scholarly journals Structural Determinants and Children’s Oral Health: A Cross-National Study

2018 ◽  
Vol 97 (10) ◽  
pp. 1129-1136 ◽  
Author(s):  
S.R. Baker ◽  
L. Foster Page ◽  
W.M. Thomson ◽  
T. Broomhead ◽  
K. Bekes ◽  
...  

Much research on children’s oral health has focused on proximal determinants at the expense of distal (upstream) factors. Yet, such upstream factors—the so-called structural determinants of health—play a crucial role. Children’s lives, and in turn their health, are shaped by politics, economic forces, and social and public policies. The aim of this study was to examine the relationship between children’s clinical (number of decayed, missing, and filled teeth) and self-reported oral health (oral health–related quality of life) and 4 key structural determinants (governance, macroeconomic policy, public policy, and social policy) as outlined in the World Health Organization’s Commission for Social Determinants of Health framework. Secondary data analyses were carried out using subnational epidemiological samples of 8- to 15-y-olds in 11 countries ( N = 6,648): Australia (372), New Zealand (three samples; 352, 202, 429), Brunei (423), Cambodia (423), Hong Kong (542), Malaysia (439), Thailand (261, 506), United Kingdom (88, 374), Germany (1498), Mexico (335), and Brazil (404). The results indicated that the type of political regime, amount of governance (e.g., rule of law, accountability), gross domestic product per capita, employment ratio, income inequality, type of welfare regime, human development index, government expenditure on health, and out-of-pocket (private) health expenditure by citizens were all associated with children’s oral health. The structural determinants accounted for between 5% and 21% of the variance in children’s oral health quality-of-life scores. These findings bring attention to the upstream or structural determinants as an understudied area but one that could reap huge rewards for public health dentistry research and the oral health inequalities policy agenda.

2013 ◽  
Vol 16 (2) ◽  
pp. 328-337 ◽  
Author(s):  
Camila Mello dos Santos ◽  
Fernando Neves Hugo ◽  
Andréa Fachel Leal ◽  
Juliana Balbinot Hilgert

Objective: To investigate if there is convergent validity between the dimensions of the World Health Organization Quality of Life Questionnaire-Brief Version (WHOQOL-Bref) and the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Methods: In this cross-sectional study, a random sample of 872 elderly Southern-Brazilians was evaluated. Questionnaires assessing socio-demographic data and quality of life in general (WHOQOL-Bref) and oral health-related quality of life (OHIP-14) were used. Analysis of the WHOQOL-Bref and OHIP-14 questionnaires used descriptive statistics. The dimensions of the WHOQOL-Bref and OHIP-14 questionnaires were correlated by affinity. The convergence between WHOQOL-Bref and OHIP-14 dimensions was analyzed by Spearman’s correlation coefficients. Results: The social relations dimension of the WHOQOL-Bref presented the greatest mean (18.24 ± 2.30). The physical pain dimension of the OHIP-14 presented a median of 1.0 (0.0 – 3.0). All correlations between the WHOQOL-Bref and OHIP-14 dimensions were significant, negative and associated with a low magnitude. The correlation between WHOQOL-physical and OHIP-functional limitation, OHIP-physical pain, OHIP-physical disability and OHIP-handicap were – 0.164, – 0.262, – 0.196 and – 0.125 respectively. WHOQOL-psychological was associated with OHIP-psychological discomfort and OHIP-psychological disability, and WHOQOL-social showed an association with OHIP-social disability. Conclusions: All correlations analyzed had a positive association of low magnitude. Despite the fact that the WHOQOL-Bref and OHIP-14 instruments have related dimensions, they measure physical, psychological and social relations differently.


2005 ◽  
Vol 113 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Jarno Savolainen ◽  
Anna-Liisa Suominen-Taipale ◽  
Hannu Hausen ◽  
Paivi Harju ◽  
Antti Uutela ◽  
...  

2020 ◽  
Vol 98 ◽  
pp. 103372
Author(s):  
Noren Hasmun ◽  
Mario V. Vettore ◽  
Jennifer A. Lawson ◽  
Claire Elcock ◽  
Halla Zaitoun ◽  
...  

2016 ◽  
Vol 50 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Marli Luiz Beluci ◽  
Katia Flores Genaro

Abstract OBJECTIVE To assesses the quality of life and the impact of oral health conditions in the pre- and post-surgical correction of dentofacial deformity of individuals with cleft lip and palate. METHOD Quantitative and prospective study in a referral hospital in the period from June 2011 to May 2013. A total of 50 participants responded the questionnaires World Health Organization Quality of Life - Bref (WHOQOL-Bref) and Oral Health Impact Profile - 14 (OHIP-14), approximately 3 days before and 3 to 12 months after surgery. The "t" test for paired samples and Wilcoxon test were used for statistical analysis with a significance level of 5%. RESULTS After surgery, differences were found in the domains: Physical, Psychological, Environmental and General Questions of the WHOQOL-Bref and domains: Psychological Discomfort, Psychological Disability, Social Disability, Handicap and Overall Score of OHIP-14. CONCLUSION Surgical correction of dentofacial deformity improved quality of life and had positive impact of oral health condition.


2017 ◽  
Vol 45 (5) ◽  
pp. 398-406 ◽  
Author(s):  
Francine dos Santos Costa ◽  
Marina Sousa Azevedo ◽  
Thiago Machado Ardenghi ◽  
Ricardo Tavares Pinheiro ◽  
Flávio Fernando Demarco ◽  
...  

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