2011-2012 NHANES. Oral health status was assessed by both self-rated oral health and clinically diagnosed periodontitis, each. coded as a binary outcome. Acculturation was operationalized as length of stay in the US and speaking English at home. Depression was assessed using the Patient Health Questionnaire-9. Multiple logistic regression models were used to examine the association of acculturation and depression status to oral health.

Results: In 2011-2012, 36.6 % immigrants reported poor oral health, and 53.0% were diagnosed to have periodontitis. A length of stay of 30+ years (AOR=0.43, 95% CI: 0.21-0.89) reduced the odds of having periodontitis in comparison with a length of stay of less than five years in the US. Speaking English at home (AOR=0.64, 95% CI: 0.43-0.96) reduced the odds of having periodontitis compared to speaking other languages. Depression was negatively associated with self-reported good oral health (AOR=0.43, 95% CI: 0.20-0.92) and positively associated with clinically diagnosed periodontitis (AOR=1.89, 95% CI: 1.18-3.04). The effects of acculturation did not differ by depression status.

Conclusions: A longer stay in the US and speaking English at home were associated with less periodontitis among the immigrants.

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: None.

Sponsoring Group/Network