Journal ArticleDOI
From victim blaming to upstream action: tackling the social determinants of oral health inequalities
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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Journal ArticleDOI
Persistent oral health disparity in 12-year-old Hispanics: a cross-sectional study
Augusto R Elías-Boneta,Milagros J. Toro,Sona Rivas-Tumanyan,Margarita Murillo,Luis Orraca,Angeliz Encarnacion,Dana Cernigliaro,Carlos Toro-Vizcarrondo,Walter J. Psoter +8 more
TL;DR: Among 12-year-old schoolchildren in Puerto Rico between 1997 and 2011, caries prevalence, extent, and severity decreased as well as the DMFT missing component, while the filled component increased.
Journal ArticleDOI
Developing Dental Hygiene Students as Future Leaders in Legislative Advocacy
TL;DR: Implementation of a legislative advocacy project in an undergraduate and graduate leadership course can positively influence the development of knowledge, values, and actions; however, mentorship in the professional association is needed after graduation to continue thedevelopment of future leaders.
Journal ArticleDOI
Engaging dental professionals in residential aged-care facilities: staff perspectives regarding access to oral care
Lydia Hearn,Linda Slack-Smith +1 more
TL;DR: The need to explore alternative approaches to delivering oral care that transcend the model of private clinical practice to focus instead on the needs of RACFs and take into account quality of end-of-life oral care is highlighted.
Promoção da saúde: perspectivas avaliativas para a saúde bucal na atenção primária em saúde Health promotion: perspectives for evaluation of oral health in primary healthcare
TL;DR: This article proposes to systematize the literature on the evaluation of effectiveness in health promotion strategies, define a theoretical model, and propose a matrix of descriptors, exploring the basic references for health promotion and practices with the potential to reduce situations of vulnerability in population groups, combat inequalities, and incorporate community participation in health management.
Journal ArticleDOI
Racial Disparities in Trajectories of Dental Caries Experience
TL;DR: Although significantly correlated, various dental caries outcomes move along different paths over time, and future interventions to minimize such variations among older Americans in the levels of and the rates of change in dental carie experience are clearly warranted.
References
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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
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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?
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