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Title: Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations
Authors: Tiwari, T.
Jamieson, L.
Broughton, J.
Lawrence, H.P.
Batliner, T.S.
Arantes, Rui
Albino, J.
Affilliation: 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
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.
Keywords: Brazil
Indians, South American
Health of Indigenous Peoples
Access to Care
Community Dentistry
Epidemiology Community-based Research
Dental Public Health
New Zealand
United States
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Nova Zelândia
Saúde Bucal
Acesso aos Serviços de Saúde
Estados Unidos
Issue Date: 2018
Publisher: International and American Association for Dental Research, Sage Publications
Citation: 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.
metadata.dc.identifier.doi: 10.1177/0022034518763605
ISSN: 0022-0345
Copyright: open access
Appears in Collections:EPI - Artigos de Periódicos

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