Crall James J., Forrest Christopher B.
Division of Public Health and Community Dentistry, University of California Los Angeles (UCLA) School of Dentistry, Los Angeles, CA, USA
Applied Clinical Research Center, Children’s Hospital of Pennsylvania, Philadelphia, PA, USA
This chapter outlines major concepts and principles embodied in the Life Course Health Development framework, examines evidence relating various aspects of major oral health-related conditions to this framework, and includes recommendations for advancing research and policy concerning oral health. LCHD provides a highly useful approach for understanding oral health determinants, disparities, and influences on general health and well-being and for advancing knowledge, policies, and programs to optimize health across individuals and populations. Substantial gaps exist in our current knowledge concerning how oral health is developed and influenced across the lifespan and the —pathways and trajectories, early programming, critical or sensitive periods, cumulative impact, and risk and protective factors—can help further our understanding of the determinants of oral health and disease and oral health disparities. LCHD also can serve as a valuable guide for developing a more contemporary conceptualization and definition of oral health which represents oral health as a more integral and integrated component of overall health and well-being of the individual.
本章概述了生命历程健康发展框架中所体现的主要概念和原则，审视了与主要口腔健康相关状况的各个方面与该框架相关的证据，并提出了推进口腔健康研究和政策的建议。生命历程健康发展为理解口腔健康的决定因素、差异以及对总体健康和幸福的影响，以及推进知识、政策和项目以优化个体和人群的健康提供了一种非常有用的方法。在我们目前关于口腔健康如何在整个生命周期中发展和受到影响的知识方面存在很大差距，而诸如途径和轨迹、早期编程、关键或敏感期、累积影响以及风险和保护因素等，可以帮助我们进一步理解口腔健康和疾病的决定因素以及口腔健康差异。生命历程健康发展还可以作为一个有价值的指南，用于发展更现代的口腔健康概念化和定义，即将口腔健康视为个体整体健康和幸福中更不可或缺且相互关联的组成部分。
