Caries conditions among 2-5-year-old immigrant Latino children related to parents' oral health knowledge, opinions and practices.

Baltimore College of Dental Surgery Dental School, University of Maryland, 21201-1586, USA.
Community Dentistry And Oral Epidemiology (Impact Factor: 1.94). 03/1999; 27(1):8-15. DOI: 10.1111/j.1600-0528.1999.tb01986.x
Source: PubMed

ABSTRACT To collect baseline data prior to initiating a community-based, oral health promotion program in an inner city Latino community in Washington DC, populated by Central American immigrants.
In 1995, an oral survey of a convenience sample of children 2-5 years of age (n = 142) and a survey of the knowledge, opinions and practices (KOP) of their parents (n = 121) were completed. Clinical data of children were matched with parent respondents of the KOP survey. Data were analyzed for statistical associations using univariate odds ratios, Fisher's exact tests, and multiple logistic regression.
Only 53% of the children were caries free. Eighteen percent of all children were in need of immediate dental care and 26% were in need of early or non-urgent dental care. Only 7% of the parents knew the purpose of sealants and 52% knew the purpose of fluorides. Further, only 9% thought that brushing with toothpaste can prevent tooth decay The strongest predictors of dental caries in this population, after adjusting for child's age and mother's education, were recency of mother's residence in the United States and report of an uncooperative child when attempting toothbrushing.
Regimens of caries prevention have been successful in reducing dental decay for a large segment of the US population, yet this disease remains prevalent especially among low socioeconomic groups. The oral health status of the children and the oral health KOP of the parents in this community are disturbingly deficient.

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Available from: Alice M Horowitz, Jun 12, 2015
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    • "United States Wennhall et al. 2002, 2005, 2008 (10) (41) (43) Sweden Cross-sectional Studies Almerich-Silla et al. 2007 (32) Spain Bissar et al. 2007 (33) Germany Brugman et al. 1998 (62) The Netherlands Carvalho et al. 2004 (34) Belgium Cote et al. 2004 (35) United States Davies et al. 1997 (36) Australia Dykes 2002 (63) United Kingdom Ferro 2007a–c (37) (64) (65) Italy Geltman et al. 2001 (66) United States Godson et al. 2006 (30) United Kingdom Gray et al. 2000 (67) United Kingdom Grembowski et al. 2007 (68) United States Guendelman et al. 2005 (69) United States Haubek et al. 2006 (70) Denmark Hayes et al. 1998 (71) United States Hjern 2000 (72) Sweden Hobson et al. 2007 (45) United States Huang et al. 2006 (73) United States Kalbeek et al. 1996 (74) The Netherlands Kim et al. 2004 (75) United States Liu et al. 2007 (76) United States Matsson et al. 2005 (39) Sweden Meropol et al. 1995 (77) United States Podgore et al. 1998 (78) United States Qiu et al. 2003 (79) United States Quandt et al. 2007 (80) United States Schluter et al. 2007 (81) New Zealand Skeie et al. 2005, 2006 (40) (82) Norway Stecksen-Blicks et al. 1999, 2004 (83) (84) Sweden Sundby and Petersen 2003 (46) Denmark Tiong et al. 2006 (85) Australia Wang et al. 1996 (86) Norway Watson et al. 1999 (87) United States Weinstein et al. 1996 (88) Canada White et al. 1996 (31) United Kingdom Willems et al. 2005 (89) Belgium Woodward et al. 1996 (90) Canada Qualitative Studies Hilton et al. 2007 (91) United States Wong et al. 2005 (92) United States communities in high-income countries is worse than that of the host population. To better address these inequalities, it is essential to recognize the impact of the cultural context, for example, acculturation , attitudes and beliefs, trauma, as well as inclusion and discrimination, with both individual and community beliefs and practices being key social determinants of oral health status. "
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    • "Existing research on oral health disparities too often places emphasis on individual-level factors and inadequately conceptualized and operationalized notions of culture, disregarding the complex realities of low-income populations and structural constraints on behavioral change (Riedy, Weinstein, Milgrom, & Bruss, 2001; Willems et al., 2005). Studies have focused on parental attitudes and practices, for instance, by examining feeding patterns and oral hygiene practices (Nurko, Aponte-Merced, Bradley, & Fox, 1998; Ramos-Gomez et al., 1999; Watson, Horowitz, Garcia, & Canto, 1999), parents' willingness to seek professional dental services (Huntington, Kim, & Hughes, 2002), or knowledge about effective preventive measures (Entwistle & Swanson, 1989; Watson et al., 1999). However, given the strong association between poor oral health and socioeconomic variables described above, much of this research on parental beliefs and behaviors and the programs they inform seems misplaced. "
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