Honors Theses

Advisor

Arne Romanowski, Ph.D.

Department

Global Languages and Cultures

Publication Date

4-22-2026

Document Type

Honors Thesis

Abstract

Oral health disparities remain a significant global public health concern, particularly among economically and socially marginalized populations. This study investigates the structural, socioeconomic, and cultural determinants that influence access to dental care across these two populations. Guatemala represents a context where poverty, limited healthcare infrastructure, and geographic isolation restrict access to preventive dental services, often resulting in treatment-seeking only during advanced stages of disease. In contrast, Hispanic/Latinx communities in the United States encounter barriers shaped by language differences, lack of dental insurance, immigration-related concerns, and systemic inequities within the healthcare system. This research employs a mixed-methods approach that integrates secondary data from public health organizations with primary survey data collected from individuals in Guatemala and from students, faculty, and community members in Southwest Ohio. Quantitative and descriptive analyses were used to examine patterns in dental care utilization, oral health behaviors, prevalence of tooth extraction, and perceived barriers to accessing care. Preliminary findings suggest that although the underlying causes differ across national contexts, both populations experience limited access to preventive dental care and a higher reliance on treatment-based interventions. By comparing oral health outcomes across borders, this study highlights how social determinants such as income, education, language accessibility, and healthcare infrastructure shape oral health inequities. The findings underscore the importance of culturally responsive dental care, expanded preventive health programs, and policy-level interventions aimed at reducing disparities and improving oral health equity among underserved populations.

Permission Statement

This item is protected by copyright law (Title 17, U.S. Code) and may only be used for noncommercial, educational, and scholarly purposes.

Keywords

Undergraduate research


Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.

 
 
 

Links