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At the crossroads of oral health inequities and precision public health.

Authors :
Gansky SA
Shafik S
Source :
Journal of public health dentistry [J Public Health Dent] 2020 Mar; Vol. 80 Suppl 1, pp. S14-S22. Date of Electronic Publication: 2019 May 07.
Publication Year :
2020

Abstract

Objectives: This paper reviews the precision public health literature pertaining to oral health, identifies possible threats that could inadvertently increase health inequities, and proposes potential opportunities that precision public health could utilize to reduce oral health inequities.<br />Methods: The health sciences literature was reviewed and supplemented with new data to identify important issues relating to precision medicine, precision oral health, precision public health, and health equity.<br />Results: Examples from general health and oral health were provided to illustrate salient concepts.<br />Conclusions: Future precision public health should utilize multifactorial, multi-level conceptual frameworks and conceptual causal models with upstream social determinants and downstream health effects, as well as a proportionate universalism perspective; and proper analytic methods, including sufficient sample sizes, appropriate statistical competitors, health disparity indices, causal modeling, and internal and external validation.<br /> (© 2019 American Association of Public Health Dentistry.)

Details

Language :
English
ISSN :
1752-7325
Volume :
80 Suppl 1
Database :
MEDLINE
Journal :
Journal of public health dentistry
Publication Type :
Academic Journal
Accession number :
31063590
Full Text :
https://doi.org/10.1111/jphd.12316