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

TitleStructural Determinants and Children’s Oral Health: A Cross-National Study
Authors
Keywordssocial determinants
quality of life
inequalities
caries
risk factors
Issue Date2018
PublisherSage Publications, Inc. The Journal's web site is located at http://jdr.sagepub.com/
Citation
Journal of Dental Research, 2018, v. 97 n. 10, p. 1129-1136 How to Cite?
AbstractMuch 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.
Persistent Identifierhttp://hdl.handle.net/10722/279136
ISSN
2019 Impact Factor: 4.914
2015 SCImago Journal Rankings: 1.714

 

DC FieldValueLanguage
dc.contributor.authorBaker, SR-
dc.contributor.authorFoster Page, L-
dc.contributor.authorThomson, WM-
dc.contributor.authorBroomhead, T-
dc.contributor.authorBekes, K-
dc.contributor.authorBenson, PE-
dc.contributor.authorAguilar-Diaz, F-
dc.contributor.authorDo, L-
dc.contributor.authorHirsch, C-
dc.contributor.authorMarshman, Z-
dc.contributor.authorMcGrath, C-
dc.contributor.authorMohamed, A-
dc.contributor.authorRobinson, PG-
dc.contributor.authorTraebert, J-
dc.contributor.authorTurton, B-
dc.contributor.authorGibson, BJ-
dc.date.accessioned2019-10-21T02:20:14Z-
dc.date.available2019-10-21T02:20:14Z-
dc.date.issued2018-
dc.identifier.citationJournal of Dental Research, 2018, v. 97 n. 10, p. 1129-1136-
dc.identifier.issn0022-0345-
dc.identifier.urihttp://hdl.handle.net/10722/279136-
dc.description.abstractMuch 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.-
dc.languageeng-
dc.publisherSage Publications, Inc. The Journal's web site is located at http://jdr.sagepub.com/-
dc.relation.ispartofJournal of Dental Research-
dc.rightsJournal of Dental Research. Copyright © Sage Publications, Inc.-
dc.subjectsocial determinants-
dc.subjectquality of life-
dc.subjectinequalities-
dc.subjectcaries-
dc.subjectrisk factors-
dc.titleStructural Determinants and Children’s Oral Health: A Cross-National Study-
dc.typeArticle-
dc.identifier.emailMcGrath, C: mcgrathc@hkucc.hku.hk-
dc.identifier.authorityMcGrath, C=rp00037-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/0022034518767401-
dc.identifier.pmid29608864-
dc.identifier.scopuseid_2-s2.0-85045058719-
dc.identifier.hkuros307932-
dc.identifier.volume97-
dc.identifier.issue10-
dc.identifier.spage1129-
dc.identifier.epage1136-
dc.publisher.placeUnited States-

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