What is the Value of Social Determinants of Health in Dental Education?

Tiwari, Tamanna; Palatta, Anthony; Stewart, James

doi:10.31478/202004a

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…Currently, although SDoHs appear in the pre‐doctoral dental curriculum, the training on this subject is limited and fragmented in separate courses in dental public health, community engagement and cultural competency. Thus, there is the need for comprehensive SDoHs content that is integrated throughout the curriculum with emphasis on a holistic approach rather than the current biomedical‐centric training [15,16]. Such curriculum change can promote interdisciplinary collaboration within and outside the biomedical sciences (medicine, nursing, social workers, public health, social scientists, etc.)…”

Section: Figurementioning

confidence: 99%

Racism and oral health equity in the United States: Identifying its effects and providing future directions

Borrell

Williams

2022

J Public Health Dent

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While racial/ethnic oral health inequities have been documented for many years in the United States, the potential role of racism has not been examined until recently. In fact, the common practice has been to attribute racial/ethnic disparities in oral health to low socioeconomic position and/or the lack of access to care. In contrast, racism is considered a fundamental cause of a broad range of adverse health outcomes for racial/ethnic minorities. Emerging evidence on oral health suggests that racism can affect access to oral health and clinical decision-making by acting as a social determinant of health (SDoH). Specifically, SDoHs may affect access to quality dental care due to the lack of dental insurance, low dentist-population ratio in racial/ethnic minority communities and the lack of diversity in the dental profession. We describe potential mechanisms through which racism can affect important SDoHs that are essential to oral health equity, outline recommendations to mitigate its existing negative effects and propose interventions to minimize pathogenic effects of racism on oral health outcomes in the population.

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Section: Figurementioning

confidence: 99%

Racism and oral health equity in the United States: Identifying its effects and providing future directions

Borrell

Williams

2022

J Public Health Dent

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“…Consensus was made throughout the literature regarding the importance of experiential community service learning for learners' professional growth as it provides them an opportunity to gain a better understanding of barriers to care and follow a patient-centered care model (Tiwari et al, 2020). Such insight is suggested to be linked with personal growth, encouraging the development of future oral health providers who have the interpersonal skills necessary to provide individualized, high-standard care to patients (Bahammam & Bahammam, 2023).…”

Section: Discussionmentioning

confidence: 99%

“A life-changing experience and the beginning of a lifelong commitment”: Experiences and Impact of Global Health Community Service-Learning in Undergraduate Dental Curriculum

Jessani,

Athanasakos,

Kachwinya

2024

Preprint

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Background Global health community-service learning (GHCSL) can have a profound professional and personal impact on learners. This pedagogy provides understanding of unfamiliar environments and challenges them to step out of their comfort zones, adapt to new cultures, and navigate unique situations. Yet, there are relatively few qualitative studies exploring the experiences of learners participating in community service-learning placements in global regions. This current investigation aimed to explore the experiences and impact of the GHCSL program in East Africa among undergraduate dental students at Schulich Dentistry.Methods Eight undergraduate dental learners were enrolled in GHCSL pilot placements. Placement agreements were established with Makerere University in Kampala, Uganda, and the University of Rwanda in Kigali, Rwanda for the summer of 2022. The stakeholders from both institutions were engaged in the development and implementation of these placements. The learners were encouraged to engage in weekly reflection through a ‘storytelling and incident-based narrative’ while carrying out their placement. An inductive interpretive approach was utilized to thematically analyze the learners’ reflective essays.Results Five major themes emerged from the learners’ reflective essays: (1) experiential clinical learning; (2) enhanced cultural and social integration; (3) awareness of contrasting healthcare systems; (4) commitment to service; and (5) personal and professional growth. Most learners reflected on their engagement with diverse communities, being exposed to unique patient cases, and witnessing the adaptability exuded in resource-constrained environments. These experiences presented the learners with an opportunity to develop cultural competence and gain a newfound motivation and dedication to mitigate global oral health disparities in populations beyond that of their local communities. Learners also reflected on enhanced social integration experiences and the awareness of contrasting healthcare systems in Canada and their placements, which encouraged the development of empathy, communication, and compassion skills, as well as an understanding of the disproportionate burden of conditions in resource-constrained communities.Conclusion The reflective essays concluded that the GHCSL placements had a positive impact on the learners, encouraging many to develop a heightened desire for lifelong learning to address oral health disparities within a global context.

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“…While dental schools are now emphasizing the need to include SDOH training and have provided examples of didactic and clinical courses, workshops, and other innovative methodologies used to train dental students in understanding the importance of health inequities as they relate to oral health care, the authors of the study could not find a single example of seamless inclusion of SDOH across the learning continuum within the predoctoral dental curriculum [33,34]. Some SDOH, including English language proficiency and acculturation, greatly affect the oral health of Hispanics.…”

Section: Social Determinants Of Health Play a Significant Role In Ora...mentioning

confidence: 99%

Addressing social determinants of oral health, structural racism and discrimination and intersectionality among immigrant and non‐English speaking Hispanics in the United States

Ramos‐Gomez

Kinsler

2022

J Public Health Dent

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Background The Hispanic population is the largest (18.5%) and fastest growing non‐majority ethnic group in the United States (US), about half of whom are non‐US born, and bears one of the highest oral disease burdens. Most current knowledge around oral health disparities in Hispanic populations examine the individual factors of culture, acculturation, and socioeconomic status. However, the root causes of this inequity; oral health literacy (OHL), social determinants of health (SDOH), structural racism and discrimination (SRD) and the intersectionality among the three, have not been well‐studied. Addressing this critical gap will be central to advancing health equity and reducing oral health‐related disparities in the Hispanic population, especially among immigrant and non‐English speaking Hispanics. Results Recommendations for future OHL/SDOH/SRD‐related research in oral health targeting Hispanic populations should include: (1) examining the direct and indirect effects of OHL/SDOH/SRD‐related factors and intersectionality, (2) assessing the impact of SRD on oral health using zip‐code level measures, (3) examining the role of OHL and SDOH as potential effect modifiers on the relationship between SRD and oral health outcomes, (4) conducting secondary data analysis to identify demographic, social and structural‐level variables and correlations between and among variables to predict oral health outcomes, and (5) obtaining a deeper understanding of how OHL/SDOH and SRD factors are experienced among Hispanic immigrant and migrant populations. Conclusion It is hoped these recommendations will lead to a better understanding of the mechanisms through which OHL, SDOH and SRD impact oral health outcomes among the largest minority population in the US so they can be addressed.

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What is the Value of Social Determinants of Health in Dental Education?

Cited by 8 publications

References 10 publications

Racism and oral health equity in the United States: Identifying its effects and providing future directions

Racism and oral health equity in the United States: Identifying its effects and providing future directions

“A life-changing experience and the beginning of a lifelong commitment”: Experiences and Impact of Global Health Community Service-Learning in Undergraduate Dental Curriculum

Addressing social determinants of oral health, structural racism and discrimination and intersectionality among immigrant and non‐English speaking Hispanics in the United States

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