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Cited by 221Dental Health and Care UtilizationPublic Health and Social InequalitiesHealth disparities and outcomes

Global Oral Health Inequalities: Task Group—Implementation and Delivery of Oral Health Strategies

Sheiham, A., Alexander, D., Cohen, L., Marinho, V., Moysés, S., Petersen, P.E., Spencer, J., Watt, R.G. +1 more·2011·Advances in Dental Research
DOI 10.1177/0022034511402084
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Abstract

This paper reviews the shortcomings of present approaches to reduce oral diseases and inequalities, details the importance of social determinants, and links that to research needs and policies on implementation of strategies to reduce oral health inequalities. Inequalities in health are not narrowing. Attention is therefore being directed at determinants of major health conditions and the extent to which those common determinants vary within, between, and among groups, because if inequalities in health vary across groups, then so must underlying causes. Tackling inequalities in health requires strategies tailored to determinants and needs of each group along the social gradient. Approaches focusing mainly on downstream lifestyle and behavioral factors have limited success in reducing health inequalities. They fail to address social determinants, for changing people’s behaviors requires changing their environment. There is a dearth of oral health research on social determinants that cause health-compromising behaviors and on risk factors common to some chronic diseases. The gap between what is known and implemented by other health disciplines and the dental fraternity needs addressing. To re-orient oral health research, practice, and policy toward a ‘social determinants’ model, a closer collaboration between and integration of dental and general health research is needed. Here, we suggest a research agenda that should lead to reductions in global inequalities in oral health.

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  • Implementation gaps represent not only inefficiencies in health systems but also active mechanisms through which social and health inequities are perpetuated.

    “implementation gaps represent not only inefficiencies in health systems but also active mechanisms through which social and health inequities are perpetuated.20”

    From Mapping evidence on implementation research in oral health: a global scoping review protocol (2026) · cites this paper as [20]

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Authors
Sheiham, A., Alexander, D., Cohen, L., Marinho, V., Moysés, S., Petersen, P. E., Spencer, J., Watt, R. G., & Weyant, R.
Affiliations
  • University College London (GB)
  • FDI World Dental Federation (CH)
  • National Institutes of Health (US)
  • Queen Mary University of London (GB)
  • Pontifícia Universidade Católica do Paraná (BR)
  • World Health Organization (CH)
  • The University of Adelaide (AU)
  • University of Pittsburgh (US)
Corresponding author
Sheiham, A.
ORCID
Venue
Advances in Dental Research
Publisher
SAGE Publications
Published
2011-04-13
Volume
23
Issue
2
Pages
259-267
ISSN
  • 0895-9374 (ISSN-L)
  • 1544-0737
DOI
10.1177/0022034511402084
OpenAlex
W2010351409
Cited by
221
References
55
Citations by year
2026: 5 · 2025: 2 · 2024: 12 · 2023: 15 · 2022: 15 · 2021: 15 · 2020: 17 · 2019: 19 · 2018: 14 · 2017: 17 · 2016: 14 · 2015: 19 · 2014: 16 · 2013: 20 · 2012: 16
FWCI
22.43
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Advances in Dental Research (publishedVersion)
  • PubMed (publishedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Social Sciences › Health › Public Health and Social Inequalities
  • Social Sciences › Health › Health disparities and outcomes
Keywords
oral health disparities, social determinants of health, oral diseases, social gradient, health policy, research agenda, interdisciplinary collaboration, chronic disease risk factors, global oral health
MeSH terms
Health Plan Implementation, Health Policy, Health Promotion, Health Services Research, Humans, Oral Health, Socioeconomic Factors, Global Health, Health Behavior, Focus Groups, Dental Research, Health Status Disparities, Healthcare Disparities, Translational Research, Biomedical

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