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重新定义口腔健康:呼吁在口腔健康概念中纳入包容性。

Redefine oral health: a call for inclusivity in the concept of oral health.

作者信息

Foláyan Moréniké Oluwátóyìn, Ndembi Nicaise, Abodunrin Olunike Rebecca, Haire Bridget

机构信息

The Africa Oral Health Network (AFRONE), Alexandria University, Alexandria, Egypt.

Department of Child Dental Health, Obafemi Awolowo University, Ile Ife, Nigeria.

出版信息

Front Oral Health. 2025 May 7;6:1543770. doi: 10.3389/froh.2025.1543770. eCollection 2025.

Abstract

Current, globally accepted definitions of oral health emphasize pain-free functionality, expressive capacity, and specific psychosocial dimensions that contribute to self-confidence, well-being, and societal participation. However, these definitions inadvertently exclude diverse lived experiences by framing oral health solely through a lens of "normal" functionality and absence of discomfort, failing to consider the ways in which oral health can be experienced uniquely by different individuals and communities. The narrow focus on "pain-free" oral health excludes valid aspects of sexual expression, which may involve consensual oral activities that some find pleasurable even if associated with discomfort. This manuscript examines the limitations of the WHO and FDI definitions of oral health, critiques their exclusion of minority perspectives, and advocates for a more inclusive, holistic approach. Such an approach recognizes the complex and varied ways oral health intersects with identity, intimacy, and societal norms. Normalizing discussions on oral sexual health are essential to advancing a comprehensive understanding of well-being and reducing stigma around sexual minority experiences. Expanding oral health definitions to accommodate broader conceptions of intimacy and pleasure can enhance public health policy, clinical practice, and education, fostering a comprehensive understanding of well-being that reduces stigma around sexual minority experiences and further marginalization of sexual minorities in accessing inclusive care.

摘要

当前,全球公认的口腔健康定义强调无痛功能、表达能力以及有助于自信、幸福感和社会参与的特定心理社会层面。然而,这些定义无意中排除了多样化的生活经历,因为它们仅从“正常”功能和无不适的角度来界定口腔健康,没有考虑到不同个体和社区体验口腔健康的独特方式。对“无痛”口腔健康的狭隘关注排除了性表达的有效方面,性表达可能涉及一些人认为即使伴有不适但仍令人愉悦的双方自愿的口腔活动。本文探讨了世界卫生组织(WHO)和国际牙科联合会(FDI)口腔健康定义的局限性,批评了它们对少数群体观点的排斥,并倡导采用更具包容性、整体性的方法。这种方法认识到口腔健康与身份认同、亲密关系和社会规范相互交织的复杂多样方式。使关于口腔性健康的讨论常态化对于促进对幸福感的全面理解以及减少围绕性少数群体经历的污名化至关重要。扩大口腔健康定义以容纳对亲密关系和愉悦感的更广泛概念,能够加强公共卫生政策、临床实践和教育,促进对幸福感的全面理解,减少围绕性少数群体经历的污名化,并避免性少数群体在获得包容性护理时进一步被边缘化。

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