Regular source of dental care and the oral health, behaviors, beliefs and dental services of low-income mothers of young children

Department of Dental Public Health Sciences, University of Washington, Box 357660, 1959 NE Pacific Street, Seattle, WA 98195-7660. USA.
Community dental health (Impact Factor: 0.6). 07/2009; 26(2):69-76. DOI: 10.1922/CDH_2309Grembowski08
Source: PubMed


In a racial/ethnically-diverse sample of low-income mothers of children aged 3-6, we determine: (1) whether a regular source of dental care (RSDC), self-rated oral health, beliefs and behaviors differ by racial/ethnic group; (2) estimate whether a RSDC is associated with oral health, beliefs and behaviors, and whether these associations differ by racial/ethnic group; and (3) examine these relationships for mothers' dental utilization.
Cross-sectional survey. Participants From a population of 108,151 Medicaid children aged 3-6 in Washington state, U.S., 10,909 eligible children were sampled stratified by racial/ethnic group. Eligible mothers completed a mixed-mode survey in the following groups: Black (n=818), Hispanic (n=1310), or White (n=1382).
Measures were mothers' RSDC, personal characteristics, self-rated dental health, appearance of teeth, dental problems, brushing duration, flossing frequency, use of toothpicks or whiteners, belief that cleaning prevents cavities or loose teeth, and self-reported services at last dental visit.
About 38-40% of mothers had a RSDC. For Black, Hispanic and White mothers, having a RSDC was associated consistently with better oral health, greater likelihood of a dental cleaning and less likelihood of tooth extraction. RSDC was not associated generally with oral health beliefs and behaviors. Oral health behaviors differ by racial/ethnic group.
Relationships between RSDC and self-reported oral health, health behaviors, beliefs and dental services are similar for Black, Hispanic and White low-income mothers of young children. Oral health behaviors differ across racial/ethnic groups, which may have implications for mother and child oral health.

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    • "In the United States (US), Hispanic children and other racial/ethnic minorities and those who live in poverty are at highest risk for poor oral health, caries, oral disease, and poor access to dental care (Dietrich et al. 2008; Dye et al. 2012; Grembowski et al. 2009; Kopycka-Kedzierawski and Billings 2011). These disparities result from low access to dental care, lack of dental insurance, and incorrect knowledge about oral health self-care (Fisher-Owens et al. 2012; Hilton et al. 2007; National Institute of Dental and Craniofacial Research 2011). "
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