Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations
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open access
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Article
Date
2018
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International and American Association for Dental Research, Sage Publications
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University of Colorado Anschutz Medical Campus. School of Dental Medicine. Aurora, CO, USA
University of Adelaide. Adelaide Dental School. Australian Research Centre for Population Oral Health. South Australia, Australia
University of Otago. Faculty of Dentistry. Dunedin, New Zealand
University of Toronto. School of Dentistry. Toronto, Ontario, Canadá
University of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USA
Fundação Oswaldo Crua. Fiocruz Mato Grosso do Sul. Campo Grande, MS, Brazil
University of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USA
University of Adelaide. Adelaide Dental School. Australian Research Centre for Population Oral Health. South Australia, Australia
University of Otago. Faculty of Dentistry. Dunedin, New Zealand
University of Toronto. School of Dentistry. Toronto, Ontario, Canadá
University of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USA
Fundação Oswaldo Crua. Fiocruz Mato Grosso do Sul. Campo Grande, MS, Brazil
University of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USA
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Abstract
Abstract
Indigenous populations around the world experience a disproportionate burden in terms of oral diseases and conditions. These inequalities are likely due to a complex web of social determinants that includes poverty, historical consequences of colonialism, social exclusion, government policies of assimilation, cultural annihilation, and racism in all its forms (societal, institutional). Despite documented oral health disparities, prevention interventions have been scarce in Indigenous communities. This review describes oral health interventions and their outcomes conducted for Indigenous populations of the United States, Canada, Brazil, Australia, and New Zealand. The review includes research published since 2006 that are available in English in electronic databases, including MEDLINE. A total of 13 studies were included from the United States, Canada, Brazil, and Australia. The studies reviewed provide a wide range of initiatives, including interventions for prevention and treatment of dental disease, as well as interventions that improve oral health knowledge, behaviors, and other psychosocial factors. Overall, 6 studies resulted in improved oral health in the study participants, including improvements in periodontal health, caries reduction, and oral health literacy. Preferred intervention methodologies included community-based research approaches, culturally tailored strategies, and use of community workers to deliver the initiative. Although these studies were conducted with discrete Indigenous populations, investigators reported similar challenges in research implementation. Recommendations for future work in reducing oral health disparities include addressing social determinants of health in various Indigenous populations, training future generations of dental providers in cultural competency, and making Indigenous communities true partners in research.
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Keywords
Brazil, Indians, South American, Health of Indigenous Peoples, Access to Care, Community Dentistry, Epidemiology Community-based Research, Dental Public Health, Canada, New Zealand, United States
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Keywords in French
DeCS
Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Canadá, Nova Zelândia, Austrália, Saúde Bucal, Acesso aos Serviços de Saúde, Estados Unidos, Epidemiologia
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TIWARI, T.; JAMIESON, L.; BROUGHTON, J.; LAWRENCE, H.P.; BATLINER, T.S.; ARANTES, Rui; ALBINO, J.. Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations. Journal of Dental Research, New York, v. 97, n. 8, p. 869-877, 2018.
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ISSN
0022-0345
DOI
10.1177/0022034518763605