Discipline of Dental Public Health, Department of Biological and Diagnostic Sciences, Faculty of Dentistry, University of Toronto, Canada.
Int Dent J. 2010 Jun;60(3 Suppl 2):229-34.
There has been a great deal of research describing the risk factors and determinants that impact on the health and well being of Aboriginal Canadians that has revealed tremendous oral health inequalities between these groups and their non-Aboriginal counterparts. Building on this research, culturally-based preventive interventions are now needed to address the significantly higher rates of oral disease among Aboriginals across Canada. Included in this article is an overview of oral health interventions targeted at First Nations, Inuit and Métis peoples in Canada, offering a glimpse of some of the innovative research initiatives originating from within Aboriginal communities that are being used to develop new health programmes and policies to improve the health and well being of this population. Particular emphasis is placed upon community-based and national initiatives to prevent dental caries in young Indigenous children that begin by improving the oral and general health of young women and mothers through pre-conception interventions. In addition, recently developed and implemented national First Nations- and Inuit-led oral health surveys are set to provide new evidence to inform future programmes and policy initiatives that will help to reduce dental disease burden and inequalities affecting Indigenous Canadians.
已经有大量研究描述了影响加拿大原住民健康和福祉的风险因素和决定因素，这些研究揭示了这些群体与非原住民之间存在巨大的口腔健康不平等。在此基础上，现在需要基于文化的预防干预措施来解决加拿大原住民中口腔疾病发病率显著较高的问题。本文概述了针对加拿大第一民族、因纽特人和梅蒂斯人的口腔健康干预措施，简要介绍了一些源自原住民社区的创新研究举措，这些举措正在被用于制定新的卫生方案和政策，以改善这部分人群的健康和福祉。特别强调了以社区和国家为基础的预防年轻土著儿童龋齿的倡议，这些倡议首先通过孕前干预来改善年轻妇女和母亲的口腔和整体健康。此外，最近制定和实施的由第一民族和因纽特人领导的全国性口腔健康调查，将为未来的方案和政策举措提供新的证据，以帮助减轻影响加拿大土著居民的口腔疾病负担和不平等。
