Dental Public Health

Question 1

What are the 7 factors involved in SIMD?

Answer 1

• Income
• employment
• education
• health
• access to services
• crime
• housing

Question 2

What is the purpose of DPH?

Answer 2

To protect and improve the OH of the population and tackle oral health inequalities

Question 3

What does health inequalities mean?

Answer 3

Difference in health status or in the distribution of health determinants between different population groups

Question 4

What does health inequity mean?

Answer 4

Presence of avoidable, unfair or remediable differences among groups of people

Question 5

What are the marmot principles?

Answer 5

1. giving every child the best start in life
2. enabling all children, young people and adults to maximise their capabilities and have control over their lifes
3. creating fair employment and good work for all
4. ensuring a healthy standard of living for all
5. creating and developing sustainable places and communities
6. strengthening the role and impact of ill-health prevention

Question 6

What was the conclusion from the Black Report 1980?

Answer 6

• 2x no of children from poorer families die
• class gradient evident in chronic diseases
• mortality gap between rich and poor widened
• health services underutilised by disadvantaged communities

Question 7

What did Acheson Report 1988 conclude?

Answer 7

• poverty has a disproportionate effect on children
• children from disadvanategd areas achieve less at school
• people from disadvantaged areas are more likely to smoke and drink alcohol
• minority ethnic groups more likely to live in poor housing

Question 8

What did the Marmot review 2008 conclude?

Answer 8

• people living in the poorest areas die 7 yrs earlier
• people in poorer areas have 17 more years with disability
• gradient in health inequalities still present
• action required across all sectors

Question 9

What are the causes of health inequalities?

Answer 9

• income, employment and work
• the physical environment and local opportunities
• education and learning
• access to services
• social, cultural and interpersonal

Question 10

What are Scotland’s Oral Health Improvement Programmes?

Answer 10

Childsmile
smile4life
mouth matters
caring for smiles
open wide

Question 11

What is the aim of Childsmile?

Answer 11

To imporve children’s oral health and minimise oral health inequalities

Question 12

What is smile4life

Answer 12

name of the training guide, which is part of the homeless programme

Question 13

what is mouth matters?

Answer 13

scotlands OHIP for prison populations

Question 14

What is caring for smiles?

Answer 14

Scotlands OHIP for older people, particularly in care homes

Question 15

What is open wide?

Answer 15

Scotland OHIP for adults aged 16-64 with additional care needs

Question 16

What is proportionate universalism?

Answer 16

the resourcing and delivering of universal services at a scale and intensity proportioante to the degree of need.

Question 17

Approaches for addressing health inequalities have fallen into 3 broad catergories, what are they?

Answer 17

1. a focus on improving the health of the most disadvantaged groups
2. a focus on reducing the gap between the best and worse off
3. a focus on reducing the entire social gradient.

Question 18

Proportionate universalism combines which of the 2 approaches used to address health inequalities?

Answer 18

1 and 3 it is a hybrid appraoch