Findings. The I-CVI was satisfactory for 62 of 67 clinical signs. There was disagreement between the experts concerning the relevance of using pain/burning pain of mucosa and pain/ burning pain of tongue to detect both pseudomembranous candidiasis and erythematous candidiasis. Opinions were also shared concerning the use of tooth sensitivity to cold and that of nearby tissues as a clinical sign of pulpitis and dental abscess. Finally, the experts considered that some clinical signs were more important than others to detect erythematous candidiasis, hyperplasic candidiasis, mucositis/stomatite, infections of viral origin and xerostomia. Thus, it will be necessary to develop a scoring method that takes this aspect into account. immigrants. It appears that education is a more robust predictor of physiologic CRF compared to income. Given that education may reflect status prior to migration (Average Age at Migration=39 years), the interaction between status and physiologic indicators of health may be important to assess throughout the lifespan in future studies. It is also possible that Education has a higher range than income with almost 80% of the sample earning less than $30,000/year. status, and employment status, with using weights for the sampling design. Results: In the US sample, education, household income and SSS were significantly and inversely associated with psychological distress (p<0.05). In the Japanese sample, respondents with high education or low household income had a non-significant but slightly higher prevalence of psychological distress; furthermore, those with the highest or lowest level of SSS had a higher prevalence of psychological distress (p<0.05). A significant interaction between the country and education or SSS was observed (p<0.05).