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Theoretical basis and explanation for the relationship between area-level social inequalities and population oral health outcomes – A scoping review

机译:区域级社会不平等与人口口腔健康结果之间关系的理论基础和解释–范围回顾

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摘要

This study was conducted to review the evidence on the association between area-level social inequalities and population oral health according to type and extent of social theories. A scoping review was conducted of studies, which assessed the association between area-level social inequality measures, and population oral health outcomes including self-rated oral health, number of teeth, dental caries, periodontal disease, tooth loss, oral health-related quality of life (OHRQoL) and dental pain. A search strategy was applied to identify evidence on PubMed, MEDLINE (Ovid), EMBASE, Web of Science, ERIC, Sociological Abstracts, Social Services Abstracts, references of selected studies, and further grey literature. A qualitative content analysis of the selected studies was conducted to identify theories and categorize studies according to their theoretical basis. A total of 2892 studies were identified with 16 included in the review. Seven types of social theories were used on 48 occasions within the selected studies including: psychosocial (n=13), behavioural (n=10), neo-material (n=10), social capital (n=6), social cohesion (n=4), material (n=3) and social support (n=2). Of the selected studies, four explicitly tested social theories as pathways from inequalities to population oral health outcomes, three used a theoretical construct, seven used theories for post-hoc explanation and two did not have any use of theory. In conclusion, psychosocial theories were used most frequently. Although theories were often mentioned, majority of these studies did not test a social theory.
机译:这项研究的目的是根据社会理论的类型和程度,回顾有关区域级社会不平等与人口口腔健康之间关系的证据。对研究进行了范围界定审查,评估了区域级社会不平等措施与人群口腔健康结局之间的关联,包括自我评估的口腔健康,牙齿数量,龋齿,牙周病,牙齿脱落,与口腔健康相关的质量(OHRQoL)和牙齿疼痛。应用搜索策略来识别PubMed,MEDLINE(Ovid),EMBASE,Web of Science,ERIC,社会学摘要,社会服务摘要,选定研究的参考文献以及其他灰色文献的证据。对所选研究进行了定性内容分析,以识别理论并根据理论基础对研究进行分类。总共鉴定了2892项研究,其中16项纳入评价。在选定的研究中,在48种场合使用了七种类型的社会理论,包括:社会心理(n = 13),行为(n = 10),新物质(n = 10),社会资本(n = 6),社会凝聚力( n = 4),物质(n = 3)和社会支持(n = 2)。在选定的研究中,有四项明确地检验了社会理论作为从不平等到人口口腔健康结果的途径,三项使用了理论结构,七种使用了事后解释,二种没有使用任何理论。总之,社会心理理论是最常用的。尽管经常提到理论,但这些研究大多数并未检验社会理论。

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