Journal ArticleDOI
From victim blaming to upstream action: tackling the social determinants of oral health inequalities
Reads0
Chats0
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
More filters
Journal ArticleDOI
Waiting room time: An opportunity for parental oral health education
TL;DR: A dental education program engaging caregivers in the waiting room was a feasible, acceptable and promising strategy for improving short¬term dental behaviours of children.
The neglect of global oral health: symptoms and solutions
TL;DR: This thesis describes a successful model for school health, which integrates oral health, and highlights new approaches to describing the extent and impact of dental caries and the important role of advocacy in different contexts.
Journal ArticleDOI
Behavior Change for Caries Prevention: Understanding Inconsistent Results:
Judith Albino,Tamanna Tiwari +1 more
TL;DR: The construct of overdetermination of behavior is introduced and more rigorous documentation of potential determinants is encouraged, as well as personalized development of behavioral approaches for implementing strategies to improve oral health.
Journal ArticleDOI
Delivering Equitable Care to Underserved Communities.
Neal Demby,Mary E. Northridge +1 more
TL;DR: Although Serna et al. found that Medicaid is the primary payer for both Hispanics and non-Hispanics who use hospital emergency departments for dental problems, the harsh reality is that Medicaid coverage alone is not sufficient to reduce barriers to highquality dental services for enrollees.
Journal ArticleDOI
Organizational Barriers to Oral Health Conversations Between Health Visitors and Parents of Children Aged 9-12 Months Old.
Ieva Eskytė,Kara A. Gray-Burrows,Jenny Owen,Bianca Sykes-Muskett,Sue Pavitt,Robert West,Zoe Marshman,Peter F. Day +7 more
TL;DR: In this paper, the organizational factors that obstruct health visitors from engaging in meaningful conversations with parents about young children's oral health were identified and grouped into four key themes: (1) Priority of topics discussed in the home visits; (2) Finance cuts and limited resources; (3) Oral health knowledge and skills; (4) Collaborative working with other professionals.
References
More filters
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.
Related Papers (5)
The common risk factor approach: a rational basis for promoting oral health.
Aubrey Sheiham,Richard G. Watt +1 more