Association between caregiver opposition to topical fluoride and COVID-19 vaccines.

Autor: Saini SJ; Department of Pediatric Dentistry, University of Washington School of Dentistry, 6222 NE 74th St #8158, Seattle, WA 98115, USA. Electronic address: ssaini@pippediatric.com., Carle AC; James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 7014, Cincinnati, OH 45229-3039, USA; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave, Cincinnati, OH 45267, USA; Department of Psychology, University of Cincinnati College of Arts and Sciences, 1 Edwards Center, Cincinnati, OH 45221, USA. Electronic address: adam.carle@cchmc.org., Forsyth AR; Department of Pediatric Dentistry, University of Washington School of Dentistry, 6222 NE 74th St #8158, Seattle, WA 98115, USA. Electronic address: annarose@uw.edu., Chi DL; Department of Pediatric Dentistry, University of Washington School of Dentistry, 6222 NE 74th St #8158, Seattle, WA 98115, USA; Department of Oral Health Sciences, University of Washington, 1959 NE Pacific Street, Box 357475, Seattle, WA 98195, USA; Department of Health Systems and Population Health, University of Washington, 1959 NE Pacific St., Box 357660, Seattle, WA, 98195, USA. Electronic address: dchi@uw.edu.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2023 Jan 27; Vol. 41 (5), pp. 1035-1041. Date of Electronic Publication: 2022 Dec 14.
DOI: 10.1016/j.vaccine.2022.12.018
Abstrakt: Purpose: Caregivers who oppose topical fluoride in dental settings may be opposed to other preventive health treatments, including COVID-19 vaccines. The study objective was to examine the association between caregiver opposition to topical fluoride and COVID-19 vaccines.
Methods: The study took place at the University of Washington in Seattle, WA. English-speaking caregivers of children aged < 18 years were eligible to participate. An 85-item REDCap survey was administered from February to September 2021. The predictor variable was topical fluoride opposition (no/yes). The outcome was COVID-19 vaccine opposition (no/yes). The models included the following covariates: child and caregiver age; caregiver race and ethnicity, education level, dental insurance type, parenting style, political ideology, and religiosity; and household income. Logistic regression models generated odds ratios (OR) and 95 % confidence intervals (α = 0.05).
Results: Six-hundred-fifty-one caregivers participated, and 403 caregivers with complete data were included in the final regression model. Mean child age was 8.5 years (SD 4.2), mean caregiver age was 42.1 years (SD 9.1), 53.0 % of caregivers were female, 57.3 % self-reported as white, and 65.5 % were insured by Medicaid. There was a significant positive association between topical fluoride and COVID-19 vaccine opposition (OR = 3.13; 95 % CI: 1.87, 5.25; p < 0.001). Other factors associated with COVID-19 vaccine opposition included conservative political views (OR = 2.77; 95 % CI: 1.26, 6.08; p < 0.011) and lower education (OR = 3.47; 95 % CI: 1.44, 8.38; p < 0.006).
Conclusions: Caregivers opposed to topical fluoride in dental settings were significantly more likely to oppose COVID-19 vaccines for their child. Future research should identify ways to address both topical fluoride and vaccine opposition to prevent diseases in children.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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