Download or read book Understanding how Community level Oral Health Promotion Programs for Humanitarian Migrants Work for Whom in which Contexts and why written by Negin Eslamiamirabadi and published by . This book was released on 2022 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Humanitarian migrants suffer from poor oral health conditions (e.g., dental caries and periodontitis) due to factors such as their difficult migration journeys, financial limitations, language barriers, and lack of access to dental services. Oral diseases can negatively impact general health and can reduce quality of life. Community-level oral health promotion programs for humanitarian migrants are complex interventions; whether and how they work is highly dependent on the context. This thesis advances a realist review protocol to understand how community-level oral health promotion programs for humanitarian migrants work, for whom, in which contexts, and why. Methods: Realist review is a theory-driven knowledge synthesis methodology than can be used to evaluate complex public health programs. It uses a heuristic called "context-mechanism-outcome (CMO) configurations" to understand how contexts can impact how participants respond to program resources, leading to the outcomes. We have developed our protocol using Pawson's five stages of realist review: clarifying scope, searching for evidence, appraisal and data extraction, data analysis and synthesis, dissemination. Results: This thesis includes the following: (i) an introduction and a review of the literature regarding humanitarian migrants' oral health and community-level programs for promoting oral health in these populations; (ii) the foundations of the realist review methodology, as well as a manuscript regarding how to conceptualize 'resources' in realist research; (iii) a manuscript providing the protocol for our realist review; and (iv) a discussion about how to conduct and then make use of the findings of this realist review project. Conclusion: The findings of this realist review project will help inform the design and adjustment of community-level oral health promotion programs for humanitarian migrants for optimized effectiveness. Realist review is a relatively new methodology for explaining what it is about a program that works, for which subgroups, in which situations, to what extent and why. It aims to account for the complexity of public health programs that is overlooked in conventional evaluations. Realist reviews are increasingly gaining popularity in oral health research; therefore, our protocol can guide oral health researchers in their future projects using this approach"--
Download or read book Understanding Oral Health and Dental Care Pathways of Refugees and Asylum Seekers in Montreal written by Mark Keboa and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "IntroductionApproximately 25,000 refugees and asylum seekers (humanitarian migrants) arrive in Canada each year. The health of this population is fragile, often requiring urgent care upon arrival. We conducted a scoping review in order to understand the burden of oral diseases among humanitarian migrants globally. The only Canadian study we found suggested poor oral health and limited access to oral health care for this population.Humanitarian migrants can benefit from urgent dental care during their first 12 months in Canada. The dental coverage from the Interim Federal Health Program (IFHP) is limited to relief of pain from dental disease or fracture. The policy of the IFHP is subject to amendments that may result in precarious dental coverage for humanitarian migrants. We know little about the oral health awareness and practices of humanitarian migrants and do not understand how they navigate the dental care system in Canada. Further, the roles and experiences of dentists and allied health care providers (e.g., social workers) working with humanitarian migrants in need of oral health care have not received adequate attention from researchers.The purpose of this study was to understand oral health and dental care experiences of humanitarian migrants in Montreal in order to inform policy and services for this population.Objectivesi)To explore pre-migration dental care, current oral health knowledge, practices, and impacts of oral diseases of humanitarian migrants in Montreal;ii)To understand the oral health care process as experienced by humanitarian migrants in Montreal and their perceptions of ways to improve access to oral health care; andiii)To explore the experiences of dentists, social workers, and community leaders working withhumanitarian migrants who needed oral health care in Montreal.MethodologyUsing focused ethnography, grounded in the theories of illness behavior, social exchange theory, and the public health model of the dental care process, I interviewed a purposeful sample of humanitarian migrants who needed dental care; interviews were conducted with an adapted McGill Illness Narrative Interview (MINI) guide. I also observed mobile dental clinics providing care to underserved communities in Montreal. Further, I interviewed a purposeful sample of dentists, social workers, and community leaders working with humanitarian migrants in Montreal. Ethnographic data analysis and interpretation drew upon the MINI and the theories listed above. ResultsI interviewed 37 participants: 25 humanitarian migrants (16 women and 9 men) from four global geographical regions; 5 dentists; 5 social workers; and 2 community leaders. Pre-migration utilization of dental services was mainly for urgent treatment. Once in Canada, participants were cognizant of the causes of oral problems yet oral disease continued to have negative effects on their wellbeing. Participants who received oral health care appreciated the quality; however, the restrictive health care policy, high treatment costs, and long waiting times were barriers to care. Dentists, social workers, and community leaders facilitated the dental care process of humanitarian migrants, although they found it to be a difficult task. Suggestions to improve access to oral health care comprise a more inclusive health care policy, lower costs, public dental insurance, community dental clinics, and oral health promotion and orientation sessions. ConclusionsHumanitarian migrants in this study experienced inadequate oral health care. Their lived experiences help us to identify gaps in the provision of oral health care that should be addressed by local programming and federal policy." --
Download or read book Approaches to Understanding Lived Experiences to Inform Context specific Strategies Toward Oral Health Equity written by Susan S Kum and published by . This book was released on 2017 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract : Although the United States has experienced population improvements in oral health over the past 60 years, oral diseases remain among the most common chronic conditions across the lifespan. Moreover, low-income, racial/ethnic minority, and elderly members of the population experience barriers to oral health opportunities. These barriers result in a lack of oral health awareness and dental hygiene, fewer contacts with the oral health care system, and poorer oral health outcomes. This dissertation research integrates different data sources and methods toward an enhanced understanding of the barriers faced in accessing dental care among racial/ethnic minority older adults in an urban context, and identifying opportunities for reducing barriers to oral health and health care. Qualitative data were analyzed from focus groups with community-dwelling older adults who self-identify as African American, Dominican, or Puerto Rican to elicit the lived experiences of older adults in accessing dental care in their northern Manhattan neighborhoods. To do so, this dissertation leveraged an approach to systematically extricating and representing factors associated with the decision-making process in finding and visiting dentists. The qualitative data analysis revealed that older adults want more information about oral health and their dental care options, particularly affordable dental care in their neighborhoods. The results from this qualitative analysis support the need for community-based oral health promotion and care. To further contextualize these findings, spatial data and analysis techniques were used to assess information about older adult populations and community resources for oral health promotion activities and dental care in the study area. The analysis of older adults’ lived experiences is thus situated in the community context. Therefore, this dissertation contributes approaches that may serve to inform context-specific strategies to promote oral health equity.
Download or read book Promoting Inclusion Oral Health written by Ruth E. Freeman and published by MDPI. This book was released on 2020-03-25 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this collection of papers is to provide the reader with a cogent understanding of the role of evidence in the development of social or community-based interventions to promote inclusion oral-health and reduce oral health, health, and psychosocial inequities. In addition, this material will include various methods used for their implementation and evaluation. At the outset, the reader will be offered a working definition of inclusion oral-health, which will be modelled on the work of Luchenski et al. [1]. The interventions described are theoretically underpinned by a pluralistic definition of evidence-based practice [2] and the radical discourse of health promotion as postulated by Laverack and Labonte [3] and others [4,5]. This Special Issue will consist of eight papers, including an introduction. The first three papers will examine the various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness; people in custody and for families residing in areas of high social deprivation. The final four papers will report on the implementation and evaluation of social or community-based interventions. This collection of research papers will highlight the importance of focusing on prevention and the adoption of a common risk factor agenda to tackle oral health, health and psychosocial inequities felt by those most excluded in our societies.
Download or read book Improving Access to Oral Health Care for Vulnerable and Underserved Populations written by National Research Council and published by National Academies Press. This book was released on 2012-01-22 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.
Download or read book Characteristics of Successful Dental Programs written by United States. Bureau of Health Care Delivery and Assistance and published by . This book was released on 1988 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oral Health written by United States. General Accounting Office and published by . This book was released on 2000 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Reimagining Global Health written by Paul Farmer and published by University of California Press. This book was released on 2013-09-07 with total page 508 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, Reimagining Global Health provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems. The case studies presented throughout Reimagining Global Health bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.
Download or read book Promoting Oral Health in Deprived Communities written by Walter Mautsch and published by . This book was released on 1995 with total page 524 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Doing Realist Research written by Nick Emmel and published by SAGE. This book was released on 2018-06-18 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bringing together leading theorists, researchers and policy makers with expertise in using realist methods, this book is a definitive guide to putting realist methodologies into practice. Not just an overview of the field, this book looks to extend current debates and apply realist methods to new and practical challenges in social research. Featuring practical, worked examples of how to turn theory into evidence, it empowers readers not just to understand realist methods, but to use them. It will help readers: - Negotiate the complexity of relational systems - Understand the importance and relevance of cumulative theory - Address concerns over data sources and quality - Be flexible and creative in realist approaches - Produce useful evidence for policy. Sophisticated and globally minded, this book is the perfect addition to the ongoing development and application of realist methods across evaluation, synthesis, and social research.
Download or read book Promoting Inclusion Oral Health Social Interventions to Reduce Oral Health Inequities written by Ruth E. Freeman and published by . This book was released on 2020 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this collection of papers is to provide the reader with a cogent understanding of the role of evidence in the development of social or community-based interventions to promote inclusion oral-health and reduce oral health, health, and psychosocial inequities. In addition, this material will include various methods used for their implementation and evaluation. At the outset, the reader will be offered a working definition of inclusion oral-health, which will be modelled on the work of Luchenski et al. [1]. The interventions described are theoretically underpinned by a pluralistic definition of evidence-based practice [2] and the radical discourse of health promotion as postulated by Laverack and Labonte [3] and others [4,5]. This Special Issue will consist of eight papers, including an introduction. The first three papers will examine the various sources of evidence used to transform top-down into bottom-up community-based interventions for people experiencing homelessness; people in custody and for families residing in areas of high social deprivation. The final four papers will report on the implementation and evaluation of social or community-based interventions. This collection of research papers will highlight the importance of focusing on prevention and the adoption of a common risk factor agenda to tackle oral health, health and psychosocial inequities felt by those most excluded in our societies.
Download or read book Analyzing Qualitative Data with MAXQDA written by Udo Kuckartz and published by Springer. This book was released on 2019-05-31 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents strategies for analyzing qualitative and mixed methods data with MAXQDA software, and provides guidance on implementing a variety of research methods and approaches, e.g. grounded theory, discourse analysis and qualitative content analysis, using the software. In addition, it explains specific topics, such as transcription, building a coding frame, visualization, analysis of videos, concept maps, group comparisons and the creation of literature reviews. The book is intended for masters and PhD students as well as researchers and practitioners dealing with qualitative data in various disciplines, including the educational and social sciences, psychology, public health, business or economics.
Download or read book Sharing and Exchanging Ideas and Experiences on Community Engaged Approaches to Oral Health written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2024-04-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the integral contribution of oral health to general health status, it continues to be treated as a marginalized and less important practice of health care. Minimizing its importance begins with how U.S. dental professionals are educated. The National Academies Global Forum on Innovation in Health Professional Education held a public workshop in November 2022 to discuss definitions of community-engaged oral health and its application within, between, and across health professions. Discussions emphasized lifelong learning, the social determinants of health and community engagement, and the development of innovative approaches and models for oral health workforce education and training in a global context. This Proceedings of a Workshop summarizes the discussions held during the workshop.
Download or read book Understanding the Oral Health Needs of Government Assisted Refugees written by Carolyn Christine King and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This research examines the oral health needs of Government Assisted Refugees (GARs) living in the communities of Burnaby, Langley and Surrey British Columbia. This secondary data analysis examined access and barriers to dental care, utilization of dental services, dental health practices, self-report and professional assessment of treatment needs and oral health outcomes, by refugee camp status and gender. Interview questions and clinical protocol were those utilized in the Canadian Health Measures Survey, the Inuit Oral Health Survey and the First Nations Oral Health Survey. Results indicate that GARs have high debris, calculus, gingivitis scores and a DMFT score that all suggest a significant unmet oral health need and lack of access to dental services. With limited dental insurance through the Interim Federal Health Program, these findings suggest that an inequality in oral health needs for GARs may exist. Future research should seek to further examine this important public health issue.
Download or read book Evaluation of Community based Oral Health Promotion and Oral Disease Prevention written by Poul Erik Petersen and published by . This book was released on 2004 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Turning Strategy Into Action written by Oral Health Promotion Research Group. Annual Conference and published by . This book was released on 1995 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Refuge and Resilience written by Laura Simich and published by Springer. This book was released on 2014-06-05 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Taking an interdisciplinary approach and focusing on the social and psychological resources that promote resilience among forced migrants, this book presents theory and evidence about what keeps refugees healthy during resettlement. The book draws on contributions from cultural psychiatry, anthropology, ethics, nursing, psychiatric epidemiology, sociology and social work. Concern about immigrant mental health and social integration in resettlement countries has given rise to public debates that challenge scientists and policy makers to assemble facts and solutions to perceived problems. Since the 1980s, refugee mental health research has been productive but arguably overly-focused on mental disorders and problems rather than solutions. Social science perspectives are not well integrated with medical science and treatment, which is at odds with social reality and underlies inadequacy and fragmentation in policy and service delivery. Research and practice that contribute to positive refugee mental health from Canada and the U.S. show that refugee mental health promotion must take into account social and policy contexts of immigration and health care in addition to medical issues. Despite traumatic experiences, most refugees are not mentally ill in a clinical sense and those who do need medical attention often do not receive appropriate care. As recent studies show, social and cultural determinants of health may play a larger role in refugee health and adaptation outcomes than do biological factors or pre-migration experiences. This book’s goal therefore is to broaden the refugee mental health field with social and cultural perspectives on resilience and mental health.
