At the crossroads of oral health inequities and precision public health

被引:5
|
作者
Gansky, Stuart A. [1 ]
Shafik, Sarah [1 ]
机构
[1] Univ Calif San Francisco, Ctr Address Dispar Childrens Oral Hlth, Div Oral Epidemiol & Dent Publ Hlth, San Francisco, CA 94143 USA
关键词
precision medicine dental research; health disparities; health equity; public health; MEDICINE; CARIES; DETERMINANTS; DISPARITIES; CHALLENGES; PARADOX; TRIAL; LEGAL; CARE;
D O I
10.1111/jphd.12316
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
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. 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. Results Examples from general health and oral health were provided to illustrate salient concepts. 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.
引用
收藏
页码:S14 / S22
页数:9
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