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Distal and proximal influences play significant roles in shaping oral health outcomes such as OP and SROH. Proximal influences such as oral health-related behaviors and the use of oral health services directly impact oral health [13]. On the other hand, distal influences encompass broader determinants such as socioeconomic status and access to care determinants, which also have a substantial influence on oral health outcomes [14].
JMIR Public Health Surveill 2024;10:e53585
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