Article

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.

Download full-text

Full-text

Available from: Alice M Horowitz, Jun 12, 2015
0 Followers
 · 
82 Views
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Traditional assessment of research quality addresses aspects of scientific rigor, however, ensuring barriers to participation by people of different cultural backgrounds are addressed requires cultural competence. The aim of this research was to assess the cultural competence of oral health research conducted with migrant children. A protocol was developed with explicit inclusion and exclusion criteria. Electronic databases were searched from 1995 to 2009. Each study was assessed for cultural competence using the assessment criteria and a template developed as a proof-of-concept approach. Of the 2059 articles identified, 58 met inclusion criteria (n = 48 studies). There were four (8.3%) cohort studies, five (10.4%) intervention studies, 37 (77.1%) quantitative cross-sectional studies, and two (4.2%) were qualitative studies. Overall, migrant children had worse oral health outcomes in all studies compared with their host-country counterparts. All studies rated poorly in the cultural competence assessment. Appropriate inclusion of all potentially vulnerable groups in research will result in better estimates and understandings of oral health, and more reliable recommendations for prevention and management.
    Community Dentistry And Oral Epidemiology 07/2013; DOI:10.1111/cdoe.12058 · 1.94 Impact Factor
  • Source
    • "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. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Few studies have engaged issues of social class and access related to dental health care policy from an ethnographic perspective. The state of Florida in the US has one of the poorest records in the nation for providing dental care for low-income children, falling especially short for Medicaid-enrolled children. In this paper, we discuss unmet dental health needs of children in migrant farmworker families. Although one of the most marginalized populations, most are eligible for Medicaid and are thus covered for dental services. However, serious disparities have been linked to the lack of access through the public insurance system. This study was informed by participant observation at dental clinics and a Migrant Head Start Center and interviews with dental health providers (n = 19) and migrant farmworker parents (n = 48) during 2009. Our results indicate that some typical factors associated with poor oral health outcomes, such as low dental health literacy, may not apply disproportionately to this population. Instead, we argue that structural features and ineffective policies contribute to oral health care disparities. Dental Medicaid programs are chronically underfunded, resulting in low reimbursement rates, low provider participation, and a severe distribution shortage of dentists within poor communities. We characterize the situation for families in Florida as one of "false hope" because of the promise of services with neither adequate resources nor the urgency to provide them. The resulting system of charity care, which leads dentists to provide pro bono care instead of accepting Medicaid, serves to only further persistent inequalities. We provide several recommendations, including migrant-specific efforts such as programs for sealants and new mothers; improvements to the current system by removing obstacles for dentists to treat low-income children; and innovative models to provide comprehensive care and increase the number of providers.
    Social Science [?] Medicine 09/2010; 71(11):2028-37. DOI:10.1016/j.socscimed.2010.09.024 · 2.56 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The aims of this research were to determine the epidemiological profile of dental caries in 3- and 4-year-old preschool children living in Bogotá, Colombia, and to compare two different caries indices--the standard def and Nyvad's new caries diagnostic criteria. The children were screened by two calibrated examiners who first brushed the children's teeth and air dried them for 5 seconds before they were examined. The diagnostic criteria used were the standard def-t and def-s and the def-t and def-s of the new caries diagnostic system proposed by Nyvad. The chi-square test2 was used with a significance level of 5%. Prevalence of caries was 70% using the standard def-t criteria and 97% with the criteria proposed by Nyvad. The standard def-t and def-s were 3.3 and 5.7, respectively, and the def-t and def-s with the Nyvad citeria were 8.7 and 14.3, respectively. Prevalence of caries was high, indicating that the population studied had a high disease rate. The results obtained with the more detailed Nyvad new caries diagnostic criteria were higher than the ones obtained with the standard def-t index, both for teeth and surfaces.
    Pediatric dentistry 25(2):132-6. · 0.56 Impact Factor
Show more