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社会资本与口腔健康促进:过去、现在及未来的挑战

Social capital and oral health promotion: Past, present, and future challenges.

作者信息

Knorst Jessica Klöckner, Vettore Mario Vianna, Ardenghi Thiago Machado

机构信息

Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, Brazil.

Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway.

出版信息

Front Oral Health. 2022 Nov 25;3:1075576. doi: 10.3389/froh.2022.1075576. eCollection 2022.

Abstract

Social capital has been widely inserted in health discussions in recent decades. In this sense, social capital has become a popular term and has been highlighted as one of the main determinants of health in the conceptual framework of the social determinants of the World Health Organization. The concept of social capital focuses on the positive consequences of sociability and places these consequences in the broader discussion of capital. In this sense, social capital reflects the benefits that individuals and communities derive from having broad social networks or high levels of social trust. Despite controversies regarding its definition and numerous criticisms, a growing body of evidence suggests that high levels of social capital benefit oral health. This factor has also been recognized as a potential softener of the impact of oral conditions on oral health, through behavioural and psychosocial processes. Thus, efforts to reduce inequities in oral health preferably should be based on their origins and on their complex causal process, such as the social determinants. The future challenges in the area are specially related to the development of interventions and health promotion actions that aim to stimulate social capital, aiming to reduce the impact of social inequalities on oral health throughout the life course.

摘要

近几十年来,社会资本已广泛融入健康相关讨论中。从这个意义上讲,社会资本已成为一个流行术语,并在世界卫生组织社会决定因素概念框架中被视为健康的主要决定因素之一。社会资本概念关注社交性的积极影响,并将这些影响置于更广泛的资本讨论中。从这个意义上说,社会资本反映了个人和社区从拥有广泛社会网络或高度社会信任中获得的益处。尽管其定义存在争议且受到诸多批评,但越来越多的证据表明,高水平的社会资本有益于口腔健康。通过行为和心理社会过程,这一因素也被认为是口腔状况对口腔健康影响的潜在缓冲因素。因此,减少口腔健康不平等现象的努力最好应基于其根源及其复杂的因果过程,比如社会决定因素。该领域未来的挑战尤其与旨在促进社会资本的干预措施和健康促进行动的发展相关,目的是在整个人生过程中减少社会不平等对口腔健康的影响。

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