Reducing Oral Health Disparities: A Focus on Social and Cultural Determinants

Patrick, Donald L.; Lee, Rosanna Shuk Yin; Nucci, Michele; Grembowski, David; Jolles, Carol Zane; Milgrom, Peter

doi:10.1186/1472-6831-6-s1-s4

Cited by 280 publications

(296 citation statements)

References 71 publications

Supporting

Mentioning

269

Contrasting

Unclassified

Order By: Relevance

“…Improving access to dental services for young children is a goal best achieved by engaging caregivers and families in a culturally, linguistically, and literacy-appropriate manner. 20,40 Health literacy, although weakly associated with positive dental care-seeking patterns in this study, did not emerge as an important factor. Although more research is needed to clarify determinants such as specific skills and health literacy required for a child' s first preventive dental visit, 20 it is possible that there are stronger influences, including caregivers' perceptions and beliefs about oral health, and perceived barriers.…”

Section: Discussioncontrasting

confidence: 66%

Influence of Caregivers and Children’s Entry Into the Dental Care System

Divaris¹,

Lee²,

Baker³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

OBJECTIVES: Early preventive dental visits are essential in improving children’s oral health, especially young children at high risk for dental caries. However, there is scant information on how these children enter the dental care system. Our objectives were as follows: (1) to describe how a population-based cohort of young Medicaid-enrolled children entered dental care; and (2) to investigate the influence of caregiver characteristics on their children’s dental care–seeking patterns. METHODS: We relied on Medicaid claims and interview data of caregiver–child dyads who were enrolled in the Carolina Oral Health Literacy study during 2007–2008. The analytical cohort comprised 1000 children who had no dental visits before enrollment. Additional information was collected on sociodemographic characteristics, oral health status, health literacy, dental neglect, and access to care barriers. Our analyses relied on descriptive, bivariate, and multivariate methods. RESULTS: During the 25-month median follow-up period, 39% of the children (mean baseline age: 16 months) entered the dental care system, and 13% of their first encounters were for emergency care. Caregivers’ dental neglect emerged as a significant predictor of nonentrance. Children with reported oral health problems at baseline were more likely to enter the dental care system compared with children with better oral health, but they were also more likely to require emergency care. CONCLUSIONS: Caregivers have a pivotal role in children’s oral health and care. Interventions aimed at improving children’s oral health should involve community outreach to engage caregivers in a culturally appropriate manner when their children are infants or toddlers.

show abstract

Section: Discussioncontrasting

confidence: 66%

Influence of Caregivers and Children’s Entry Into the Dental Care System

Divaris¹,

Lee²,

Baker³

et al. 2014

Pediatrics

View full text Add to dashboard Cite

show abstract

“…24,45 Key elements for success in such projects include: (1) targeting across lifespan including prenatal and perinatal periods for oral health promotion and prevention strategies; 6 (2) distributing oral health education material to caregivers and expectant mothers; 6,30 (3) using Indigenous health workers in oral health promotion; 30,46 (4) presenting bilingual material; 6 (5) integrating oral health promotion into existing infrastructure such as prenatal and nutrition programmes, local health programmes and immunization visits; 6,12,26 and (6) local media advertising. 6,12 In general, projects and interventions that have arisen from direct community concerns and involvement are successful in the long-term.…”

Section: Implications For Interventionsmentioning

confidence: 99%

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

et al. 2014

View full text Add to dashboard Cite

Indigenous populations around the world have significantly poorer oral health and inequalities in access to dental care largely attribute to the social determinants of health. Reviewing international literature offers an opportunity to better understand appropriate approaches for policy and practice in Australia. This article is a descriptive narrative review based on primary research literature discussing informative international approaches to Indigenous dental care. Approaches identified in the literature included integration of dentistry with primary health care and traditional practice, training and use of oral health professionals and approaches used at different stages of life, particularly in the management of early childhood caries. The international literature provides a range of approaches to Indigenous oral health. Tailored, culturally appropriate family and community based initiatives that address the multidisciplinary issues confronting Indigenous communities were most highly regarded.Keywords: Indigenous, approaches to care, dental care, international, review, volunteers.Abbreviations and acronyms: ART = atraumatic restorative technique; DHAT = dental health aide therapist; ECC = early childhood caries; OHP = oral health professional; PCC = patient-centred care; WHO = World Health Organization.

show abstract

“…Generally social determinants interact with genetic components and personal determinants which develop an individual's biology, risk behaviours, environmental exposures, and access to resources that ultimately promote health. A graded relationship between social position and health status affects all persons in the social hierarchy [18]. Social determinants for oral health are same as the social determinants of health and have an impact on the oral status of the individuals belonging to different social strata [19].…”

Section: Discussionmentioning

confidence: 99%

Cognitive Ability as a Determinant of Socioeconomic and Oral Health Status among Adolescent College Students of Bengaluru, India

Karnam

Kumar²,

Eshwar³

et al. 2016

JCDR

View full text Add to dashboard Cite

Introduction: Levels of oral health and economic status are unequally distributed throughout the population. Inequality has multiple causes and that the effect of Socio Economic Status (SES) and demographic factors, on oral health is mediated through several factors. Association between cognitive ability and oral health had been demonstrated in older age groups but adolescents and younger adults have received relatively little attention in this field. Aim:To establish the role of cognitive ability as a determinant of SES and oral health status among adolescent college students of Benagluru, Karnataka, India. Materials and Methods:A cross-sectional study was conducted among 1000 adolescents aged 17-19 years. Six government and six private first grade colleges were selected by multistage random sampling. Cognitive ability was assessed using digit symbol substitution test and digit span test. Dental caries and periodontal status were recorded by extent of bleeding, presence of calculus, periodontal pockets, loss of attachments using Community Periodontal Index, decayed, missing and filled teeth surfaces using Decayed, Missing, Filled Teeth and Surfaces Index. SES status was assessed using Kuppuswamy scale. Chi-square test was used to check the association of cognitive ability with oral health indicators and SES status. Regression analysis was performed to assess the effect of cognitive ability on oral health indicators after adjusting for SES and effect of SES status on oral health indicators after adjusting for indicators of cognitive ability.Results: Significant association and negative correlation between cognitive ability and indicators for oral health was seen in the regression models. Cognitive ability attributed for nearly 30% changes in the indicators for oral health after adjusting for SES and SES attributed for nearly 25% variance in indicators for oral health after adjusting for cognitive ability.

show abstract

Reducing Oral Health Disparities: A Focus on Social and Cultural Determinants

Cited by 280 publications

References 71 publications

Influence of Caregivers and Children’s Entry Into the Dental Care System

Influence of Caregivers and Children’s Entry Into the Dental Care System

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

Cognitive Ability as a Determinant of Socioeconomic and Oral Health Status among Adolescent College Students of Bengaluru, India

Contact Info

Product

Resources

About