Journal ArticleDOI
From victim blaming to upstream action: tackling the social determinants of oral health inequalities
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TLDR
A conceptual shift is needed away from this biomedical/behavioural 'downstream' approach, to one addressing the 'upstream' underlying social determinants of population oral health.Abstract:
The persistent and universal nature of oral health inequalities presents a significant challenge to oral health policy makers. Inequalities in oral health mirror those in general health. The universal social gradient in both general and oral health highlights the underlying influence of psychosocial, economic, environmental and political determinants. The dominant preventive approach in dentistry, i.e. narrowly focusing on changing the behaviours of high-risk individuals, has failed to effectively reduce oral health inequalities, and may indeed have increased the oral health equity gap. A conceptual shift is needed away from this biomedical/behavioural 'downstream' approach, to one addressing the 'upstream' underlying social determinants of population oral health. Failure to change our preventive approach is a dereliction of ethical and scientific integrity. A range of complementary public health actions may be implemented at local, national and international levels to promote sustainable oral health improvements and reduce inequalities. The aim of this article is to stimulate discussion and debate on the future development of oral health improvement strategies.read more
Citations
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Severe early childhood caries and behavioural risk indicators among young children in Ajman, United Arab Emirates
TL;DR: The prevalence of severe early childhood caries in young children in Ajman is high, and socio-economic characteristics, dietary habits, and dental utilisation are important determinants of their dental caries experience.
Det handlar om jämlik hälsa : utgångspunkter för Kommissionens vidare arbete
Olle Lundberg,Maria Albin,Laura Hartman,Ingvar Nilsson,Anna Sjögren,Ing-Marie Wieselgren,Åke Bergmark,Margareta Kristenson,Per Nilsson,Denny Vågerö,Per-Olof Östergren +10 more
TL;DR: Kommissionen for jamlik halsa har i uppdrag att foresla atgarder som kan bidra till att minska halsoklyftorna i Sverige och att fora en bred dialog med relevanta aktorer om jamlik halsa.
Journal ArticleDOI
The (re)production of health inequalities through the process of disseminating preventive innovations: the dynamic influence of socioeconomic status
TL;DR: Data from the Onco-barometer survey is used to test a set of hypotheses derived from FCT, Diffusion Of Innovations theory and the intersection between these theories to examine how socioeconomic inequality emerges and evolves across the cycle of diffusion of six relevant preventive practices in Spain.
Journal ArticleDOI
Income‐related inequalities in denture‐wearing by Europeans aged 50 and above
TL;DR: There is considerable income-related inequality in denture-wearing by several elderly populations in Europe and future resource planning for prosthetic care should, thus, specifically distinguish between the treatment needs of different socio-economic groups within elderly populations.
Journal ArticleDOI
Barriers to dental visits in Belgium: a secondary analysis of the 2004 National Health Interview Survey.
TL;DR: Barriers to dental visits in Belgium differ among age groups and are linked to personal and environmental factors, which confirm the existence of social health inequalities in dental visits among Belgian people.
References
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Journal ArticleDOI
Social determinants of health inequalities
TL;DR: A Commission on Social Determinants of Health is launching, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people.
Journal ArticleDOI
Health inequalities among British civil servants: the Whitehall II study
Michael Marmot,Stephen Stansfeld,Chandrakant R. Patel,Fiona M North,Jenny Head,Ian R. White,Eric J. Brunner,A Feeney,G. Davey Smith +8 more
TL;DR: There was an inverse association between employment grade and prevalence of angina, electrocardiogram evidence of ischaemia, and symptoms of chronic bronchitis, and self-perceived health status and symptoms were worse in subjects in lower status jobs.
Journal ArticleDOI
The World Oral Health Report 2003: continuous improvement of oral health in the 21st century – the approach of the WHO Global Oral Health Programme
TL;DR: The current oral health situation and development trends at global level are described and WHO strategies and approaches for better oral health in the 21st century are outlined.
Journal ArticleDOI
Socioeconomic status and health: what we know and what we don't.
Nancy E. Adler,Joan M. Ostrove +1 more
TL;DR: This paper examines the data regarding the SES‐health gradient, addressing causal direction, generalizability across populations and diseases, and associations with health for different indicators of SES.
Journal ArticleDOI
Predicting and Explaining Intentions and Behavior: How Well Are We Doing?
TL;DR: In this paper, the authors evaluate the performance of these models in predicting and explaining intentions and behavior, and discuss the distinction between prediction and explanation, the different standards of comparison against which predictive performance can be judged, and the use of percentage of variance explained as a measure of effect size.
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