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Self-reported oral health among a community sample of people experiencing social and health inequities: cross-sectional findings from a study to enhance equity in primary healthcare settings
  1. Bruce Wallace1,
  2. Annette J Browne2,
  3. Colleen Varcoe2,
  4. Marilyn Ford-Gilboe3,
  5. Nadine Wathen4,
  6. Phoebe M Long2,
  7. Joanne Parker2
  1. 1School of Social Work, University of Victoria, Victoria, British Columbia, Canada
  2. 2School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
  3. 3Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada
  4. 4Faculty of Information & Media Studies, Western University, London, Ontario, Canada
  1. Correspondence to Dr Annette J Browne; annette.browne{at}


Objective To describe the self-reported oral health issues among a community sample of primary care clients experiencing socioeconomic disadvantages.

Methods As part of a larger mixed-methods, multiple case study evaluating an equity-oriented primary healthcare intervention, we examined the oral health of a sample of 567 people receiving care at four clinics that serve marginalised populations in two Canadian provinces. Data collected included self-rated oral health and experiences accessing and receiving healthcare, standard self-report measures of health and quality of life, and sociodemographic information.

Results The prevalence of self-rated poor oral health was high, with almost half (46.3%) of the participants reporting poor or fair oral health. Significant relationships were observed between poor oral health and vulnerabilities related to mental health, trauma and housing instability. Our findings suggest that the oral health of some Canadian populations may be dramatically worse than what is reported in existing population health surveys.

Conclusions Our findings reinforce the importance of addressing oral health as part of health equity strategies. The health and oral health issues experienced by this client cohort highlight the need for interdisciplinary, team-based care that can address the intersections among people's health status, oral health and social issues.

  • Oral health
  • Health equity
  • Social determinants of health
  • Marginalized populations

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

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