Structural determinants and children’s oral health: a cross-national study

Baker, S.R.; Foster Page, L; Thomson, W.M.; Broomhead, T; Bekes, K.; Aguilar-Diaz, F.; Do, L.; Hirsch, C.; Marshman, Z.; McGrath, C.; Mohamed, A.; Robinson, P.G.; Traebert, Jefferson; Turton, B; Gibson, B.J.

Structural determinants and children’s oral health: a cross-national study

dc.contributor.author	Baker, S.R.
dc.contributor.author	Foster Page, L
dc.contributor.author	Thomson, W.M.
dc.contributor.author	Broomhead, T
dc.contributor.author	Bekes, K.
dc.contributor.author	Aguilar-Diaz, F.
dc.contributor.author	Do, L.
dc.contributor.author	Hirsch, C.
dc.contributor.author	Marshman, Z.
dc.contributor.author	McGrath, C.
dc.contributor.author	Mohamed, A.
dc.contributor.author	Robinson, P.G.
dc.contributor.author	Traebert, Jefferson
dc.contributor.author	Turton, B
dc.contributor.author	Gibson, B.J.
dc.coverage.spatial	Londres	pt_BR
dc.date.accessioned	2019-10-30T16:29:48Z
dc.date.accessioned	2020-11-26T17:38:28Z
dc.date.available	2019-10-30T16:29:48Z
dc.date.available	2020-11-26T17:38:28Z
dc.date.issued	2018	pt_BR
dc.description.abstract	Much 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.	pt_BR
dc.format.extent	1129 - 1136	pt_BR
dc.identifier.issn	1544-0591	pt_BR
dc.identifier.other	10	pt_BR
dc.identifier.other	10	pt_BR
dc.identifier.uri	https://repositorio.animaeducacao.com.br/handle/ANIMA/2653
dc.language.iso	en_US	pt_BR
dc.relation.ispartofseries	97	pt_BR
dc.rights	Attribution-NonCommercial-NoDerivs 3.0 Brazil	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/br/	*
dc.subject	Social determinants	pt_BR
dc.subject	Quality of life	pt_BR
dc.subject	Inequalities	pt_BR
dc.subject	Caries	pt_BR
dc.title	Structural determinants and children’s oral health: a cross-national study	pt_BR
dc.type	Artigo de Periodico	pt_BR
local.affiliation.ies	Unisul
local.author.curso	Produção Científica	pt_BR
local.author.unidade	Ânima	pt_BR
local.rights.policy	Acesso aberto	pt_BR
local.subject.area	Ciências da Saúde	pt_BR
local.subject.areaanima	Ciências Humanas	pt_BR