Understanding behavioural changes through community-based participatory research to promote oral health in socially disadvantaged neighbourhoods in Southern Sweden

Ramji, Rathi; Carlson, Elisabeth; Brogårdh-Roth, Susanne; Olofsson, Anna; Kottorp, Anders; Rämgård, Margareta

doi:10.1136/bmjopen-2019-035732

Cited by 21 publications

(24 citation statements)

References 54 publications

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“…We did not find differences in the prevalence of ECC between developed and developing countries. According to previous reports, countries with universal health care coverage were more likely to have lower ECC prevalence; 13 , 14 countries with higher gross national income reported a higher prevalence of ECC; 15 , 16 income inequality measures were reported to be inversely related to caries prevalence in 5–6 years old children countries with more remarkable economic growth have higher ECC prevalence, 17 and a higher percentage of caries were reported in children living in poor social conditions such as in urban slums due to high sugar consumption in their diet. 18 In a recent report, Folayan et al 14 noted a significant variation in the percentage of 3- to 5-year-olds with ECC in low and middle-income countries using the indicator for monetary poverty.…”

Section: Discussionmentioning

confidence: 97%

Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting

Abdelrahman¹,

Hsu²,

Melo³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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A bstract Objective This review aims to identify variances and research gaps in the early childhood caries (ECC) prevalence within countries and the global community by mapping current evidence. Materials and methods We performed a literature search in PubMed/MEDLINE and Web of Science to identify English-language, peer-reviewed epidemiologic studies published from January 1999 to January 2019. Abstracts and full-text articles were dual-screened based on predefined eligibility criteria. We classified outcomes by children's age and countries based on economic status. Ranges of reported caries prevalence and median values by country and age were calculated and evidence-mapped. Results Out of 915 studies, 59 studies met the inclusion criteria. The most significant number of reports were from the USA, Brazil, and India. The ranges of prevalence (1–96%) among the studies were large. The calculated median caries prevalence values may better estimate countries’ prevalence than the reported ranges. Early childhood caries prevalence's highest median values were found for South Korea studies (54%) for children <3-year-old and from Bosnia (81%) for children 3–6 years old. No apparent difference was found in the prevalence of ECC from developed and developing countries. Conclusion This mapping review reflects the ranges and median values of ECC worldwide. Overall, the reported prevalence of ECC in most countries is very high. No apparent difference was found in the prevalence of ECC from developed and developing countries. Reported ranges of ECC, as well as heterogeneity and methodological issues, hamper comparisons across studies globally. Clinical significance The global ECC prevalence ranges are extreme. Median data may provide a structure for future epidemiological studies to optimizing healthcare resources for caries interventions globally. How to cite this article Abdelrahaman M, Hsu K-L, Melo MA, et al. Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting. Int J Clin Pediatr Dent 2021;14(1):1–7.

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Section: Discussionmentioning

confidence: 97%

Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting

Abdelrahman¹,

Hsu²,

Melo³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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“…Further, intervention delivery at the organization would not only lower the threshold for taking part, the participants themselves could also be involved in the development and delivery of the intervention, for example as local champions for certain topics. Such participatory formats could also help to overcome motivational barriers and might increase participants' sense of having control over their own lives ( 6 , 40 , 41 ).…”

Section: Discussionmentioning

confidence: 99%

Health Literacy Needs Among Unemployed Persons: Collating Evidence Through Triangulation of Interview and Scoping Review Data

Samkange‐Zeeb

Singh

Lakeberg

et al. 2022

Front. Public Health

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BackgroundUnemployed persons are at high risk for low health literacy. Most studies addressing health literacy of unemployed persons focus on risk factors for low health literacy or correlates of health literacy, but studies on needs of unemployed persons regarding health literacy are scarce. We aimed to obtain better understanding of health literacy needs of unemployed adults by triangulating the results from a scoping review on health literacy needs in unemployed adults and additional in-depth qualitative interviews.MethodsScoping review: We searched six databases up to January 2021 as well as gray literature for relevant studies following PRISMA-ScR guidelines. Titles, abstracts, and full texts were screened independently by two researchers. Qualitative study: Ten participants of a job-reintegration program in Germany were interviewed following a guideline covering topics including health issues of interest to the participants, their sources of health-related information and the barriers/facilitators they experience when accessing health services.ResultsScoping review: After screening 2,966 titles and abstracts, 36 full texts were considered, and five articles fulfilled the inclusion criteria. Four focused on mental health literacy and outcomes, while the fifth assessed information-seeking practices. One additional report on health literacy was identified via the gray literature search. Awareness of one's condition was identified as a facilitator for mental health help-seeking, while fear of harmful effects of medication prevented help-seeking. Qualitative study: Participants were interested in and were generally well-informed about health topics such as nutrition and physical activity. The main challenge perceived was translating the knowledge into practice in daily life. GPs and the social services providers played an important role as a source of health information and advice. Regarding mental health, similar barriers, facilitators and needs were identified through triangulation of findings of the scoping review with those of the interviews.ConclusionsThere is need to address health literacy needs of long-term unemployed persons that go beyond mental health literacy. Public health interventions should not only aim at improving health literacy scores, but also focus on how to help participants translate health literacy into practice. Population groups of interest should also be involved in all processes of designing interventions.

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“…Many good health promotion initiatives exist [ 33 , 34 ], but social institutions and other societal actors need to become more health literate. For this, it is necessary to develop new strategies and measures.…”

Section: Discussionmentioning

confidence: 99%

Facilitating health promoting ideas and actions: participatory research in an underserved Swedish residential area

et al. 2022

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Background For an intervention to contribute to decreased health gaps, people living in underserved areas must participate in the research-to-action process during the development of the intervention. The purpose of this study was to collaborate with residents living in a Swedish underserved area to generate health and wellness priorities and actions. Methods We applied Group Level Assessment (GLA) together with people living in a Swedish neighborhood where obesity, dental caries and other illnesses are prevalent. GLA is a qualitative, participatory methodology that is designed for a large group to generate and evaluate relevant needs and priorities within a lens of action for positive social change. Residents were recruited by posters, postcards and snowball sampling. In total, 47 residents participated. Eight GLA sessions were held over a five-month time period. Results The GLA sessions resulted in reflections, proposals and actions for change by the residents. Adolescent and parent need for support, improved communication and more meeting places were highlighted as priorities for promoting health and well-being. The results were presented for stakeholders in a report and an exhibition and some of the participants started a language café. Conclusions GLA emphasised the participants’ perspective. The participatory process helped them identify what they thought valuable and relevant concerning health issues and supported them in taking actions to achieve change.

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Understanding behavioural changes through community-based participatory research to promote oral health in socially disadvantaged neighbourhoods in Southern Sweden

Cited by 21 publications

References 54 publications

Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting

Mapping Evidence on Early Childhood Caries Prevalence: Complexity of Worldwide Data Reporting

Health Literacy Needs Among Unemployed Persons: Collating Evidence Through Triangulation of Interview and Scoping Review Data

Facilitating health promoting ideas and actions: participatory research in an underserved Swedish residential area

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