Global oral health inequalities: challenges in the prevention and management of orofacial clefts and potential solutions.

TY - JOUR

T1 - Global oral health inequalities

T2 - challenges in the prevention and management of orofacial clefts and potential solutions.

AU - Mossey, P.A.

AU - Shaw, W.C.

AU - Munger, R.G.

AU - Murray, J.C.

AU - Murthy, J.

AU - Little, J.

N1 - MEDLINE® is the source for the MeSH terms of this document.

PY - 2011/5

Y1 - 2011/5

N2 - The birth prevalence of orofacial clefts, one of the most common congenital anomalies, is approximately one in 700 live births, but varies with geography, ethnicity, and socio-economic status. There is a variation in infant mortality and access to care both between and within countries, so some clefts remain unrepaired into adulthood. Quality of care also varies, and even among repaired clefts there is residual deformity and morbidity that significantly affects some children. The two major issues in attempts to address these inequalities are (a) etiology/possibilities for prevention and (b) management and quality of care. For prevention, collaborative research efforts are required in developing countries, in line with the WHO approach to implement the recommendations of the 2008 Millennium Development Goals (www.un.org/millenniumgoals). This includes the "common risk factor" approach, which analyzes biological and social determinants of health alongside other chronic health problems such as diabetes and obesity, as outlined in the Marmot Health inequalities review (2008) (www.ucl.ac.uk/gheg/marmotreview). Simultaneously, orofacial cleft research should involve clinical researchers to identify inequalities in access to treatment and identify the best interventions for minimizing mortality and residual deformity. The future research agenda also requires engagement with implementation science to get research findings into practice.

AB - The birth prevalence of orofacial clefts, one of the most common congenital anomalies, is approximately one in 700 live births, but varies with geography, ethnicity, and socio-economic status. There is a variation in infant mortality and access to care both between and within countries, so some clefts remain unrepaired into adulthood. Quality of care also varies, and even among repaired clefts there is residual deformity and morbidity that significantly affects some children. The two major issues in attempts to address these inequalities are (a) etiology/possibilities for prevention and (b) management and quality of care. For prevention, collaborative research efforts are required in developing countries, in line with the WHO approach to implement the recommendations of the 2008 Millennium Development Goals (www.un.org/millenniumgoals). This includes the "common risk factor" approach, which analyzes biological and social determinants of health alongside other chronic health problems such as diabetes and obesity, as outlined in the Marmot Health inequalities review (2008) (www.ucl.ac.uk/gheg/marmotreview). Simultaneously, orofacial cleft research should involve clinical researchers to identify inequalities in access to treatment and identify the best interventions for minimizing mortality and residual deformity. The future research agenda also requires engagement with implementation science to get research findings into practice.

UR - https://www.scopus.com/pages/publications/84860390176

U2 - 10.1177/0022034511402083

DO - 10.1177/0022034511402083

M3 - Article

C2 - 21490237

SN - 1544-0737

VL - 23

SP - 247

EP - 258

JO - Advances in Dental Research: an E-Supplement to Journal of Dental Research

JF - Advances in Dental Research: an E-Supplement to Journal of Dental Research

IS - 2

ER -