Structural determinants and children’s oral health: a cross-national study
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Universitário da Ânima (RUNA) |
Texto Completo: | https://repositorio.animaeducacao.com.br/handle/ANIMA/2653 |
Resumo: | 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. |
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Structural determinants and children’s oral health: a cross-national studySocial determinantsQuality of lifeInequalitiesCariesMuch 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.2019-10-30T16:29:48Z2020-11-26T17:38:28Z2019-10-30T16:29:48Z2020-11-26T17:38:28Z2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1129 - 1136application/pdf1544-05911010https://repositorio.animaeducacao.com.br/handle/ANIMA/265397LondresAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessBaker, S.R.Foster Page, LThomson, W.M.Broomhead, TBekes, K.Aguilar-Diaz, F.Do, L.Hirsch, C.Marshman, Z.McGrath, C.Mohamed, A.Robinson, P.G.Traebert, JeffersonTurton, BGibson, B.J.engreponame:Repositório Universitário da Ânima (RUNA)instname:Ânima Educaçãoinstacron:Ânima2021-08-11T17:33:26Zoai:repositorio.animaeducacao.com.br:ANIMA/2653Repositório InstitucionalPRIhttps://repositorio.animaeducacao.com.br/oai/requestcontato@animaeducacao.com.bropendoar:2021-08-11T17:33:26Repositório Universitário da Ânima (RUNA) - Ânima Educaçãofalse |
dc.title.none.fl_str_mv |
Structural determinants and children’s oral health: a cross-national study |
title |
Structural determinants and children’s oral health: a cross-national study |
spellingShingle |
Structural determinants and children’s oral health: a cross-national study Baker, S.R. Social determinants Quality of life Inequalities Caries |
title_short |
Structural determinants and children’s oral health: a cross-national study |
title_full |
Structural determinants and children’s oral health: a cross-national study |
title_fullStr |
Structural determinants and children’s oral health: a cross-national study |
title_full_unstemmed |
Structural determinants and children’s oral health: a cross-national study |
title_sort |
Structural determinants and children’s oral health: a cross-national study |
author |
Baker, S.R. |
author_facet |
Baker, S.R. Foster Page, L Thomson, W.M. Broomhead, T Bekes, K. Aguilar-Diaz, F. Do, L. Hirsch, C. Marshman, Z. McGrath, C. Mohamed, A. Robinson, P.G. Traebert, Jefferson Turton, B Gibson, B.J. |
author_role |
author |
author2 |
Foster Page, L Thomson, W.M. Broomhead, T Bekes, K. Aguilar-Diaz, F. Do, L. Hirsch, C. Marshman, Z. McGrath, C. Mohamed, A. Robinson, P.G. Traebert, Jefferson Turton, B Gibson, B.J. |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Baker, S.R. Foster Page, L Thomson, W.M. Broomhead, T Bekes, K. Aguilar-Diaz, F. Do, L. Hirsch, C. Marshman, Z. McGrath, C. Mohamed, A. Robinson, P.G. Traebert, Jefferson Turton, B Gibson, B.J. |
dc.subject.por.fl_str_mv |
Social determinants Quality of life Inequalities Caries |
topic |
Social determinants Quality of life Inequalities Caries |
description |
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. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018 2019-10-30T16:29:48Z 2019-10-30T16:29:48Z 2020-11-26T17:38:28Z 2020-11-26T17:38:28Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
1544-0591 10 10 https://repositorio.animaeducacao.com.br/handle/ANIMA/2653 |
identifier_str_mv |
1544-0591 10 |
url |
https://repositorio.animaeducacao.com.br/handle/ANIMA/2653 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
97 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1129 - 1136 application/pdf |
dc.coverage.none.fl_str_mv |
Londres |
dc.source.none.fl_str_mv |
reponame:Repositório Universitário da Ânima (RUNA) instname:Ânima Educação instacron:Ânima |
instname_str |
Ânima Educação |
instacron_str |
Ânima |
institution |
Ânima |
reponame_str |
Repositório Universitário da Ânima (RUNA) |
collection |
Repositório Universitário da Ânima (RUNA) |
repository.name.fl_str_mv |
Repositório Universitário da Ânima (RUNA) - Ânima Educação |
repository.mail.fl_str_mv |
contato@animaeducacao.com.br |
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1767415843507929088 |