Acculturation and Subsequent Oral Health Problems Among Foreign-Born Older Chinese Americans: Does Neighborhood Disorder Matter?

Journal Article (Journal Article)


To investigate the relationship between acculturation and subsequent oral health problems in older Chinese Americans and to further test the moderating role of neighborhood disorder in such a relationship.


The working sample included 2,706 foreign-born community-dwelling older Chinese Americans aged 60 years or older who participated in the Population Study of Chinese Elderly in Chicago at baseline between 2011 and 2013 and the 2-year follow-up between 2013 and 2015. Stepwise Poisson regressions with lagged dependent variable were conducted.


Behavioral acculturation was protective against subsequent oral health problems, and the protective role was stronger among individuals reporting lower levels of neighborhood disorder. Residence in Chinatown was associated with an increase in the risk of subsequent oral health problems.


To reduce oral health symptoms and related burdens, it is important to consider, in practice and policy, the role of acculturation and the neighborhood on subsequent oral health outcomes.

Full Text

Duke Authors

Cited Authors

  • Mao, W; Wu, B; Chi, I; Yang, W; Dong, X

Published Date

  • March 2022

Published In

Volume / Issue

  • 44 / 3-4

Start / End Page

  • 231 - 240

PubMed ID

  • 34002640

Electronic International Standard Serial Number (EISSN)

  • 1552-7573

International Standard Serial Number (ISSN)

  • 0164-0275

Digital Object Identifier (DOI)

  • 10.1177/01640275211018785


  • eng