Oral Health Literacy Workshop Summary (2013) / Chapter Skim
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3 Overview and Statement of the Problem
3 Overview and Statement of the Problem
Pages 11-26
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From page 11... ...
Kleinman defined oral health literacy as the degree to which individuals have the capacity to obtain, process, and understand basic oral and craniofacial health information and services needed to make appropriate health decisions. The IOM framework for health literacy found in the report Health Literacy: A Prescription to End Confusion (IOM, 2004)
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From page 12... ...
The report also concluded that although common dental diseases are preventable, not all members of society are informed about or are able to avail themselves of appropriate oral health promoting measures. Similarly, not all health providers may be aware of the services needed to improve oral health.
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The National Call to Action report concluded that there is a perception that oral health is less important than, and separate from, general health. The report discussed how activities to overcome this perception can start at grassroots levels and then lead to a coordinated national movement to increase oral health literacy.
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From page 14... ...
• Development of an instrument to measure oral health literacy • Culture and health literacy in a dental clinic • Health literacy and oral health status of African refugees • State oral health literacy models and programs The dental profession, state oral health programs, and the dental industry have also been taking action, said Kleinman. For example, the American Dental Association's Health Literacy in Dentistry Action Plan 2010-2015 (ADA, 2009)
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From page 15... ...
The American Dental Association (ADA) defines oral health literacy as the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appro
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This care model should guide how the social and economic differences that contribute to poor oral/dental health are addressed, Ismail said. In the model displayed in Figure 3-2, oral health knowledge, oral health behaviors, and self-efficacy are important components of the oral health literacy framework.
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From page 17... ...
Studies have shown that, in general, individuals who are health literate have better health outcomes than individuals with low health literacy. However, well-designed research studies on oral and dental health and health literacy are lacking and are needed (Berkman et al., 2011)
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Figure 3-3.eps National survey data provide evidence of a relationship among oral and dental health, general health, and quality of life (Seirawan et al., 2011)
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Ismail said there is a tendency to pay for procedures, not outcomes, and there is a misplaced focus on dental care by professional providers, rather than on community-based approaches to promoting health. Data from a study conducted in Nova Scotia, Canada, showed that the prevalence of dental caries and the progression of the disease in children varied by parental educational attainment, even though there was universal access to a publicly financed dental care program (Ismail et al., 2001)
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He asked the panel how to address opponents of public water fluoridation programs. Kleinman said that a focus on the science base, for example, research that supports water
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In addition, she asked how dental health consumers could become advocates for appropriate care for themselves and their families. Ismail said that the reason dentists opt for a more aggressive approach is because dental students and the providers who graduated from dental school have learned to drill in response to
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He asked the panel to address this issue which is central to achieving health literacy. Kleinman said that education at all levels, not just in the health professions, needs to be examined.
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Roundtable member Laurie Francis thanked Ismail for including selfefficacy and social determinants in his discussion of oral health literacy. She pointed out the importance of having information that is patientcentered and asked Ismail how self-efficacy, patient priorities, experience, and confidence levels can be incorporated into the health literacy conversation.
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From page 24... ...
He asked the panel about opportunities for formal collaboration with dietary and nutrition services and providers, both locally and nationally. Kleinman noted that the American Dental Association has brought a number of professional groups together over the years to foster collaborative efforts 2 "Accountable Care Organizations (ACOs)
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From page 25... ...
Ismail recounted a successful collaboration between medical students at Drexel University and the dental school at Temple University. A group of about 15 to 20 medical students from Drexel comes to the dental school to learn about oral surgery, dental and craniofacial diagnosis, dental radiology practices, and pediatric dentistry.
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