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Inequalities in oral health practices and social space: An exploratory qualitative study

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  • Chaves, Sônia Cristina Lima
  • Vieira-da-Silva, Lí­gia Maria

Abstract

This study analyzed the oral health practices and access to dental care of individuals according to their position in social space. The rationale was based on the hypothesis that different positions in social space may imply different habitus, in the sense conferred by Bourdieu. Such dispositions would influence practical behavior, choices and preferences in general and in this context, dental care. Twenty-two semi-structured interviews were carried out with individuals, as part of a multiple case study carried out in two municipalities in the state of Bahia, Brazil. Differences were found between the two study groups both with respect to actions of personal care and in seeking and using dental services. This, in addition to poor material and living conditions, and difficult access to restorative dental work in the public sector, may explain part of the pattern of tooth loss found in the adult Brazilian population. The adoption of effective communicative and educational actions by health professionals should be stimulated. However, the structural dimension of the social determinants requires transformations in the structures that generate the perceptions and practices of agents. The study discusses the implications of these data to public dental policies that are focused on reducing these inequalities.

Suggested Citation

  • Chaves, Sônia Cristina Lima & Vieira-da-Silva, Lí­gia Maria, 2008. "Inequalities in oral health practices and social space: An exploratory qualitative study," Health Policy, Elsevier, vol. 86(1), pages 119-128, April.
    • Handle: RePEc:eee:hepoli:v:86:y:2008:i:1:p:119-128
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    References listed on IDEAS

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    1. Bedos, Christophe & Brodeur, Jean-Marc & Boucheron, Laurence & Richard, Lucie & Benigeri, Mike & Olivier, Marie & Haddad, Slim, 2003. "The dental care pathway of welfare recipients in Quebec," Social Science & Medicine, Elsevier, vol. 57(11), pages 2089-2099, December.
    2. Kristenson, M. & Eriksen, H. R. & Sluiter, J. K. & Starke, D. & Ursin, H., 2004. "Psychobiological mechanisms of socioeconomic differences in health," Social Science & Medicine, Elsevier, vol. 58(8), pages 1511-1522, April.
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    1. Dorota Elżbieta Piotrowska & Dorota Jankowska & Dorota Huzarska & Andrzej Stanisław Szpak & Bartosz Pędziński, 2020. "Socioeconomic inequalities in use and non-use of dental services in Poland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(5), pages 637-647, June.
    2. Dorota Elżbieta Piotrowska & Dorota Jankowska & Dorota Huzarska & Andrzej Stanisław Szpak & Bartosz Pędziński, 0. "Socioeconomic inequalities in use and non-use of dental services in Poland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-11.

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