Global oral health inequalities: task group--implementation and delivery of oral health strategies.
Adv Dent Res
; 23(2): 259-67, 2011 May.
Article
em En
| MEDLINE
| ID: mdl-21490238
ABSTRACT
This paper reviews the shortcomings of present approaches to reduce oral diseases and inequalities, details the importance of social determinants, and links that to research needs and policies on implementation of strategies to reduce oral health inequalities. Inequalities in health are not narrowing. Attention is therefore being directed at determinants of major health conditions and the extent to which those common determinants vary within, between, and among groups, because if inequalities in health vary across groups, then so must underlying causes. Tackling inequalities in health requires strategies tailored to determinants and needs of each group along the social gradient. Approaches focusing mainly on downstream lifestyle and behavioral factors have limited success in reducing health inequalities. They fail to address social determinants, for changing people's behaviors requires changing their environment. There is a dearth of oral health research on social determinants that cause health-compromising behaviors and on risk factors common to some chronic diseases. The gap between what is known and implemented by other health disciplines and the dental fraternity needs addressing. To re-orient oral health research, practice, and policy toward a 'social determinants' model, a closer collaboration between and integration of dental and general health research is needed. Here, we suggest a research agenda that should lead to reductions in global inequalities in oral health.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Saúde Bucal
/
Saúde Global
/
Grupos Focais
/
Disparidades nos Níveis de Saúde
/
Implementação de Plano de Saúde
/
Pesquisa sobre Serviços de Saúde
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
/
Sysrev_observational_studies
Limite:
Humans
Idioma:
En
Revista:
Adv Dent Res
Assunto da revista:
ODONTOLOGIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Reino Unido