暴露于亲密伴侣暴力与儿童蛀牙之间的关系:确定早期干预的新型公共卫生方法的范围审查。

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2019-05-01
Cynthia Weijs, Rebecca Lang, Diane L Lorenzetti, Katrina Milaney, Rafael Figueiredo, Leonard B Smith, Lindsay McLaren
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引用次数: 0

摘要

背景:儿童早期蛀牙或龋齿(ECC)是常见的,往往痛苦和昂贵的卫生保健系统,但它在很大程度上是可以预防的。需要采取一种公共卫生措施,特别是在社会弱势儿童最易患ECC的情况下,他们不太可能获得常规治疗。在家庭中暴露于亲密伴侣暴力(IPV)对儿童来说是一个重要的社会脆弱性,但在这种情况下对ECC知之甚少。我们探讨了ECC与暴露于IPV之间的关系,以及社区早期干预预防ECC的机会。方法:检索5个电子数据库。所有主要研究和评论都集中在儿童龋齿和暴露于IPV或涉及社区环境(特别是妇女庇护所)提供口腔保健服务。结果:在鉴定出的198份独特文献中,有12份被纳入分析。虽然有限,我们的研究结果表明暴露于IPV和ECC之间存在正相关关系,其机制尚未得到很好的研究。以妇女庇护所为基础的预防项目在检测和解决ECC方面可能有希望。在回顾文献的时间框架内,我们观察到从强调个人行为和生物模型到上游社会结构的微妙转变。结论:现有的文献表明,ECC和IPV问题可能会采用公共卫生方法进行早期干预,其特点是社区合作,牙科和社会工作之间的跨专业合作以及对社会弱势群体的ECC采取公平的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Relation Between Exposure to Intimate Partner Violence and Childhood Dental Decay: A Scoping Review to Identify Novel Public Health Approaches to Early Intervention.

Background: Early childhood dental decay or caries (ECC) is common, often painful and costly to the health care system, yet it is largely preventable. A public health approach is needed, especially as socially vulnerable children most at risk for ECC are less likely to access conventional treatment. Exposure to intimate partner violence (IPV) in the family represents an important social vulnerability for children, yet little is known about ECC in this context. We explored the relation between ECC and exposure to IPV as well as opportunities for community-based early interventions to prevent ECC.

Methods: We searched 5 electronic databases. All primary research and reviews that focused on childhood decay and exposure to IPV or that referred to community settings (specifically women's shelters) for oral health service delivery were included.

Results: Of 198 unique documents identified, 12 were included in the analysis. Although limited, our findings suggest a positive relation between exposure to IPV and ECC, the mechanisms of which are not well studied. Women's-shelter-based prevention programs may hold promise in terms of detecting and addressing ECC. Over the time frame of the literature reviewed, we observed a subtle shift in emphasis away from individual behaviours and biological models toward upstream societal structures.

Conclusions: The available literature suggests that the issue of ECC and IPV may be poised to embrace a public health approach to early intervention, characterized by community collaboration, interprofessional cooperation between dentistry and social work and an equitable approach to ECC in a socially vulnerable group.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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