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1.
J Emerg Manag ; 19(3): 227-233, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34195975

RESUMO

Climate change will create more intense and frequent disasters, resulting in the increased exposure of the most vulnerable populations. It is debatable whether the vulnerability research that follows major disasters, like Hurricane Katrina, has resulted in increased resiliency of those who were the most vulnerable during that disaster. It may even be plausible to suggest that research that exposes countless vulnerabilities within a population is guilty of helping none. Through support from a focused review of the related literature, research findings include the following: (1) post-disaster research analysis tends not to present an actionable hierarchy for public agencies and community organizations to prioritize efforts, (2) the most common thread that runs through societal vulnerability in daily life, and opposite the force multiplying effects of climate change, is poverty; and (3) climate change is likely to facilitate more post-disaster windows of opportunity characterized by increased public consonance that can galvanize transformative change at a local level.


Assuntos
Tempestades Ciclônicas , Desastres , Mudança Climática , Humanos , Pobreza , Populações Vulneráveis
2.
BMC Health Serv Res ; 21(1): 646, 2021 Jul 03.
Artigo em Inglês | MEDLINE | ID: mdl-34217278

RESUMO

BACKGROUND: Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. METHODS: A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. RESULTS: While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. CONCLUSIONS: Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.


Assuntos
Seguro de Saúde Baseado na Comunidade , Humanos , Seguro Saúde , Pobreza , Tanzânia , Cobertura Universal do Seguro de Saúde
4.
Molecules ; 26(11)2021 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-34198857

RESUMO

Solar water disinfection (SODIS) is one the cheapest and most suitable treatments to produce safe drinking water at the household level in resource-poor settings. This review introduces the main parameters that influence the SODIS process and how new enhancements and modelling approaches can overcome some of the current drawbacks that limit its widespread adoption. Increasing the container volume can decrease the recontamination risk caused by handling several 2 L bottles. Using container materials other than polyethylene terephthalate (PET) significantly increases the efficiency of inactivation of viruses and protozoa. In addition, an overestimation of the solar exposure time is usually recommended since the process success is often influenced by many factors beyond the control of the SODIS-user. The development of accurate kinetic models is crucial for ensuring the production of safe drinking water. This work attempts to review the relevant knowledge about the impact of the SODIS variables and the techniques used to develop kinetic models described in the literature. In addition to the type and concentration of pathogens in the untreated water, an ideal kinetic model should consider all critical factors affecting the efficiency of the process, such as intensity, spectral distribution of the solar radiation, container-wall transmission spectra, ageing of the SODIS reactor material, and chemical composition of the water, since the substances in the water can play a critical role as radiation attenuators and/or sensitisers triggering the inactivation process.


Assuntos
Desinfecção/métodos , Água Potável/análise , Desinfecção/instrumentação , Água Potável/microbiologia , Água Potável/parasitologia , Humanos , Polietilenotereftalatos/química , Pobreza , Energia Solar , Microbiologia da Água
5.
Nutrients ; 13(6)2021 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-34205293

RESUMO

We examined the associations of dietary cholesterol and egg intakes with cardiometabolic and all-cause mortality among Chinese and low-income Black and White Americans. Included were 47,789 Blacks, 20,360 Whites, and 134,280 Chinese aged 40-79 years at enrollment. Multivariable Cox models with restricted cubic splines were applied to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality outcomes using intakes of 150 mg cholesterol/day and 1 egg/week as the references. Cholesterol intake showed a nonlinear association with increased all-cause mortality and a linear association with increased cardiometabolic mortality among Black Americans: HRs (95% CIs) associated with 300 and 600 mg/day vs. 150 mg/day were 1.07 (1.03-1.11) and 1.13 (1.05-1.21) for all-cause mortality (P-linearity = 0.04, P-nonlinearity = 0.002, and P-overall < 0.001) and 1.10 (1.03-1.16) and 1.21 (1.08-1.36) for cardiometabolic mortality (P-linearity = 0.007, P-nonlinearity = 0.07, and P-overall = 0.005). Null associations with all-cause or cardiometabolic mortality were noted for White Americans (P-linearity ≥ 0.13, P-nonlinearity ≥ 0.06, and P-overall ≥ 0.05 for both). Nonlinear inverse associations were observed among Chinese: HR (95% CI) for 300 vs. 150 mg/day was 0.94 (0.92-0.97) for all-cause mortality and 0.91 (0.87-0.95) for cardiometabolic mortality, but the inverse associations disappeared with cholesterol intake > 500 mg/day (P-linearity ≥ 0.12; P-nonlinearity ≤ 0.001; P-overall < 0.001 for both). Similarly, we observed a positive association of egg intake with all-cause mortality in Black Americans, but a null association in White Americans and a nonlinear inverse association in Chinese. In conclusion, the associations of cholesterol and egg intakes with cardiometabolic and all-cause mortality may differ across ethnicities who have different dietary patterns and cardiometabolic risk profiles. However, residual confounding remains possible.


Assuntos
Colesterol na Dieta/administração & dosagem , Dieta/estatística & dados numéricos , Ovos , Síndrome Metabólica/mortalidade , Mortalidade/etnologia , Pobreza/estatística & dados numéricos , Adulto , Afro-Americanos , Idoso , Grupo com Ancestrais do Continente Asiático , China/epidemiologia , Grupo com Ancestrais do Continente Europeu , Feminino , Humanos , Masculino , Saúde do Homem , Síndrome Metabólica/etnologia , Pessoa de Meia-Idade , Estudos Prospectivos , Estados Unidos/epidemiologia , Saúde da Mulher
6.
Artigo em Inglês | MEDLINE | ID: mdl-34204018

RESUMO

Despite near universal health insurance coverage in China, populations with low incomes may still face barriers in access and utilization of affordable health care. We aimed to identify the likelihood of forgone medical care due to cost by surveying individuals from the community to assess: (1) The percent with forgone medical care due to cost; and (2) Factors associated with forgone medical care due to cost. Surveys conducted (2016-2017) in Mandarin included demographic and medical care utilization-related items. Theoretically-informed, fully-adjusted analyses were employed. Approximately 94% of respondents had health insurance, which is somewhat similar to national estimates. Overall, 24% of respondents resided in rural areas, with 18% having less than a high school education, and 49% being male. More than 36% reported forgone medical care due to cost in the past 12 months. In fully-adjusted analyses, having lower education, generally not being satisfied with the commute to the hospital, and being a resident of a province with a lower density of physicians were associated with forgone medical care. Cost-related disparities in the access and utilization of needed medical care persist, even with near universal health insurance, which may be due to one's satisfaction with travel time to healthcare and other community assets.


Assuntos
Acesso aos Serviços de Saúde , Determinantes Sociais da Saúde , China , Feminino , Hospitais , Humanos , Seguro Saúde , Masculino , Pobreza , Fatores Socioeconômicos
7.
Health Aff (Millwood) ; 40(7): 1099-1107, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34228532

RESUMO

Since the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act, known as "welfare reform," in 1996, US social policy has increasingly stratified immigrants by legality, extending eligibility exclusions, benefit limitations, and administrative burdens not only to undocumented immigrants but also to lawful permanent residents and US citizens in immigrant families. This stratification is a form of structural discrimination, which is a social determinant of health. Children in immigrant families, most of whom are US citizens, have not been able to fully realize the benefits from social safety-net programs-including the 2020 Coronavirus Aid, Relief, and Economic Security Act stimulus payments. Policy deliberations over pandemic recovery, the equity focus of the Biden administration, and proposals to address child poverty provide an opportunity to reexamine immigrant exclusions, restrictions, and administrative burdens in public programs. We discuss immigrant stratification by legal status in social policy and review how it affects citizen children in mixed-status families in three safety-net programs: the Earned Income Tax Credit, Supplemental Nutrition Assistance Program, and Child Care and Development Block Grant. We provide eight policy recommendations to restore equity to the social safety net for children in immigrant families.


Assuntos
Emigrantes e Imigrantes , Política Pública , Criança , Definição da Elegibilidade , Humanos , Pobreza , Seguridade Social , Estados Unidos
8.
BMC Health Serv Res ; 21(1): 718, 2021 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-34289849

RESUMO

OBJECTIVES: To comprehend the relationship between various indicators of health service equity and patients' health expenditure poverty in different regions of China, identify areas where equity in health service is lacking and provide ideas for improving patients' health expenditure poverty. METHOD: Data from China Family Panel Studies (CFPS) in 2018 and the HFGT index formula were used to calculate the health expenditure poverty index of each province. Moreover, Global Moran's I and Local Moran's I test are applied to measure whether there is spatial aggregation of health expenditure poverty. Finally, an elastic net regression model is established to analyze the impact of health service equity on health expenditure poverty, with the breadth of health expenditure poverty as the dependent variable and health service equity as the independent variable. RESULTS: In the developed eastern provinces of China, the breadth of health expenditure poverty is relatively low. There is a significant positive spatial agglomeration. "Primary medical and health institutions per 1,000 population", "rural doctors and health workers per 1,000 population", "beds in primary medical institutions per 1,000 population", "proportion of government health expenditure" and "number of times to participate in medical insurance (be aided) per 1,000 population" have a positive impact on health expenditure poverty. "Number of health examinations per capita" and "total health expenditure per capita" have a negative impact on health expenditure poverty. Both effects passed the significance test. CONCLUSION: To enhance the fairness of health resource allocation in China and to alleviate health expenditure poverty, China should rationally plan the allocation of health resources at the grassroots level, strengthen the implementation of hierarchical diagnosis and treatment and encourage the investment in business medical insurance industry. Meanwhile, it is necessary to increase the intensity of medical assistance and enrich financing methods. All medical expenses of the poorest should be covered by the government.


Assuntos
Equidade em Saúde , Gastos em Saúde , China/epidemiologia , Serviços de Saúde , Humanos , Pobreza
9.
Infect Dis Poverty ; 10(1): 97, 2021 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-34238368

RESUMO

BACKGROUND: Little attention has been paid to the comparison of COVID-19 pandemic responses and related factors in BRICS (Brazil, Russia, India, China, and South Africa) countries. We aimed at evaluating the association of daily new COVID-19 cases with socio-economic and demographic factors, health vulnerability, resources, and policy response in BRICS countries. METHODS: We conducted a cross-sectional study using data on the COVID-19 pandemic and other indicators of BRICS countries from February 26, 2020 to April 30, 2021. We compared COVID-19 epidemic in BRICS countries and analyzed related factors by log-linear Generalized Additive Model (GAM) models. RESULTS: In BRICS countries, India had the highest totally of confirmed cases with 18.76 million, followed by Brazil (14.45 million), Russia (4.81 million), and South Africa (1.58 million), while China (0.10 million) had the lowest figure. South Africa had the lowest rate of administered vaccine doses (0.18 million) among BRICS countries as of April 30, 2021. In the GAM model, a 1 unit increase in population density and policy stringency index was associated with a 5.17% and 1.95% growth in daily new COVID-19 cases (P < 0.001), respectively. Exposure-response curves for the effects of policy stringency index on daily new cases showed that there was a rapid surge in number of daily new COVID-19 cases when the index ranged from 0 to 45. The number of infections climbed slowly when the index ranged from 46 to 80, and decreased when the index was above 80 (P < 0.001). In addition, daily new COVID-19 cases (all P < 0.001) were also correlated with life expectancy at birth (-1.61%), extreme poverty (8.95%), human development index (-0.05%), GDP per capita (-0.18%), diabetes prevalence (0.66%), proportion of population aged 60 and above (2.23%), hospital beds per thousand people (-0.08%), proportion of people with access to improved drinking water (-7.40%), prevalence of open defecation (0.69%), and annual tourist/visitor arrivals (0.003%), after controlling other confounders. Different lag structures showed similar results in the sensitivity analysis. CONCLUSIONS: Strong policy response is crucial to control the pandemic, such as effective containment and case management. Our findings also highlighted the importance of reducing socio-economic inequalities and strengthening the resilience of health systems to better respond to public health emergencies globally.


Assuntos
COVID-19/epidemiologia , Brasil/epidemiologia , China/epidemiologia , Estudos Transversais , Demografia , Diabetes Mellitus/epidemiologia , Recursos em Saúde , Humanos , Índia/epidemiologia , Políticas , Pobreza , Federação Russa/epidemiologia , África do Sul/epidemiologia , Populações Vulneráveis
10.
BMC Health Serv Res ; 21(1): 707, 2021 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-34275449

RESUMO

BACKGROUND: Underutilization of health services among chronic non-communicable disease sufferers, especially for hypertension (HBP) and diabetes mellitus (DM), was considered as a significant contributing factor to substantial cases in terms of both avoidable morbidity and mortality. However, evidence on health services underutilization and its associated factors in poverty-stricken areas remain scarce based on previous literature. This study aims to describe health services underutilization for people diagnosed with chronic diseases in impoverished regions and to identify its associated factors, which are expected to provide practical implications for the implementations of interventions tailored to the specific needs of disadvantaged residents in rural China to achieve effective utilization of health services in a timely manner. METHODS: Data were collected from a cross-sectional survey conducted through face-to-face interviews among 2413 patients from six counties in rural central China in 2019. The Anderson behavioral model was adopted to explore the associated factors. A two-level logistic model was employed to investigate the association strengths reflected by adjusted odds ratios (AOR) and 95% confidence intervals in forest plots. RESULTS: On average, 17.58% of the respondents with HBP and 14.87% with DM had experienced health services underutilization during 1 month before the survey. Multilevel logistic regression indicated that predisposing factors (age), enabling factors (income and a regular source of care), and need factors (self-reported health score) were the common predictors of health service underutilization both for hypertensive and diabetic patients in impoverished areas, among which obtaining a regular source of care was found to be relatively determinant as a protective factor for health services underutilization after controlling for other covariates. CONCLUSIONS: Our results suggested that the implementation of a series of comprehensive strategies should be addressed throughout policy-making procedures to improve the provision of regular source of care as a significant determinant for reducing health services underutilization, thus ultimately achieving equal utilization of health services in impoverished regions, especially among chronic disease patients. Our findings are expected to provide practical implications for other developing countries confronted with similar challenges resulting from underdeveloped healthcare systems and aging population structures.


Assuntos
Serviços de Saúde , Pobreza , Idoso , China/epidemiologia , Doença Crônica , Estudos Transversais , Humanos , Análise Multinível , População Rural
12.
N Z Med J ; 134(1538): 52-67, 2021 07 09.
Artigo em Inglês | MEDLINE | ID: mdl-34239145

RESUMO

AIM: This research explores the experience of low-income New Zealanders during the COVID-19 pandemic lockdown and their advice to the Government about addressing future pandemics. New Zealand had a rapid and effective lockdown that meant the virtual elimination of community transmission. METHOD: Twenty-seven semi-structured interviews were undertaken with low-income people in June-July 2020 immediately after lockdown was lifted. RESULTS: Life during lockdown was challenging for study participants. They were fearful of the virus and experienced mental distress and isolation. Most participants felt safe at home and reported coping financially while still experiencing financial stress. Participants were resourceful and resilient. They coped with lockdown by using technology, self-help techniques and support from others. New Zealand's welfare state ensured participants had access to health services and welfare payments, but there were challenges. Welfare payments did not fully meet participants' needs, and support from charitable organisations was critical. Participants were overwhelmingly positive about the Government's response and advised the Government to take the same approach in the future. This is a particularly reassuring finding from some of the most vulnerable New Zealanders. CONCLUSIONS: An early and hard lockdown, the welfare state, compassion and clearly communicated leadership were keys to a successful lockdown for the low-income people in this study. Research of the experience of low-income people during pandemics is critical to ensuring inequities in pandemic impact are mitigated.


Assuntos
COVID-19/prevenção & controle , COVID-19/psicologia , Pandemias/prevenção & controle , Pobreza , Assistência Pública , Adaptação Psicológica , Adulto , COVID-19/economia , Feminino , Abastecimento de Alimentos , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Angústia Psicológica , Pesquisa Qualitativa , SARS-CoV-2 , Segurança , Apoio Social , Seguridade Social , Tecnologia
13.
Artigo em Alemão | MEDLINE | ID: mdl-34251465

RESUMO

The annual Poverty and Health congress, which has been organized by Gesundheit Berlin-Brandenburg e. V. since 1995, has become one of the biggest public health events in Germany. It offers an exchange platform for science, practice, and politics. This year's congress topic was "From Crisis to Health in All Policies," which aimed to address the SARS-CoV­2 pandemic's impact on society in general and public health in particular. Overall, 80 panels were organized with close to 500 experts discussing a wide range of subjects and questions, for example, the connection between poverty and COVID-19, the current challenges in the care sector, the situation of homeless people, and the impact of the pandemic on (young) families or students as well as global questions on vaccination strategy and key issues for a public health strategy for Germany.


Assuntos
COVID-19 , Pobreza , Berlim , Alemanha , Humanos , Políticas , SARS-CoV-2
14.
Lancet ; 398(10296): 238-248, 2021 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-34274065

RESUMO

BACKGROUND: The prevalence of overweight, obesity, and diabetes is rising rapidly in low-income and middle-income countries (LMICs), but there are scant empirical data on the association between body-mass index (BMI) and diabetes in these settings. METHODS: In this cross-sectional study, we pooled individual-level data from nationally representative surveys across 57 LMICs. We identified all countries in which a WHO Stepwise Approach to Surveillance (STEPS) survey had been done during a year in which the country fell into an eligible World Bank income group category. For LMICs that did not have a STEPS survey, did not have valid contact information, or declined our request for data, we did a systematic search for survey datasets. Eligible surveys were done during or after 2008; had individual-level data; were done in a low-income, lower-middle-income, or upper-middle-income country; were nationally representative; had a response rate of 50% or higher; contained a diabetes biomarker (either a blood glucose measurement or glycated haemoglobin [HbA1c]); and contained data on height and weight. Diabetes was defined biologically as a fasting plasma glucose concentration of 7·0 mmol/L (126·0 mg/dL) or higher; a random plasma glucose concentration of 11·1 mmol/L (200·0 mg/dL) or higher; or a HbA1c of 6·5% (48·0 mmol/mol) or higher, or by self-reported use of diabetes medication. We included individuals aged 25 years or older with complete data on diabetes status, BMI (defined as normal [18·5-22·9 kg/m2], upper-normal [23·0-24·9 kg/m2], overweight [25·0-29·9 kg/m2], or obese [≥30·0 kg/m2]), sex, and age. Countries were categorised into six geographical regions: Latin America and the Caribbean, Europe and central Asia, east, south, and southeast Asia, sub-Saharan Africa, Middle East and north Africa, and Oceania. We estimated the association between BMI and diabetes risk by multivariable Poisson regression and receiver operating curve analyses, stratified by sex and geographical region. FINDINGS: Our pooled dataset from 58 nationally representative surveys in 57 LMICs included 685 616 individuals. The overall prevalence of overweight was 27·2% (95% CI 26·6-27·8), of obesity was 21·0% (19·6-22·5), and of diabetes was 9·3% (8·4-10·2). In the pooled analysis, a higher risk of diabetes was observed at a BMI of 23 kg/m2 or higher, with a 43% greater risk of diabetes for men and a 41% greater risk for women compared with a BMI of 18·5-22·9 kg/m2. Diabetes risk also increased steeply in individuals aged 35-44 years and in men aged 25-34 years in sub-Saharan Africa. In the stratified analyses, there was considerable regional variability in this association. Optimal BMI thresholds for diabetes screening ranged from 23·8 kg/m2 among men in east, south, and southeast Asia to 28·3 kg/m2 among women in the Middle East and north Africa and in Latin America and the Caribbean. INTERPRETATION: The association between BMI and diabetes risk in LMICs is subject to substantial regional variability. Diabetes risk is greater at lower BMI thresholds and at younger ages than reflected in currently used BMI cutoffs for assessing diabetes risk. These findings offer an important insight to inform context-specific diabetes screening guidelines. FUNDING: Harvard T H Chan School of Public Health McLennan Fund: Dean's Challenge Grant Program.


Assuntos
Índice de Massa Corporal , Países em Desenvolvimento/estatística & dados numéricos , Diabetes Mellitus , Obesidade/epidemiologia , Adulto , Estudos Transversais , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/epidemiologia , Feminino , Saúde Global , Hemoglobina A Glicada/análise , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Pobreza , Prevalência
16.
AMA J Ethics ; 23(6): E494-498, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34212851

RESUMO

Native American peoples' health is impacted by structural legacies of settler colonialism, including land dispossession, racism, and poverty. Responding with care to individuals and communities experiencing past and present traumatic stress from genocide and deeply entrenched structural violence means navigating ongoing grief, restoring self-community and human-ecological relationships, and generating cultural vibrancy.


Assuntos
Trauma Histórico , Índios Norte-Americanos , Racismo , Colonialismo , Humanos , Pobreza , Violência
17.
Artigo em Inglês | MEDLINE | ID: mdl-34199387

RESUMO

Children have been identified as being particularly vulnerable to energy poverty (EP), but little empirical research has addressed the effect of EP on children's health and wellbeing, especially in southern Europe. In this work we aimed to provide an in-depth description of the distribution of EP by sociodemographic, socioeconomic and housing characteristics, as well as to analyse the association between EP and health and wellbeing in children in Barcelona. We performed a cross-sectional study using data from the Barcelona Health Survey for 2016 (n = 481 children under 15 years). We analysed the association between EP and health outcomes through prevalence differences and prevalence ratios (PR) and their 95% confidence interval (CI), using Poisson regression models with robust variance. In Barcelona, 10.6% of children were living in EP and large inequalities were found by sociodemographic, socioeconomic and housing characteristics. EP was strongly associated with poor health in children (PR (95% CI): 7.70 (2.86, 20.72)). Living in EP was also associated with poor mental health (PR (95% CI): 2.46 (1.21, 4.99)) and with more cases of asthma (PR (95% CI): 4.19 (1.47, 11.90)) and overweight (PR (95% CI): 1.50 (1.05, 2.15)) in children. It is urgent to develop specific measures to avoid such serious and unfair health effects on children.


Assuntos
Habitação , Pobreza , Criança , Cidades , Estudos Transversais , Europa (Continente) , Humanos , Fatores Socioeconômicos
18.
J Contemp Dent Pract ; 22(2): 199-204, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-34257183

RESUMO

AIM: The purpose of this review is to present the most recent bibliography regarding the etiology, risk factor indicators, types of dental neglect, and the epidemiological studies, showing the relationship between neglect and dental caries indices. Moreover, the review will focus on the role of oral healthcare professionals in evaluating such conditions. BACKGROUND: Untreated oral diseases, like dental caries, can lead to a variety of negative impacts on children including pain and infection. However, such complications can be prevented if a child's basic oral health needs are fulfilled. In addition, it is important to be aware that there are significant inequalities in accessing dental care and poverty, and such cases have to be distinguished from neglect. However, when there is adequate access to oral healthcare services and the parent or the guardian persistently fails to ensure appropriate medical care or treatment for his/her child, the possibility of dental neglect has to be seriously considered. REVIEW RESULTS: Dental neglect can be apart of a child's general neglect with short-term complications, such as caries, as well as long-term consequences that extend to adulthood, such as poor growth and impaired quality of life. CONCLUSION: Early diagnosis of dental neglect plays an important role in avoiding adverse impacts on children. Signs and risk factors for dental neglect should alert the dental team in order to intervene in time and prevent suspected cases. CLINICAL SIGNIFICANCE: Diagnosis of dental neglect can be difficult. However, identifying dental neglect at an early stage and making a child protection referral may safeguard the child and prevent further harm. For this reason, dentists should be informed about dental neglect and they should know how to deal with these cases. Effective education is necessary to increase knowledge and awareness of all aspects of child neglect.


Assuntos
Maus-Tratos Infantis , Cárie Dentária , Adulto , Criança , Maus-Tratos Infantis/diagnóstico , Cárie Dentária/epidemiologia , Feminino , Humanos , Masculino , Saúde Bucal , Pobreza , Qualidade de Vida
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