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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Journal ArticleDOI
Socioecological determinants of child oral health-A scoping review.
TL;DR: In this article , the authors present a scoping review on the determinants of dental caries and their interactions in childhood and adolescence, where the main components of the strategy were participants, concept and context.
Journal ArticleDOI
From micro to macro: Structural determinants and oral health.
T. Broomhead,Sarah R. Baker +1 more
TL;DR: The structural determinants of health include social, economic and political mechanisms which generate social stratification and the socioeconomic positions of individuals within society as mentioned in this paper . But despite their importance, these 'causes of the causes' are still relatively understudied within oral health research.
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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