School of Health and Biosciences, Pontifical Catholic University of Paraná (PUCPR), Curitiba, PR, Brazil.
Int Dent J. 2014 Apr;64(2):83-8. doi: 10.1111/idj.12066. Epub 2013 Oct 22.
The global health scenario shows an epidemic of non-communicable diseases that lead to long-term chronic conditions, some of which are incurable. Many infectious diseases, owing to their development and length, also generate chronic conditions. Similarly, non-morbid states, such as pregnancy, and some life cycles such as adolescence and ageing, follow the same logic. Among all these chronic conditions there is a significant interrelationship with oral health, both in parallel events and common risk factors. This article presents cross-sectional qualitative research into World Health Organisation recommended health policies to address chronic conditions. Several documents published by the organisation were analysed to verify the presence of references to oral health in relation to chronic conditions, particularly cardiovascular diseases and diabetes as these most frequently have oral manifestations. The analysis showed no significant references to oral health or its indicators within the published texts. The study recognises the value of the work developed by the World Health Organisation, as well as its worldwide leadership role in the development of health policies for chronic conditions. This article proposes a coalition of dentistry organisations that could, in a more forceful and collective way, advocate for a greater presence of oral health in drafting policies addressing chronic conditions.
全球卫生状况显示出非传染性疾病的流行,这些疾病导致长期的慢性疾病,其中一些是不可治愈的。许多传染病由于其发展和持续时间,也会产生慢性疾病。同样,非病态状态,如妊娠,以及某些生命周期,如青春期和衰老,遵循同样的逻辑。在所有这些慢性疾病中,口腔健康与它们之间存在着显著的相互关系,既有平行的事件,也有共同的危险因素。本文对世界卫生组织推荐的应对慢性疾病的卫生政策进行了横断面定性研究。分析了该组织发布的几份文件,以验证与慢性疾病(特别是心血管疾病和糖尿病)相关的口腔健康方面的参考资料,因为这些疾病最常表现出口腔症状。分析结果显示,在已发表的文本中,没有提到口腔健康或其指标。该研究认识到世界卫生组织所开展工作的价值,以及该组织在制定慢性疾病卫生政策方面的全球领导作用。本文提出了一个牙科组织联盟的建议,该联盟可以以更有力和更具集体性的方式倡导在起草应对慢性疾病的政策时更加重视口腔健康。