Economic sanctions and dental public health in Iran

Document Type: Short Communication(s)


Dental Research Center AND Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND AND AIM: Economic sanctions on Iran cause parlous civilian hardship and important economic and social problems. Evidence regarding the impact of economic crisis on dental public health is very rare. This paper reviews the experience of other countries regarding this issue and the plausible solutions.
METHODS: In this paper, the outcomes of studies that investigated the impact of economic crisis on different countries of the world were summarized and their experiences in coping with such situations were reviewed.
RESULTS: One of the reasons for unfavorable health outcomes among the population is economic recession. Reduced income is associated with less health services utilization and reduced use of preventive care in general. Adoption of high-risk behaviors and increased physical and psychologic stress can be considered as secondary outcomes in such cases.
CONCLUSION: One of the best ways to deal with oral public health problems at the first months of financial crisis is focusing on the prevention of disease. The health policy makers in Iran should immediately organize the public health system through preventive oral health care.


1. Peksen D. Economic sanctions and human security: The public health impact of economic sanctions. Foreign Policy Analysis 2010; 7(3): 237-51.
2. Gibbons E, Garfield R. The impact of economic sanctions on health and human rights in Haiti, 1991-1994. Am J Public Health 1999; 89(10): 1499-504.
3. Nelson K, Tųge AG. Health trends in the wake of the financial crisis-increasing inequalities? Scand J Public Health 2017; 42(18_suppl): 22-9.
4. Maynou L, Saez M. Erratum to: Economic crisis and health inequalities: Evidence from the European Union. Int J Equity Health 2016; 15(1): 178.
5. Atkinson AB, Morelli S. Economic crises and inequality [Online]. [cited 2011]; Available from: URL:
6. Palencia L, Espelt A, Cornejo-Ovalle M, Borrell C. Socioeconomic inequalities in the use of dental care services in Europe: What is the role of public coverage? Community Dent Oral Epidemiol 2014; 42(2): 97-105.
7. Lawrence HP, Thomson WM, Broadbent JM, Poulton R. Oral health-related quality of life in a birth cohort of 32-year olds. Community Dent Oral Epidemiol 2008; 36(4): 305-16.
8. Moghadam MN, Sadeghi V, Parva S. Weaknesses and challenges of primary healthcare system in Iran: A review. Int J Health Plann Manage 2012; 27(2): e121-e131.
9. Ghorbani Z, Pakkhesal M, Arshi S, Eghbal MJ, Deghatipour M, Tennant M, et al. Challenges impeding integration of oral health into primary health care. East Mediterr Health J 2017; 23(12): 802-8.
10. Wright JT. The burden and management of dental caries in older children. Pediatr Clin North Am 2018; 65(5): 955-63.