Optimizing Oral Health Outcomes through Public Health Strategy: A Comparative Analysis of Structural and Behavioral Determinants of Oral Health in Cuba, Spain, and Mexico

Abstract

This study investigates the correlation between the healthcare system design and the prevalence of oral health diseases in three Spanish-speaking countries: Spain, Mexico, and Cuba. The aforementioned countries represent the three predominant different healthcare and structures: universal public healthcare with integrated dental services (Cuba), decentralized universal public healthcare with limited dental services (Spain), and fragmented public-private healthcare system (Mexico). Data from the World Health Organization (WHO) and national health agencies is utilized to assess the prevalence of periodontal disease and dental caries in relation to healthcare structure, per capita healthcare and dental expenditure, and preventative measures. Despite Cuba’s universal coverage and comprehensive dental services, it shows unexpectedly high periodontal disease and caries prevalence, potentially due to high sugar consumption and weak hygiene behaviors. Spain, despite offering limited public dental care, presents the most favorable outcomes, possibly attributed to the greater expenditure on oral health and healthier lifestyle factors. Mexico’s progressive public health policies, especially the tax on sugar-sweetened beverages (SSBs), exhibit success in reducing caries among permanent teeth despite systemic access disparities in the fragmented healthcare system. Ultimately, this study works to identify patterns in healthcare systems, national policies, and preventative measures to inform policymakers of effective elements to consider when refining current oral health services.

Presenters

Alexandra Yuan
Biomedical Engineering, Georgia Institute of Technology, Georgia, United States

Details

Presentation Type

Poster Session

Theme

Public Health Policies and Practices

KEYWORDS

Oral health policy, Comparative health systems, Public health strategy