International approaches to Indigenous dental care: what can we learn?

Patel, Jilen; Hearn, Lydia; Gibson, Barry; Slack‐Smith, Linda

doi:10.1111/adj.12219

Cited by 24 publications

(42 citation statements)

References 32 publications

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“…In the absence of referral options, discussion and education regarding oral health should be prioritised. The common-risk factor approach has been proposed as a way of improving the oral health of Indigenous Australians [48]. Given many health conditions share a common set of risk-factors to oral health, education could be bundled, and advice given holistically [48].…”

Section: Discussionmentioning

confidence: 99%

“…The common-risk factor approach has been proposed as a way of improving the oral health of Indigenous Australians [48]. Given many health conditions share a common set of risk-factors to oral health, education could be bundled, and advice given holistically [48]. Yet this approach is unlikely to be achieved while treatment is prioritised before prevention.…”

Section: Discussionmentioning

confidence: 99%

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Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

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Background: Many factors influence how a person experiences oral health and how such experiences may facilitate supportive oral health behaviours. Women in particular face different challenges due to their environment, responsibilities and physiological differences to men. Within Australia, Aboriginal and Torres Strait Islander women are reported to have poorer oral health and are faced with additional barriers to supporting their oral health compared with non-Indigenous women. The objective of this paper is to report the experiences and perceptions of oral health from the perspective of urban, Aboriginal and Torres Strait Islander women. Methods: The present data derive from a descriptive study that used yarning circles and face-to-face interviews with women who were mothers/carers of urban, Aboriginal and/or Torres Strait Islander children. This was a qualitative study to investigate the impact of child oral health on families. Participants used the opportunity to share their own personal experiences of oral health as women, thus providing data for the present analyses. Information collected was transcribed and analysed thematically. Results: Twenty women shared their personal narratives on the topic of oral health which were reflective of different time points in their life: growing up, as an adult and as a mother/carer. Although women are trying to support their oral health across their life-course, they face a number of barriers, including a lack of information and the costs of accessing dental care. The teenage years and pregnancy were reported as important time periods for oral health support. Conclusions: To improve the oral health of Indigenous Australian women, policymakers must consider the barriers reported by women and critically review current oral health information and services. Current oral health services are financially out of reach for Indigenous Australian women and there is not sufficient or appropriate, oral information across the life-course.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

et al. 2020

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“…Study findings have relevance for Indigenous populations internationally, particularly given the paucity of Indigenous oral/dental health data despite the excess burden of diabetes and oral/dental health inequities they experience . Findings also respond to calls for qualitative research that gauges the extent of oral/dental disease and disparity and ascertains the underlying sociocultural factors and their relationships . Finally, it contributes to increasing calls regarding the need for a medical‐dental protocol and/or professional education to address this bidirectional disease relationship…”

Section: Discussionmentioning

confidence: 84%

“…52 Findings also respond to calls for qualitative research that gauges the extent of oral/dental disease and disparity and ascertains the underlying sociocultural factors and their relationships. 53 Finally, it contributes to increasing calls regarding the need for a medical-dental protocol and/or professional education to address this bidirectional disease relationship. 54 A significant strength of this study is the purposive selection of a small number of diverse, information-rich case.…”

Section: Discussionmentioning

confidence: 99%

Oral and dental health and health care for Māori with type 2 diabetes: A qualitative study

Reid

Koopu

Burkhardt³

et al. 2019

Comm Dent Oral Epid

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Objectives Type 2 diabetes mellitus (T2DM) and periodontal disease are two highly prevalent, directly and independently associated long‐term conditions that disproportionately impact Indigenous Māori in New Zealand (NZ). Although poorly understood, a number of social and biological mechanisms connect these conditions. This qualitative study explored experiences of T2DM and oral and dental (hereafter oral/dental) health; access to oral/dental health care; whether participants’ experiences supported or challenged existing evidence; and sought suggestions for improving oral/dental health in a high‐deprivation rural area of Northland, NZ. Methods Participants (n = 33) meeting the study criteria: self‐identified Māori ethnicity, aged ≥ 18‐years with glycated haemoglobin (HBA1c) >65 mmol/L were recruited via the local primary care clinic in September‐December 2015; two left the study prior to data collection. During face‐to‐face semi‐structured interviews, participants (n = 31) were asked How does diabetes affect your teeth? and When did you last access dental care? Kaupapa Māori (KM) theory and methodology provided an important decolonizing lens to critically analyse the fundamental causes of Indigenous health inequities. Results Independent analysis of qualitative data by three KM researchers identified four themes: access barriers to quality care; pathways to edentulism; the ‘cost’ of edentulism; and, unmet need. Results contributed towards informing Mana Tū—an evidence‐based KM programme for diabetes in primary care—to be introduced in this and other communities from 2018. Conclusions Oral health is integral to diabetes management, and vice versa. Subsidized specialist referrals for oral‐dental health care for Māori with T2DM could improve glycaemic control and diabetes outcomes and reduce diabetes‐related complications among this population.

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“…Indigenous populations disproportionately bear the burden of this oral disease . These underlying disparities can be largely explained by multifactorial and multigenerational reasons including socioeconomic and geographical disadvantage, historical loss of culture and identity, which may have limited access to health care, and influenced factors such as diet …”

Section: Introductionmentioning

confidence: 99%

Oral Health Programmes in Indigenous Communities Worldwide—Lessons learned from the field: A qualitative systematic review

Tsai

Blinkhorn

Irving

2017

Comm Dent Oral Epid

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Successful programmes considered cultural appropriateness in their design-including extensive community engagement before, during and after implementation to enhance ownership of, and thus participation in the programme. Collaborative approaches were seen as an advantage, not only with Indigenous communities, but also with local health providers and organizations, with particular emphasis on incorporation into existing services. Challenges included low community participation, unstable funding and staffing issues. In addition, future programmes should also incorporate advocacy and community development, focus on changes to public policy, utilize evidence-based interventions that include traditional models of health, attempt to secure a stable funding base, target strategies to ensure staff retention and develop interventions that target the multilevel causes of general and oral health. This review provides an evidence base that can aid in the successful design, implementation and sustainability of oral health programmes for Indigenous people in the future.

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International approaches to Indigenous dental care: what can we learn?

Cited by 24 publications

References 32 publications

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

Yarning about oral health: perceptions of urban Australian Aboriginal and Torres Strait Islander women

Oral and dental health and health care for Māori with type 2 diabetes: A qualitative study

Oral Health Programmes in Indigenous Communities Worldwide—Lessons learned from the field: A qualitative systematic review

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