Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations

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dc.contributor.authorTiwari, T.
dc.contributor.authorJamieson, L.
dc.contributor.authorBroughton, J.
dc.contributor.authorLawrence, H.P.
dc.contributor.authorBatliner, T.S.
dc.contributor.authorArantes, Rui
dc.contributor.authorAlbino, J.
dc.creator.affilliationUniversity of Colorado Anschutz Medical Campus. School of Dental Medicine. Aurora, CO, USAen_US
dc.creator.affilliationUniversity of Adelaide. Adelaide Dental School. Australian Research Centre for Population Oral Health. South Australia, Australiaen_US
dc.creator.affilliationUniversity of Otago. Faculty of Dentistry. Dunedin, New Zealanden_US
dc.creator.affilliationUniversity of Toronto. School of Dentistry. Toronto, Ontario, Canadáen_US
dc.creator.affilliationUniversity of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USAen_US
dc.creator.affilliationFundação Oswaldo Crua. Fiocruz Mato Grosso do Sul. Campo Grande, MS, Brazilen_US
dc.creator.affilliationUniversity of Colorado Anschutz Medical Campus, School of Public Health. Aurora, CO, USAen_US
dc.date.accessioned2022-05-23T09:59:39Z
dc.date.available2022-05-23T09:59:39Z
dc.date.issued2018
dc.description.abstractenIndigenous 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.en_US
dc.identifier.citationTIWARI, 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.en_US
dc.identifier.doi10.1177/0022034518763605
dc.identifier.issn0022-0345
dc.identifier.urihttps://repositorio.bvspovosindigenas.fiocruz.br/handle/bvs/6945
dc.language.isoengen_US
dc.publisherInternational and American Association for Dental Research, Sage Publicationsen_US
dc.rightsopen accessen_US
dc.subject.decsBrasilen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsCanadáen_US
dc.subject.decsNova Zelândiaen_US
dc.subject.decsAustráliaen_US
dc.subject.decsSaúde Bucalen_US
dc.subject.decsAcesso aos Serviços de Saúdeen_US
dc.subject.decsEstados Unidosen_US
dc.subject.decsEpidemiologiaen_US
dc.subject.enBrazilen_US
dc.subject.enIndians, South Americanen_US
dc.subject.enHealth of Indigenous Peoplesen_US
dc.subject.enAccess to Careen_US
dc.subject.enCommunity Dentistryen_US
dc.subject.enEpidemiology Community-based Researchen_US
dc.subject.enDental Public Healthen_US
dc.subject.enCanada
dc.subject.enNew Zealand
dc.subject.enUnited States
dc.titleReducing Indigenous Oral Health Inequalities: A Review from 5 Nationsen_US
dc.typeArticleen_US
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