W4 - Community Based Prevention - Manju

Question 1

List the 5 principles of the Ottawa Charter of health promotion and examples for each

Answer 1

Build healthy public policy

• water fluoridation

Create supportive environments

• Promote access to clean/safe water

Strengthen community actions

• Engage the community to support water fluoridation

Develop personal skills

• Promote healthy dietary practices

Reorient health services

• Support training all health care providers for early caries recognition

Question 2

Define the Common Risk Factor Approach

Answer 2

CRF addresses risk factors common to many chronic conditions e.g. diet, hygiene, smoking, alcohol use, stress and trauma.

Ex. targetting sugar → helps teeth, obesity, diabetes, etc

Improves many conditions at the same time

Question 3

What are limitations of one-on-one clinical approach

Answer 3

Based on blief that improving pts knowledge will change behaviours

• Very difficult to change pts behaviour
• Good for short term change but not long term (ex. short motivation to floss after visit)

Question 4

What is involved in the one-to-one clinical approach of dentistry (4)

Answer 4

Chair-side counselling
Topical fluorides
Fissure sealants
Encouraging regular attendance

Question 5

What are the most effective oral health education programs? (4)

Answer 5

OH education efforts should focus on kids and involve parents, carers

Interventions on an individual level

Education targeted to areas of need to address inequalities

Address OH issues through common risk factor approach (leads to improvements in multiple chronic conditions)

Question 6

what is “commercial determinant of health”

Answer 6

strategies used by private sector to promote products which may be detrimental to health

Profit > health

Question 7

Benefits of water fluoridation (3)

Answer 7

Effective w/caries

Cost-effective

Socially equitable

Question 8

What are the social determinants of health?

Answer 8

Conditions in which people are born, grow, work, live and age and the wider set of forces and systems shaping the conditions of daily life

• Social determinants of health are mostly responsible for health inequities

Question 9

How many people have access to fluoridated drinking water in Australia?

Answer 9

89%