Trends in social inequalities in early childhood caries using population‐based clinical data

Lopez, Diego; Hegde, Shalika; Whelan, Martin; Dashper, Stuart; Tsakos, Georgios; Singh, Ankur

doi:10.1111/cdoe.12816

Cited by 2 publications

(4 citation statements)

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“…Зазначається, щоб подолати несправедливості та нерівності у здоров'ї ротової порожнини, яких можливо уникнути, потрібні скоординовані стратегічні дії, як на клінічному, так і на популяційному рівнях. Необхідна багатогранна стратегія, спрямована на основні чинники ризику захворювань порожнини рота, соціальні детермінанти нерівності у стані стоматологічного здоров'я [7,9,10].…”

Section: вступunclassified

“…2). У якості основи було використано компетентності зі стоматологічного громадського здоров'я, що рекомендуються закордонними фахівцями для основних провайдерів із забезпечення здоров'я ротової порожнини [7,9]. Експерти висловили узгоджену думку щодо важливості усіх компетентностей зі стоматологічного ГЗ (ICC=0,93; 95 % ДІ (0,85-0,97)).…”

Section: результатиunclassified

“…Дослідження провідних функцій та компетентностей зі стоматологічного ГЗ показує, що передовий досвід у зміцненні та профілактиці здоров'я порожнини рота може приймати різні форми, на кшталт зміни політики, спрямованої на покращення здоров'я порожнини рота, інтеграції у загальні програми підтримки здоров'я, надання послуг з догляду за ротовою порожниною або розробка спеціальних заходів для боротьби із нерівностями щодо стоматологічного здоров'я [3,4,5,7]. Дослідження підкреслюють ефективність громадських ініціатив та профілактичних заходів для покращення стоматологічного здоров'я дітей.…”

Section: дискусіяunclassified

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Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Kriachkova,

Korobko

2024

Clin. and prev. med.

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Introduction: Strengthening the dental public health (DPH) of the pediatric population requires prioritizing development with the identification of key stakeholders and their leading functions. The aim. To analyze the current state and identify prospects for intra-industry and inter-sectoral cooperation in the process of strengthening the dental public health of the child population to justify ways of optimization. Materials and methods. A cross-sectional study using expert assessments involving 15 highly competent experts (competence level above 0.85) was conducted through a specially designed program. Bibliosemantic and sociological methods were employed. Expert assessments and stakeholder mapping were performed, visualizing the «authority-interest» relationship of different interested groups on a two-dimensional model. The results were analyzed using standard statistical methods with the application of Jupyter Notebook (https://jupyter.org/install). Intra-class correlation coefficients were used to assess the agreement of expert opinions. A significance level of p<0.05 was considered critical in testing all statistical hypotheses. Results. The graphical analysis allowed for the identification of stakeholders and determination of their roles in the DPH system. Groups with high and low levels of power and interest were identified. The agreement among experts regarding the determination of power and interest was respectively ICC=0.76 (95% CI 0.56 – 0.91) and ICC=0.79 (95% CI 0.59 – 0.92). The necessity of targeted efforts with each group, considering their capabilities and limitations, was emphasized. Key stakeholders included families, communities, family physicians, public health institutions, pediatric dentists, and others. Primary functions aimed at strengthening children’s dental health were attributed to influencing determinants of dental health, intersectoral collaboration and support for relevant initiatives at the local level are essential. Conclusions. The importance of developing and implementing programs aimed at improving the dental health of the child population has been established. Emphasis is placed on the significance of collaboration among various stakeholders in supporting a strategic approach to managing DPH.

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Section: дискусіяunclassified

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Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Kriachkova,

Korobko

2024

Clin. and prev. med.

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“…Moreover, caries frequently affect groups living in vulnerable circumstances, such as children growing up in disadvantaged neighbourhoods [ 5 , 6 ]. Childhood caries mirrors socioeconomic and oral health inequalities [ 1 , 7 ]. Therefore, promoting and adopting healthy oral health behaviours early in life is urgent.…”

Section: Introductionmentioning

confidence: 99%

Understanding parental perspectives on young children’s oral health (≤ 4 years) growing up in a disadvantaged neighbourhood of Amsterdam, the Netherlands: an exploratory study

Balasooriyan,

van der Veen,

Bonifácio

et al. 2024

BMC Public Health

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Background Families’ understanding towards oral health problems among young children is poorly studied. More insight into parents’ experiences, especially of those living in disadvantaged neighbourhoods, is needed to address persistent oral health inequalities. This qualitative study aims to explore parental perspectives on children’s oral health (≤ 4 years) and the opportunities they see to improve children’s oral health. Methods Forty-seven mothers and five fathers with different migration backgrounds from a disadvantaged neighbourhood in Amsterdam, the Netherlands, participated in our study. Semi-structured interviews (n = 27), participant observations (n = 7) and one focus group discussion were conducted. A thematic data analysis was used. Results Parents describe their daily life with young children as busy, hectic and unpredictable. Parents seem to be most concerned about parenting. Mothers, in particular, feel fully responsible for raising their children and managing daily complexities. While most parents value their children’s oral health, they all experience challenges. Parents find it hard to limit daily candy intake and to handle unwilling children during tooth brushing. They feel limited support for these issues from their household, social network and professionals. Conclusion Parental struggles in children’s oral health are complex and interrelated as they occur across family, societal, community and professional levels. Given the complex daily reality of families with young children, establishing and maintaining healthy oral health habits seems not at the top of parents’ minds. They ask for advice in the upbringing of their children backed up by social support, increased attention to children’s oral health within the community and professional assistance. Collaborating with parents as knowledgeable partners might be the first step in acting upon the endeavour to address oral health inequality among young children.

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Trends in social inequalities in early childhood caries using population‐based clinical data

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 2 publications

References 33 publications

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Involvement of Different Stakeholder Groups in Ensuring Children’s Dental Public Health: Analysis and Perspectives

Understanding parental perspectives on young children’s oral health (≤ 4 years) growing up in a disadvantaged neighbourhood of Amsterdam, the Netherlands: an exploratory study

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