Silva Andréa Neiva da, Mendonça Maria Helena Magalhães de, Vettore Mario Vianna
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2008;24 Suppl 4:s521-30. doi: 10.1590/s0102-311x2008001600005.
Theoretical frameworks on health promotion focusing on social determinants of oral health have highlighted promising approaches for improving the oral health of populations and reducing inequities in oral health. In the last two decades the salutogenic theory has gained ground in the field of health promotion, but not in oral health promotion. Instead of focusing on risk factors and behavior change, the theory highlights the importance of resources and the ability to use them. The model's central construct, sense of coherence (SOC), suggests explanations of the relationship between life stressors and health status. The stronger the SOC, the more successfully people will cope with stressors and thus maintain their health. This paper discusses the potential of the salutogenic theory to guide the development of actions in the five fields of oral health promotion: creating supportive environments; promoting health through public policy; strengthening community action; developing personal skills; and reorienting health services. The theory can serve as a framework for oral health promotion measures that strengthen the available resources, create better ones, and enable people to identify and benefit from them.
关注口腔健康社会决定因素的健康促进理论框架，突出了改善人群口腔健康和减少口腔健康不平等现象的可行方法。在过去二十年中，健康生成理论在健康促进领域得到了认可，但在口腔健康促进领域却并非如此。该理论并非关注风险因素和行为改变，而是强调资源及其利用能力的重要性。该模型的核心概念，即连贯感（SOC），解释了生活压力源与健康状况之间的关系。SOC越强，人们应对压力源并维持健康的能力就越强。本文探讨了健康生成理论在指导口腔健康促进五个领域行动发展方面的潜力：营造支持性环境；通过公共政策促进健康；加强社区行动；培养个人技能；以及调整卫生服务方向。该理论可作为口腔健康促进措施的框架，用以加强现有资源、创造更好的资源，并使人们能够识别并从中受益。
