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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Models for individual oral health promotion and their effectiveness: a systematic review.
D Yevlahova,Julie Satur +1 more
TL;DR: MI interventions were found to be the most effective method for altering health behaviours in a clinical setting and allows oral health professionals to focus more on the underlying social determinants of oral disease during the clinical encounter.
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Income-related Inequalities in Dental Service Utilization by Europeans Aged 50+
TL;DR: There is considerable income-related inequality in dental service utilization by several elderly populations residing in Europe, and differential utilization appears mainly attributable to inequalities in preventive dental visits.
Journal ArticleDOI
Strengthening sense of coherence: opportunities for theory building in health promotion.
TL;DR: The mechanisms underlying SOC are explored as these insights may underpin future health promotion efforts and both empowerment and reflection processes, which are interdependent, may be relevant for health promotion activities that aim to strengthen SOC.
Journal ArticleDOI
The different effects of vertical social capital and horizontal social capital on dental status: a multilevel analysis.
TL;DR: The results suggest that horizontal social capital, not verticalsocial capital, has beneficial effects on numbers of remaining teeth in older Japanese adults.
Journal ArticleDOI
Disparities in Access to Oral Health Care.
TL;DR: Efforts to integrate oral health and primary health care, incorporate interventions at multiple levels to improve access to and quality of services, and create health care teams that provide patient-centered care in both safety net clinics and community settings may narrow the gaps in access to oral health care across the life course.
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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