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In Australia, British colonization left an intergenerational legacy of racism against Aboriginal people, who are disadvantaged across various social indicators including oral health. Aboriginal Australian children have poorer health outcomes with twice the rate of dental caries as non-Aboriginal children. Our research suggests structural factors outside individual control, including access to and cost of dental services and discrimination from service providers, prevent many Aboriginal families from making optimum oral health decisions, including returning to services. Nader's concept of \u2018studying up\u2019 redirects the lens onto powerful institutions and governing bodies to account for their role in undermining good health outcomes, indicating changes needed in the social structure to improve equality. Policymakers and health providers can critically reflect on structural advantages accorded to whiteness in a colonized country, where power and privilege that often go unnoticed and unexamined by those who benefit incur disadvantages to Aboriginal Australians, as reflected in inequitable oral health outcomes. This approach disrupts the discourse placing Aboriginal people at the centre of the problem. Instead, refocusing the lens onto structural factors will show how those factors can compromise rather than improve health outcomes.<\/jats:p>\n                  <jats:p>This article is part of the theme issue \u2018Evolutionary ecology of inequality\u2019.<\/jats:p>","DOI":"10.1098\/rstb.2022.0294","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T03:31:42Z","timestamp":1687750302000},"update-policy":"https:\/\/doi.org\/10.1098\/crossmark-policy","source":"Crossref","is-referenced-by-count":15,"title":["Inequalities between Aboriginal and non-Aboriginal Australians seen through the lens of oral health: time to change focus"],"prefix":"10.1098","volume":"378","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6382-753X","authenticated-orcid":false,"given":"Angela","family":"Durey","sequence":"first","affiliation":[{"name":"School of Population and Global Health, University of Western Australia, Perth, Western Australia 6009, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nola","family":"Naylor","sequence":"additional","affiliation":[{"name":"Aboriginal Health Strategy, Clinical Service Planning &amp; Population Health, Fiona Stanley Hospital, Murdoch, WA 6150, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5859-7055","authenticated-orcid":true,"given":"Linda","family":"Slack-Smith","sequence":"additional","affiliation":[{"name":"School of Population and Global Health, University of Western Australia, Perth, Western Australia 6009, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"175","published-online":{"date-parts":[[2023,6,26]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"Australia: Aboriginal and Torres Strait Islander population summary","author":"ABS","year":"2022","unstructured":"ABS. 2022 Australia: Aboriginal and Torres Strait Islander population summary. 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