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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a capacitação de líderes na Pastoral da Criança da Igreja Católica no Brasil
Samuel Jorge Moysés,Beatriz Helena,Sotille França,Julio César Bisinelli,Simone Tetu Moysés,Silvia Maria Prado,Lopes Queiroz +6 more
TL;DR: Palavras-chave et al. as mentioned in this paper analyzed capacitation among the children's pastoral mission of the Catholic Church and identified potentials and weaknesses with regard to oral health promotion.
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Advancing oral health policy for mandatory dental screening before admission into public primary and secondary schools in Lagos, Nigeria.
TL;DR: In Nigeria, limited progress has been made in reducing the prevalence and burden of oral health problems due to absence of national data, inadequate budgetary allocation, dearth of personnel, poor policy framework/implementation, and challenges of care access Lagos state has a large, diverse population, hampered by illiteracy and poverty, and school-based dental screening is a strategy that can potentially reduce the prevalence of oral diseases among a vulnerable population in resource-poor settings as mentioned in this paper.
Journal ArticleDOI
GIS mapping of healthcare practices: do older adults have equitable access to dental and medical care in the UK?
TL;DR: In this paper, the authors identify and compare access to dental and general healthcare for older adults in the UK by mapping 13,007 dental practices and 13,759 general practices using geographic information system software, overlaid with the UK older adult population and deprivation data by health areas.
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Relationship between social capital and the experience of dental carie: systematic review and meta-analysis
Aline Amaro Damasceno,Antonio Carlos Pereira,Andreza Maria Luzia Baldo de Souza,Luciane Miranda Guerra,Denise de Fátima Barros Cavalcante,Brunna Verna Castro Gondinho,Jaqueline Vilela Bulgareli +6 more
TL;DR: The results reinforce the importance of community social capital in the caries experience of individuals, showing that both social cohesion and neighborhood empowerment are associated with theCaries experience.
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.
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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.
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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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