ArticleRevista de saude publica2026
Impact of structural and interpersonal racism on oral health and dental services.
Article in Revista de saude publica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo analyze the role of racism in oral health and access to dental services, considering two impact pathways: structural racism and interpersonal racism.
methodsA cross-sectional study with 686 undergraduate students, which analyzed two categories of outcomes: those related to oral health (self-perception, oral health impairment, and tooth loss) and those related to access to/perception of the quality of dental services (access to services, recent use, and evaluation of care). Exposures were race/color, racial discrimination, and characterization of the neighborhood environment. Prevalence ratios were estimated using Poisson regression with robust variance, with adjustments guided by directed acyclic diagrams.
resultsBlack and brown people had a higher prevalence of negative self-perception (black: PR = 1.56; 95%CI 1.14-2.13; brown: PR = 1.53; 95%CI 1.14-2.05), tooth loss (black: PR = 1.99; 95%CI 1.33-2.97), lack of access to dental services (black: PR = 3.08; 95%CI 1.06-8.95; brown: PR = 3.78; 95%CI 1.49-9.59), and negative evaluation of care (black: PR = 1.63; 95%CI 1.08-2.45; brown: PR = 1.64; 95%CI 1.12-2.39). Racial discrimination was associated with lack of access (PR = 4.34; 95%CI 1.45-12.95), recent non-use of services (PR = 1.74; 95%CI 1.31-2.31) and negative evaluation of care (PR = 1.51; 95%CI 1.01-2.25). And living in neighborhoods with fewer physical and social problems was associated with a lower prevalence of negative self-perception (PR = 0.70; 95%CI 0.54-0.90), compromised oral health (PR = 0.87; 95%CI 0.76-0.99), lack of access (PR = 0.42; 95%CI 0.18-0.98), and negative evaluation of care (PR = 0.56; 95%CI 0.40-0.79).
conclusionsThe findings show that racism impacts oral health through structural and interpersonal channels and highlight the urgency of broad and effective strategies to reduce the inequities affecting racialized groups.
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