Impact of Acculturation on Dental Attendance of Preschoolers Among Filipino Immigrants in Edmonton, Canada
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Impact of Acculturation on Dental Attendance of Preschoolers Among Filipino Immigrants in Edmonton, Canada Parvaneh Badri 1 & Rana Dahlan 1 & Maryam Amin 1,2
# Springer Nature Switzerland AG 2020
Abstract Objectives To explore how acculturation influences preventive dental care-seeking behavior for children among Filipino newcomers. Methods We conducted a qualitative focused ethnographic research using semi-structured interviews and focus groups. Participants were a purposive sample of English-speaking, self-identified members of Filipino community in Edmonton who had lived in Canada for less than 10 years and had children aged 2–6 years. Concurrent thematic analysis was used. Results Six interviews and two focus groups were conducted with 18 participants. Three main themes identified from our inductive analysis were emergency pain-driven concept for children’s dental visit before migration, migration challenges and low priority for preventive dental visits, and acculturation and new perceptions of preventive dental care utilization. Long-term socioeconomic deprivation in home country, challenges for survival in host country, and dental care-seeking behaviors influenced by acculturation process were psychosocially conceptualized within the three identified themes. Discussion Exposure to the new culture of dental care in Canada caused a shift from an aggressive treatment-oriented to a more conservative preventive-oriented approach among Filipino immigrants in our study. Keywords Acculturation . Psychosocial . Filipino parents . Preschool children
Introduction Over the past century, social and economic globalization has led to the international migration of an estimated 250 million people moving from their homelands to a different country (Beneria et al. 2012). This mass migration has opened a new area for researchers to study the impact of socio-cultural factors on the health of migrants. Through the migration process, newcomers become exposed to new cultures and standards, which then subject them to a process of adaptation called acculturation in their new country (Gao and McGrath 2011). Acculturation is defined as a time-consuming multi-dimensional process consisting of the emerging heritage-cultural
* Maryam Amin [email protected] 1
School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
2
Division of Pediatric Dentistry, Division of Community Engagement Clinical and Population Oral Health, Faculty of Medicine and Dentistry, University of Alberta, 5513 - 476 Edmonton Clinic Health Academy, 11405 - 87 Avenue NW, 5th Floor, Edmonton, AB T6G 1C9, Canada
and receiving-cultural practices, values, and identifications (Schwartz et al. 2010). The degree of acculturation varies among immigrants based on some interpersonal and socioeconomic differences (Cruz et al. 2009; Dahlan et al. 2019). In addition to these differences, reasons for migration and satisfaction with living in the new country may play major roles in immigrants’ adaptation to new culture or ret
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