A qualitative study of the multi-level influences on oral hygiene practices for young children in an Early Head Start program

Autor: Jeremiah R. Garza, Tracy L. Finlayson, Stuart A. Gansky, MarkJason Cabudol, Jenny Liu, Francisco Ramos-Gomez
Rok vydání: 2019
Předmět:
Male
Health Knowledge
Attitudes
Practice

Pilot Projects
0302 clinical medicine
Hygiene
Early Intervention
Educational

030212 general & internal medicine
Educational
Child
Qualitative Research
media_common
Pediatric
Practice
Snacking
4. Education
Health Knowledge
Early Intervention
Middle Aged
Los Angeles
3. Good health
House Calls
Child
Preschool

Female
Thematic analysis
Qualitative
Early childhood caries
Research Article
Adult
medicine.medical_specialty
Pediatric Research Initiative
media_common.quotation_subject
Mothers
Dental Caries
Oral hygiene
Interviews as Topic
03 medical and health sciences
Preschool-age children
Clinical Research
Intervention (counseling)
Behavioral and Social Science
medicine
Humans
Dental/Oral and Craniofacial Disease
Preschool
General Dentistry
business.industry
Prevention
Home visitors
030206 dentistry
Early Head Start
medicine.disease
lcsh:RK1-715
Family medicine
lcsh:Dentistry
Attitudes
Dentistry
Early head start
business
Qualitative research
Zdroj: BMC oral health, vol 19, iss 1
BMC Oral Health, Vol 19, Iss 1, Pp 1-14 (2019)
BMC Oral Health
Popis: Background Individual child-level risk factors for Early Childhood Caries (ECC) have been studied, but broader family- and community-level influences on child oral hygiene behaviors are less well understood. This study explored multiple levels of influence on oral hygiene behaviors for young children in Early Head Start (EHS) to inform a future behavioral intervention targeting children from low-income families. Methods Twenty-four semi-structured interviews were conducted with mothers of children under 4 years old, enrolled in the home visitor (HV) component of one EHS program in Los Angeles, CA, who participated in the BEhavioral EConomics for Oral health iNnovation pilot study (BEECON) in 2016–7. Audio-recordings of interviews were translated if needed, and transcribed in English, and coding and analysis was facilitated by Dedoose qualitative software. This investigation used general thematic analysis guided by the Fisher-Owens child oral health conceptual framework to identify influences on oral hygiene behaviors for the young children. Results Many mothers reported brushing their children’s teeth twice/day, and concern that most children frequently resisted brushing. They identified children being sick or tired/asleep after outings as times when brushing was skipped. Several child-, family-, and community-level themes were identified as influences on child oral hygiene behaviors. At the child-level, the child’s developmental stage and desire for independence was perceived as a negative influence. Family-level influences included the mother’s own oral hygiene behaviors, other family role models, the mother’s knowledge and attitudes about child oral health, and mothers’ coping skills and strategies for overcoming challenges with brushing her child’s teeth. Overall, mothers in the EHS-HV program were highly knowledgeable about ECC risk factors, including the roles of bacteria and sugar consumption, which motivated regular hygiene behavior. At the community-level, mothers discussed opportunities to connect with other EHS-HV families during parent meetings and playgroups that HV coordinated. A few mothers noted that EHS-HV playgroups included brushing children’s teeth after snacking, which can be a potential positive influence on children’s hygiene practices. Conclusion Child-, family- and community-level factors are important to consider to inform the development of tailored oral health preventive care programs for families in EHS-HV programs. Electronic supplementary material The online version of this article (10.1186/s12903-019-0857-7) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE