Were NZ's structural changes to the welfare state in the early 1990s associated with a measurable increase in oral health inequalities among children?

Thomson, W. Murray; Williams, Sheila; Dennison, Peter J.; Peacock, David

doi:10.1111/j.1467-842x.2002.tb00361.x

Cited by 25 publications

(24 citation statements)

References 5 publications

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“…One issue is that mortality rates for some groups (particularly men) in eastern Europe were rising before the imposition of neoliberalism (Marmot, 2007;Carlson and Hoffmann, 2010), making it difficult for quantitative analyses to determine plausible cause and effect relationships (Earle and Gehlbach, 2011). While it is fairly clear that wealth inequality has widened since neoliberalisation, which in and of itself has been shown to have had a detrimental effect on health outcomes and health inequalities (Muntaner et al, 2002;Thomson et al, 2002;Navarro et al, 2003;Navarro et al, 2006;Leinsalu et al, 2008;Beckfield and Krieger, 2009;Klomp and de Haan, 2009;Tracy et al, 2009), other pathways from neoliberalisation to health still lack clarity, particularly in this region.…”

Section: Neoliberalism and Healthmentioning

confidence: 98%

Understanding the impacts of industrial change and area-based deprivation on health inequalities, using Swidler’s concepts of cultured capacities and strategies of action

Garnham

2015

Soc Theory Health

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This article will explore the utility of Swidler's concepts of cultured capacities and strategies of action in mapping the pathways through which area-based, multiple deprivation and inequality impact upon resources for health, health outcomes and health inequalities. It will be argued that these concepts have the potential to bring the collective and aggregated impacts of resource distribution to the fore in unpicking the processes through which area-based inequalities become manifest in health outcomes. This has the potential to illuminate the some of the economic, social and political processes though which neoliberalism has generated widening health inequalities in the United Kingdom. To that end, these concepts will be employed in a case study of the postindustrial town of Clydebank. It will consider the implications for population health of changes in: the amount and quality of employment on offer; the quality and affordability housing; and the accessibility of social and political resources for those who live in more deprived areas. Swidler's concepts will be used to theoretically map the relationships between the growing wealth inequalities, widening place-based inequalities and increasing health inequalities observed over the past few decades in the United Kingdom.

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Section: Neoliberalism and Healthmentioning

confidence: 98%

Understanding the impacts of industrial change and area-based deprivation on health inequalities, using Swidler’s concepts of cultured capacities and strategies of action

Garnham

2015

Soc Theory Health

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“…36 In support of this argument, the changes in economic policy in the early 1990s in New Zealand were associated with widening inequalities in caries experience between Maori children and their European counterparts. 37 Although Australia also undertook economic reform from the mid 1980s, the deregulation of the labour market, for example, was less radical in Australia than in New Zealand and may not have had any measurable health impact. Although the reasons for social inequality in adult oral health remain to be fully understood, there is adequate evidence of these inequalities in the Australian adult population.…”

Section: Discussionmentioning

confidence: 99%

Social Inequality: Social inequality in perceived oral health among adults in Australia

Sanders

Spencer

2004

Australian and New Zealand Journal of Public Health

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Objective: To establish population estimates of self‐assessed tooth loss and subjective oral health and describe the social distribution of these measures among dentate adults in Australia. Methods: Self‐report data were obtained from a nationally representative sample of 3,678 adults aged 18–91 years who participated in the 1999 National Dental Telephone Interview Survey and completed a subsequent mail survey. Oral health was evaluated using (1) self‐assessed tooth loss, (2) the 14‐item Oral Health Impact Profile, and (3) a global six‐point rating of oral health. Results: While the absolute difference in tooth loss across household income levels increased at each successive age group (18–44 years, 45–64 years, 65+ years) from 0.7 teeth to 6.1 teeth, the magnitude of the difference was approximately twofold at each age group. For subjective oral health measures, the magnitude of difference across income groups was most pronounced in the 18–44 years age group. In multivariate analysis, low household income, blue‐collar occupation, and high residential area disadvantage were positively associated with social impact from oral conditions and pathological tooth loss. Speaking other than English at home (relative to English), low household income (relative to high income), and vocational relative to tertiary education were each associated with more than twice the odds of poor self‐rated oral health. Conclusions: Significant social differentials in perceived oral health exist among dentate adults. Inequalities span the socio‐economic hierarchy. Implications: In addition to improving overall levels of oral health in the adult community, goals and targets should aim to reduce social inequalities in the distribution of outcomes.

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“…22 It may be hypothesised that, in contrast to the more objective determinations of severity in physical conditions, ratings of mental health symptoms by predominantly non-Maori/Pacific Island clinicians may be subject to cultural misunderstanding and misinterpretation. While we have no information on the process of assessment itself, relevant studies from elsewhere have reported inconsistent results.…”

Section: Discussionmentioning

confidence: 99%

Ethnicity, deprivation and mental health outcomes

Trauer¹,

Eagar²,

Mellsop³

2006

Aust. Health Review

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Were NZ's structural changes to the welfare state in the early 1990s associated with a measurable increase in oral health inequalities among children?

Abstract: Results: In the years 1995, 1996, 1997, 1998, 1999 and 2000, complete

Cited by 25 publications

References 5 publications

Understanding the impacts of industrial change and area-based deprivation on health inequalities, using Swidler’s concepts of cultured capacities and strategies of action

Understanding the impacts of industrial change and area-based deprivation on health inequalities, using Swidler’s concepts of cultured capacities and strategies of action

Social Inequality: Social inequality in perceived oral health among adults in Australia

Ethnicity, deprivation and mental health outcomes

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