Article

The association between low-socioeconomic status mother's Sense of Coherence and their child's utilization of dental care.

National School of Public Health, Oswaldo Cruz Foundation (ENSP/FIOCRUZ), Rio de Janeiro, Brazil.
Community Dentistry And Oral Epidemiology (Impact Factor: 1.94). 10/2010; 39(2):115-26. DOI: 10.1111/j.1600-0528.2010.00576.x
Source: PubMed

ABSTRACT The objective of this study was to investigate the relationship of low-socioeconomic status mother's Sense of Coherence (SOC) and their child's utilization of dental care services in a city of Southeast Brazil.
A cross-sectional study was conducted on a sample of 190 schoolchildren aged 11-12 and their mothers in Sao João de Meriti-RJ, Southeast Brazil. The outcome variables were children's use of dental care services and visiting dentists mainly for check-ups. Demographic and socioeconomic characteristics and data regarding children's dental care use were collected through interviews with mothers. Children's oral health-related behaviours as well as dental status (DMFS index), dental pain, Visible Dental Plaque and Bleeding on Probing Index were registered. Mother's SOC was assessed through the validated short version (13-item) of Antonovsky's scale. Multiple logistic regression was used in the data analysis.
Of the mothers, 81.1% reported on their child's utilization of dental care services. Of them, 42.9% considered check-ups as the main reason for taking their children to dental services. Children whose mothers had higher levels of SOC were more likely to utilize dental care services (OR=2.08 95%CI=1.17-3.64) and visit a dentist mainly for check-ups (except for dental treatment) (OR=2.02 95%CI=1.06-3.81) than those whose mothers had lower levels of SOC. These findings were adjusted for socioeconomic status, children's oral health-related behaviours and oral health measures.
Mother's SOC was a psychosocial factor associated with their child's pattern of use of dental care services in low-socioeconomic status families.

Download full-text

Full-text

Available from: Mario Vianna Vettore, Jan 15, 2014
2 Followers
 · 
173 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: To assess the relationship between mothers' Sense of Coherence (SOC) and oral health related quality of life (OHRQoL) of 3-5 year old preschool children in Udupi Taluk. 388 mothers aged 24-48 years old and their preschool children. A cross sectional study of mother-child pairs, randomly selected from 8 preschools. Information was obtained about mothers' sociodemographic factors along with the short version (SOC 13) of Antonovsky's sense of coherence scale and children's OHRQoL using the early childhood oral health impact scale (ECOHIS). Chi-square tests and multivariate logistic regression were used for analysis. Mothers' SOC and children's OHRQoL. Mothers' SOC and fathers' education were significantly associated with children's OHRQoL in multivariate analysis. Children of mothers with high SOC were 12.9 times as likely to have high OHRQoL as mothers with low SOC (p < 0.01). Children of fathers with college/university education were twice as likely to have high OHRQoL as those with primary education (p < 0.05). Our results suggest that mother's SOC could be a psychosocial determinant of the OHRQoL of their preschool children. Family environment should be considered when designing interventions to promote or improve the oral health as well as OHRQoL of preschool children.
    Community dental health 03/2014; 31(1):32-6. DOI:10.1922/CDH_3249Khatri05 · 0.87 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Sense of coherence (SOC) is hypothesized to be an important psychological factor that enables people to cope with stressors and successfully maintain and improve health. Mother’s SOC has been shown to be an important psychological factor associated with oral health and oral health-related behaviors of adolescents and 11- to 12-year-old children. However, little is known about the relationship between the caregiver’s SOC and oral health-related behaviors of the preschool children. The objective of this study was to investigate the relationship between oral health-related behaviors of 5-year-old children in Southern China and SOC of their caregiver. Methods A cross-sectional study was conducted in a randomized sample of 1332 children aged 5 years and their caregivers in Guangzhou, Southern China. Data were collected through questionnaires completed by the caregivers. The Chinese short version of Antonovsky’s SOC scale (13 items) was employed to assess the caregiver’s SOC. The outcome variables were the child’s oral health-related behaviors, including frequency of sugary snack intake, toothbrushing frequency, utilization of dental service, and pattern of dental visits. Multiple logistic regression was used to analyze the relationship between the variables. Results No association was found between the children’s sugary snack intake and the mother’s or the father’s SOC. After adjustment for other significant factors related to the child’s oral health-related behaviors, 8.9% of the children whose grandparents (as caregivers) had higher SOC scores had a lower frequency of sugary snack intake, compared with the children whose grandparents had lower SOC scores (OR = 0.61, 95% CI = 0.50–0.73, p = 0.008). The other measures of oral health-related behaviors of the child were not significantly associated with the caregiver’s SOC. Conclusion Sugary snack intake behavior of the 5-year-old children was not associated with the mother’s or the father’s SOC. It was associated with the SOC of their grandparents, who are a small group of the caregivers in China.
    BMC Public Health 03/2013; 13(1):239. DOI:10.1186/1471-2458-13-239 · 2.32 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: La evaluación del GES salud oral integral para niño s/as de 6 años (GES-6años) mostró una baja utilización de esta garantía, con un menor uso en los beneficiariosde escuelas municipales. El empoderamiento y la alfabetización en salud de los padres permiten mejorar su rol como agentes promoto res de la salud de sus hijos. Objetivo: implementar y evaluar una estrategia de empoderamiento y alfabetización en salud bucal de la comunidad sobre sus derechos garantizados en salud para aumentar el uso de la garantía GES-6años. Métodos: diseño mixto. Mediante metodología cualitativa se diseñará un instrumento comunicacional, adecuado cultural y socialmente, para ser enviado a la comunidad beneficiaria de esta garantía. Mediante un ensayo comunitario no aleatorio este instrumento, orientado a empoderar y alfabetizar sobre la salud bucal y el GES-6años, será enviado como carta personalizada (intervención) firmada por el alcalde/sa con un mensaje dirigido a los niños/as beneficiarios del G ES-6años y otro dirigido a sus padres/apoderados. Se seleccionarían escuelas por c onglomerados (comunas) de las dos regiones del país seleccionadas por conveniencia según residencia de los investigadores participantes del estudio. De las comunas cuyas autoridades acepten participar, se seleccionarían aleatoriament e las comunas a intervenir y las comunas controles. El análisis de los datos evaluar á si existen diferencias estadísticamente significativas en la prevalencia de uso de estas garantías entre los niños/as de los establecimientos de educación m unicipal de las comunas intervenidas respecto a los de las comunas controles. Palabras claves: GES, salud oral, niños/as, 6 años,Chile, empoderamiento, alfabetización en salud