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Singh A, Yassin HW, Mills S. Integrating root cause analysis in dental education for patient-centered and holistic care. J Dent Educ 2024. [PMID: 38888510 DOI: 10.1002/jdd.13622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 05/13/2024] [Accepted: 05/26/2024] [Indexed: 06/20/2024]
Affiliation(s)
| | - Hassan W Yassin
- School of Public Health, University of Saskatchewan, Saskatoon, Canada
| | - Sheryl Mills
- USask Health Sciences, University of Saskatchewan, Saskatoon, Canada
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Fisher J, Matanhire-Zihanzu C, Buse K. A new approach to oral health can lead to healthier societies. BMJ 2024; 385:q925. [PMID: 38653524 DOI: 10.1136/bmj.q925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Affiliation(s)
- Julian Fisher
- Center for Integrative Global Oral Health, University of Pennsylvania, Philadelphia, USA
| | - Cleopatra Matanhire-Zihanzu
- Faculty of Medicine and Health Sciences, Department of Oral Health, University of Zimbabwe, Harare, Zimbabwe
| | - Kent Buse
- Global Healthier Societies Program, George Institute for Global Health, Imperial College London, London, UK
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Varzakas T, Antoniadou M. A Holistic Approach for Ethics and Sustainability in the Food Chain: The Gateway to Oral and Systemic Health. Foods 2024; 13:1224. [PMID: 38672896 PMCID: PMC11049237 DOI: 10.3390/foods13081224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 04/12/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024] Open
Abstract
Food production is a complex matter, affecting people's lives, organizations' profits, and the well-being of the whole planet, and has multifaceted ethical considerations surrounding its production, distribution, and consumption. This paper addresses the pressing need to confront ethical challenges within the food system, encompassing issues such as environmental sustainability, food security, and individual food choices for better oral and systemic health of all individuals around the globe. From agricultural practices to global trade and food waste, ethical implications are addressed across various domains, highlighting the interconnectedness of ethical decision-making in the food industry. Central themes explored include the ethical dimensions of food production methods, the impact of global trade on food ethics, and the role of individuals in making ethically informed food choices. Additionally, this paper considers the spiritual and physical significance of food, particularly through the lens of oral health as a gateway to holistic well-being. Recognizing the complexity of the food and mouth ecosystem, this paper calls for serious interventions in legislation and economics to promote ethical protocols and techniques for sustainability reasons. It emphasizes the importance of ethical considerations in food safety management systems, regulatory frameworks, and quality standards. Moreover, this paper underlines the need for a comprehensive approach to address ethical dilemmas and moral values inherent in the food industry and oral health policies, adopting the precautionary principle and ethical decision-making frameworks. This article finally aims to serve as a call to action for stakeholders across the food industry and the healthcare sector, to prioritize ethical practices, promote transparency, rearrange economic parameters, and work towards a more sustainable and equitable food system for inner and outer oral and systemic health and human sustainability for all.
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Affiliation(s)
- Theodoros Varzakas
- Department Food Science and Technology, University of the Peloponnese, 24100 Kalamata, Greece
| | - Maria Antoniadou
- Department of Dentistry, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece
- Certified Systemic Analyst Program in Systemic Management (CSAP), University of Piraeus, 18534 Piraeus, Greece
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Fisher J, Splieth C, Matanhire-Zihanzu C, Glick M. Advancing the concept of global oral health to strengthen actions for planetary health and One Health. Int J Equity Health 2024; 23:71. [PMID: 38622718 PMCID: PMC11017574 DOI: 10.1186/s12939-024-02176-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Accepted: 04/05/2024] [Indexed: 04/17/2024] Open
Abstract
Advancing the concept of global oral health can help tackle the triple planetary crises of climate change, nature and biodiversity loss, and pollution and waste. A model for oral and planetary health places more explicit focus on understanding the state of the Earth's systems, changing environment in relation to planetary health boundaries and their impact on human well-being. This can facilitate a planet-centric critical thinking for equity in global oral health that contributes to UN 2030 Agenda for Sustainable Development.
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Affiliation(s)
- Julian Fisher
- Center for Integrative Global Oral Health, University of Pennsylvania, School of Dental Medicine, 240 S. 40th Street, 3rd Floor East, Philadelphia, USA.
| | - Christian Splieth
- Präventive Zahnmedizin und Kinderzahnheilkunde, University of Greifswald, Fleischmannstr. 42, Greifswald, 17487, Germany
| | - Cleopatra Matanhire-Zihanzu
- Department of Oral Health, Faculty of Medicine and Health Sciences, University of Zimbabwe, MP167 Mt Pleasant, Harare, Zimbabwe
| | - Michael Glick
- Center for Integrative Global Oral Health, University of Pennsylvania, School of Dental Medicine, 240 S. 40th Street, 3rd Floor East, Philadelphia, USA
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Everingham H, Vance-Chalcraft HD, Moss ME. Trends in dental visits among US adults from 1997 through 2019: Implications for policy reform. J Am Dent Assoc 2024; 155:312-318.e2. [PMID: 38363251 DOI: 10.1016/j.adaj.2023.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 10/20/2023] [Accepted: 11/20/2023] [Indexed: 02/17/2024]
Abstract
BACKGROUND Examination of serial cross-sectional national surveys from a representative sample of the population can identify patterns and help support policy development. METHODS The authors used data from the National Health Interview Survey on US adults reporting a dental visit in the past 12 months to examine trends from 1997 through 2019. Groups analyzed were based on sociodemographic factors including residence in a metropolitan statistical area, race and ethnicity, family income level, and geographic region. RESULTS Over the 23-year period, the authors found differences for family income level, living in a rural (nonmetropolitan vs metropolitan) area, race and ethnicity, and geographic region (P < .0001). When stratified by family income, racial disparities have diminished. Gaps in dental service use are long-standing for rural nonmetropolitan communities. CONCLUSIONS Relative to urban locales, rural communities experienced persistent disparities in the use of the oral health care delivery system throughout the 23 years measured. Strategies to create innovative models of care are needed to address oral health needs in underserved rural communities. PRACTICAL IMPLICATIONS Policy is needed to foster a shift toward population health that will incentivize a health care system that reduces financial barriers and enhances health outcomes for adult oral health, especially for rural areas.
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Clément C, Lvovschi VE, Verot E, du Sartz de Vigneulles B, Darlington-Bernard A, Bourgeois D, Lamure M, Vitiello F, Dussart C, Carrouel F. Supporting health education policies: translation, cross-cultural adaptation and validation of a health literacy instrument, in French. Front Public Health 2023; 11:1326771. [PMID: 38179573 PMCID: PMC10764472 DOI: 10.3389/fpubh.2023.1326771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 12/04/2023] [Indexed: 01/06/2024] Open
Abstract
Background Oral health is a fundamental human right and is inseparable and indivisible from overall health and well-being. Oral Health Literacy (OHL) has been proved to be fundamental to promoting oral health and reducing oral health inequalities. To our knowledge, no OHL instrument to evaluate OHL level is currently validated in French language despite the fact it is the fifth most widely spoken languages on the planet. The Oral health literacy Instrument (OHLI) appears to be the most interesting OHL instrument to adapt into French because it is already available in English, Spanish, Russian, Malaysian, and it contains both reading comprehension and numeracy sections. Its psychometric properties have been rated as adequate. Objective The aim of this study was to translate and adapt cross-culturally the OHLI into French, to evaluate its psychometric properties and to compare its results to oral health knowledge. Method This study followed and applied well-established processes of translation, cross-cultural adaptation and validation, based on the recommendations of the World Health Organization guidelines and on the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) study design checklist for patient-reported outcomes. Two psychometric assessments were planned, the comparison of OHLI-F scores according to education level and frequency of dental visits, and the test-retest reliability of the OHLI-F. Results A total of 284 participants answered the OHLI-F. The OHLI-F scores were significantly different between participants with different levels of education and frequency of dental visits (p < 0.001). Participants with an education level lower than the baccalaureate, and those who never visit the dentist or only in case of pain, had significantly lower OHLI-F scores. Internal consistency was excellent (Cronbach's alpha = 0.881-0.914). Test-retest reliability was very high (intraclass correlation = 0.985 to 0.996). Conclusion The OHLI-F has demonstrated adequate psychometric properties and can therefore be used to measure oral health literacy in French-speaking populations.
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Affiliation(s)
- Céline Clément
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
- Laboratory “Interpsy”, UR 4432, University of Lorraine, Nancy, France
| | - Virginie-Eve Lvovschi
- Laboratory “Research on Healthcare Performance” (RESHAPE), INSERM U1290, University Claude Bernard Lyon 1, Lyon, France
- Hospices Civils of Lyon, Lyon, France
| | - Elise Verot
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
- PRESAGE Institute, University Jean Monnet, Saint-Etienne, France
- CIC 1408 Inserm, CHU of Saint-Etienne, Saint-Etienne, France
| | - Benjamin du Sartz de Vigneulles
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Adeline Darlington-Bernard
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Denis Bourgeois
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Michel Lamure
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
| | - Flavia Vitiello
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
- PRESAGE Institute, University Jean Monnet, Saint-Etienne, France
| | - Claude Dussart
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
- Hospices Civils of Lyon, Lyon, France
| | - Florence Carrouel
- Laboratory “Health, Systemic, Process” Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, Lyon, France
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