Oral Health Promotion

Detnal caries

poor dietary habits, poor oral hygiene

Perio disease

poor oral hygiene, tobacci

Oral Cancer

Tobacco use, alcohol use

Primary etiologic factors vs paradigm shift

Health problems today attribute to identifiable risk factors

emergence of health problems with largely social and behavior etiology

determinants of health

multifactorial!

• biological

• Environmental

• Health care system

• Social/lifestyle

health promotion strategies

educational, policy, environmental

3 goals of health promotion

health education, health protection, prevention

health promotion actions

education, facilitation, adavocacy

Health promotion eval model

Actions - outcomes → intermediate outocmes 0> health and social outcomes

health and social outcomes

mortaility, morbidity, quality of life and distability, equity

Intermediate outcomes

lifestyls, health services effective, healthy environment

health education vs promotion

ALl educational activities are promotional, but promotion is not just education

KAB model

knowledge, attitude, behavior

simple representation does not exist in real world

3 domains of learning

Cognitive

affective

pyschomotor

Health belief model

• explains and predicts health behaviors by focusing on attitude and beliefs of individuals

• individuals with better info make better health decisions

• emphasizes importance of perception

• 2 factors

  • personally threatened by disease

  • Benefits taking preventaitve method outweigh barriers

Key determinants under HBM

Susceptibility, Severity, benefits, perceived barriers, cues to action, self efficacy

social cog theory

interaction of personal factors, behavior, and environments

behavior is motivated by beliefs and factors in social environment

recpiprocal determinism by bandur

persons behavior both influences and is influenced by personal factors and social environment

reciprocal determinism: social cognititive theory, personal factors

past experiences, expectations, expectancies, self efficacy

Contemporary community health model

• influence of social, economic, culturual factors on health

• mass media

• Social marketing

• occupation, educatio, income