International comparisons of health inequalities in childhood dental caries.
Community Dent Health
; 21(1 Suppl): 121-30, 2004 Mar.
Article
em En
| MEDLINE
| ID: mdl-15072481
ABSTRACT
OBJECTIVE:
To undertake formative studies investigating how the experience of dental caries in young children living in diverse settings relates to familial and cultural perceptions and beliefs, oral health-related behaviour and oral microflora.PARTICIPANTS:
The scientific consortium came from 27 sites in 17 countries, each site followed a common protocol. Each aimed to recruit 100 families with children aged 3 or 4 years, half from deprived backgrounds, and within deprived and non-deprived groups, half to be "caries-free" and half to have at least 3 decayed teeth. OUTCOMEMEASURES:
Parents completed a questionnaire, developed using psychological models, on their beliefs, attitudes and behaviours related to their child's oral health. 10% of children had plaque sampled.RESULTS:
2,822 children and families were recruited. In multivariate analyses, reported toothbrushing behaviours that doubled the odds of being caries-free were a combination of brushing before age 1, brushing twice a day and adult involvement in brushing. Analyses combining beliefs, attitudes and behaviours found that parents' perceived ability to implement regular toothbrushing into their child's daily routine was the most important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries.CONCLUSIONS:
Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
/
Atitude Frente a Saúde
/
Família
/
Conhecimentos, Atitudes e Prática em Saúde
/
Cultura
/
Cárie Dentária
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Adult
/
Child, preschool
/
Humans
Idioma:
En
Revista:
Community Dent Health
Assunto da revista:
ODONTOLOGIA
/
SAUDE PUBLICA
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Reino Unido