Salutogenic factors for oral health among older people: an integrative review connecting the theoretical frameworks of Antonovsky and Lalonde

Shmarina, Elena; Ericson, Dan; Åkerman, Sigvard; Axtelius, Björn

doi:10.1080/00016357.2020.1849790

Cited by 5 publications

(2 citation statements)

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“…These findings reinforce several individual statements within a common conceptual and empirical framework that integrates functional, biological, and psychosocial aspects, 10 after adjusting for the main determinants demonstrated for functional dentition and oral health, 46 nutrition, 32 and MMSE. 33 Consequently, the effects of functional dentition on the intake of multiple nutrients and food groups are well known.…”

Section: Discussionsupporting

confidence: 82%

Functional dentition and well‐being among Chilean 80‐year‐olds

et al. 2023

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BackgroundThe Decade of Healthy Aging 2021‐2030 calls for a strengthening of the policies for older people in Latin America. An example of successful oral aging is the Japanese “8020” campaign, which achieved 50% of people aged 80 years having ≥20 teeth by 2016.ObjectiveTo evaluate the association between having a functional dentition (≥20 teeth) and cognitive health, social participation, and quality of life in people aged ≥80 years.MethodsCross‐sectional data from 299 complete observations (weighted N = 436 981) of individuals aged ≥80 years from Chile's National Health Survey 2016‐2017 were included (3% of the population; total = 5520 clinical observations/weighted N = 14 518 969). Generalised structural equation models (GSEM) evaluated the association between having a functional dentition and cognitive health, measured with the Mini‐mental score, between having a functional dentition and social participation, and between having a functional dentition and quality of life, measured with the EQ‐5D‐3L. Models included the effect of mediators (daily fruit and vegetable consumption; oral health‐related quality of life score) and controlled for the exposure‐induced mediator‐outcome variables: sex, educational level, and location. Data were analysed using the STATA‐17 survey module. Statistical significance was set at P < .05 (95% confidence interval [CI]).ResultsThe sample was mostly female, had <8 years of education, and lived in urban areas. The prevalence of a functional dentition was 9.2% (95% CI 3.6,21.3/n = 21). GSEM demonstrated that the association between functional dentition and cognitive health was mediated by daily fruits and vegetables consumption (β = 0.12/95% CI 0.02,0.21/P = .015), with moderate strength of evidence. Additionally, there was strong evidence of an association between functional dentition and social participation frequency (β = 2.76/95% CI 0.60,4.73/P = .009). Finally, the association between functional dentition and quality of life was mediated by cognitive health (β =0.05/95% CI 0.02,0.09/P = .002) and oral health‐related quality of life (β = −0.04/95% CI −0.08 to −0.01/P = .025), with strong and moderate evidence, respectively.ConclusionGiven the beneficial implications of functional dentition in social participation, nutritional benefits and quality of life and well‐being of individuals aged ≥80 years.

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Section: Discussionsupporting

confidence: 82%

Functional dentition and well‐being among Chilean 80‐year‐olds

et al. 2023

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“…They coincide in including the population group called neighborhood as a DSS, the neighborhood being understood as a multifunctional system and social group formed by individuals from the same building, neighborhood or municipality and characterized by civic engagement, collective values, trust, and strong relationships; thus, civic engagement constitutes a potential antidote against increasing urban densification and loss of structures (Levine et al., 2018). According to Lalonde's Model, neighborhood is framed by the determinant environment, referring to psychosocial and socio‐cultural influences, and is related to people's state of health or illness (Lalonde, 1974; Shmarina et al., 2021). Engel's (1977) Biopsychosocial Model of Health sustains and corroborates that the social factor neighborhood and its social interaction influence and condition the health or illness of individuals.…”

Section: Introductionmentioning

confidence: 99%

The relationship between neighborhood social capital and health from a biopsychosocial perspective: A systematic review

Magro‐Montañés,

Pabón‐Carrasco,

Romero‐Castillo

et al. 2024

Public Health Nursing

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BackgroundThe Social Determinants of Health (SDH) influence the health of people throughout their lives, and can be positive, protective or risk factors for the population and, in turn, biological, psychological, or social. The social environment conditions the health status of the neighborhood, population, and social group, which can be a health asset due to its strong psychosocial and socio‐cultural influence. Social capital is a community asset of the healthy neighborhood that must be known in order to promote community health.ObjectivesThe objective is to determine the relationship between social capital and neighborhood biopsychosocial health.MethodsA systematic review was conducted based on PRISMA: PubMed, Wos, Scopus, Embase, and Cochrane databases. The search was conducted from January to March 2023. Three authors independently extracted data using a structured form.ResultsOut of 527 records, 17 results passed the inclusion and exclusion criteria. The positive and statistically significant relationship between neighborhood social capital (NSC) and the physical and mental health of neighbors is confirmed, that is, the higher the NSC, the more exercise, better oral health in children and physical health in pregnant women, lower tobacco consumption and lower prevalence of human immunodeficiency virus. At the psychological level, greater NSC leads to better mental health, mental well‐being, life satisfaction, quality of life, self‐perceived health, higher cognitive function, and less depression.ConclusionsIn conclusion, social capital is an important SDH and health asset that influences neighborhood biopsychosocial health and should be known and researched for health promotion in community settings. More evidence is needed to support the results obtained.

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