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加拿大原住民在口腔卫生服务提供与利用方面面临的关键挑战:一项范围综述。

Key Challenges for Indigenous Peoples of Canada in terms of Oral Health Provision and Utilization: A Scoping Review.

作者信息

Hussain Ahmed

机构信息

College of Dentistry, University of Saskatchewan, Health Science Building. Rm: E3332, 105 Wiggins Road, Saskatoon S7N 5E4, SK, Canada.

出版信息

Int J Dent. 2022 Sep 27;2022:7511213. doi: 10.1155/2022/7511213. eCollection 2022.

DOI:10.1155/2022/7511213
PMID:36203822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9532127/
Abstract

BACKGROUND

The oral health of Indigenous peoples in Canada is lacking compared with their non-Indigenous counterparts. This scoping assessment aimed to investigate the obstacles of providing and using oral healthcare among Indigenous peoples in Canada.

METHODS

The scoping review took place between December 15, 2021 and January 10, 2022. Five key databases were examined: PubMed, Scopus, ISI Web of Science, Embase, and PROQUEST. The data were analyzed using NVIVO software to facilitate understanding of the major themes, subthemes, and codes provided.

RESULTS

Seven major themes and eighteen subthemes were identified as impacting the oral health provision and utilization of Indigenous peoples in Canada. The major themes are individual characteristics, affordability, availability, accessibility, accommodation, acceptability, and public or government policy. Thus, to improve the oral health of the Indigenous peoples in Canada, an integrated approach is required to address these obstacles.

CONCLUSIONS

To address the oral health disparities among Indigenous peoples in Canada, policymakers should adopt an integrated approach.

摘要

背景

与加拿大非原住民相比,加拿大原住民的口腔健康状况欠佳。本范围评估旨在调查加拿大原住民在提供和使用口腔医疗保健方面的障碍。

方法

范围审查于2021年12月15日至2022年1月10日进行。检查了五个关键数据库:PubMed、Scopus、ISI科学网、Embase和PROQUEST。使用NVIVO软件对数据进行分析,以促进对所提供的主要主题、子主题和代码的理解。

结果

确定了七个主要主题和十八个子主题,它们影响着加拿大原住民的口腔健康提供和利用。主要主题包括个人特征、可承受性、可获得性、可及性、适应性、可接受性以及公共或政府政策。因此,为改善加拿大原住民的口腔健康,需要采取综合方法来应对这些障碍。

结论

为解决加拿大原住民之间的口腔健康差异,政策制定者应采取综合方法。

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本文引用的文献

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First Nations and Metis peoples' access and equity challenges with early childhood oral health: a qualitative study.第一民族和梅蒂斯人民在幼儿口腔健康方面的获取和公平挑战:一项定性研究。
Int J Equity Health. 2021 Jun 7;20(1):134. doi: 10.1186/s12939-021-01476-5.
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Relational continuity of oral health care in Indigenous communities: a qualitative study.
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Understanding and tackling oral health inequalities in vulnerable adult populations: from the margins to the mainstream.理解和解决弱势成年人群体中的口腔健康不平等问题:从边缘到主流。
Br Dent J. 2019 Jul;227(1):49-54. doi: 10.1038/s41415-019-0472-7.
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J Immigr Minor Health. 2020 Feb;22(1):96-101. doi: 10.1007/s10903-019-00872-y.
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Integrating preventive dental care into general Paediatric practice for Indigenous communities: paediatric residents' perceptions.将预防性牙科护理纳入原住民社区的普通儿科实践:儿科住院医师的看法。
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Reducing Indigenous Oral Health Inequalities: A Review from 5 Nations.减少原住民口腔健康不平等:来自 5 个国家的综述。
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