University of Maryland School of Dentistry, Baltimore, USA.
Graduate Program in Public Health, Federal University of Santa Catarina, Florianópolis, Brazil.
Community Dent Oral Epidemiol. 2023 Feb;51(1):28-35. doi: 10.1111/cdoe.12822. Epub 2023 Feb 7.
Major sociohistorical processes have profound effects on oral health, with impacts experienced through structural oppression manifested in policies and practices across the lifespan. Structural oppression drives oral health inequities and impacts population-level oral health. In this global perspective paper, we challenge old assumptions about oral health inequities, address misleading conceptualizations in their description and operation and reframe oral health through the lens of intersecting systems of oppression. Furthermore, we emphasize the need for oral health researchers to explore causal pathways through which oppression harms oral health and engage in social science concepts to understand the root causes of oral health inequities fully. Finally, we call on policymakers, dental scholars and decision makers to consider health equity in all policies and to take a systems-oriented approach to effectively address oral health inequities.
主要的社会历史进程对口腔健康有深远的影响，这种影响通过贯穿整个生命周期的政策和实践中的结构性压迫表现出来。结构性压迫导致了口腔健康的不平等，并影响了人口层面的口腔健康。在这篇全球视角的论文中，我们挑战了关于口腔健康不平等的旧假设，解决了其描述和运作中存在的误导性概念，并通过交叉压迫系统的视角重新构建了口腔健康。此外，我们强调口腔健康研究人员需要探索压迫如何通过因果途径损害口腔健康，并运用社会科学概念全面理解口腔健康不平等的根本原因。最后，我们呼吁政策制定者、牙科学者和决策者在所有政策中考虑公平性，并采取系统导向的方法来有效解决口腔健康不平等问题。
