Caregiver acceptability and preferences for preventive dental treatments for young African‐American children

Adams, Sally; Rowe, Corie R.; Gansky, Stuart A.; Cheng, Nancy; Barker, Judith C.; Hyde, Susan D.

doi:10.1111/j.1752-7325.2012.00332.x

Cited by 12 publications

(8 citation statements)

References 12 publications

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“…Studies on parent preferences regarding preventive care have reported that most parents accept fluoride, but there are some parents with concerns. 15,16 These findings support the continuum model. For simplicity, when I use the term “fluoride refusal” in this paper, it incorporates the concept of hesitancy…”

Section: Introductionsupporting

confidence: 80%

Parent Refusal of Topical Fluoride for Their Children

Donald

2017

Dental Clinics of North America

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SYNOPSIS A growing number of parents are refusing topical fluoride for their children during preventive dental and medical visits. This nascent clinical and public health problem warrants attention from dental professionals and the scientific community. There are immediate clinical and community-based strategies available to improve fluoride-related communications with parents and the public. In terms of future research priorities, there is a need to develop screening tools to identify parents who are likely to refuse topical fluoride and diagnostic instruments to uncover the reason(s) for topical fluoride refusal. The goal is to use these tools and instruments to measure the efficacy of programs aimed at addressing fluoride refusal. Over time, this knowledge will lead to evidence-based strategies that can be widely disseminated into clinical practice. These efforts will help parents make optimal preventive dental care decisions for their children, reduce dental disease in high-risk children, and reduce persisting pediatric oral health inequalities.

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Section: Introductionsupporting

confidence: 80%

Parent Refusal of Topical Fluoride for Their Children

Donald

2017

Dental Clinics of North America

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“…In a study to determine early childhood caries prevention treatments utilized by African American parents, results suggested that treatments which allowed for autonomy and a sense of control by either the parent or the child (e.g., tooth brushing versus fluoride) were preferred [ 29 ]. Similarly, in the only randomized controlled trial in this review, parents/caregivers participated in an intervention to improve the oral care of their young child (0–5 years); those that received a motivational interview-based intervention were significantly more likely to check for “pre-cavities” and encourage tooth brushing at bedtime at follow up as compared to those who received DVD-based intervention [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

The Persistence of Oral Health Disparities for African American Children: A Scoping Review

Como

Duker

Polido

et al. 2019

IJERPH

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Oral health is an important yet often neglected component of overall health, linked to heart disease, stroke, and diabetic complications. Disparities exist for many groups, including racial and ethnic minorities such as African Americans. The purpose of this study was to examine the potential factors that perpetuate oral health care disparities in African American children in the United States. A systematic search of three literature databases produced 795 articles; 23 articles were included in the final review. Articles were analyzed using a template coding approach based on the social ecological model. The review identified structural, sociocultural, and familial factors that impact the ability of African Americans to utilize oral care services, highlighting the importance of the parent/caregiver role and the patient–provider relationship; policy-level processes that impact access to quality care; the value of autonomy in treatment and prevention options; and the impact of sociocultural factors on food choices (e.g., food deserts, gestures of affection). In conclusion, oral health care remains an underutilized service by African American children, despite increasing access to oral care secondary to improvements in insurance coverage and community-based programs.

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“…We utilized an anonymous modified interview-based assessment of parental acceptability and preferences, with some information acquired from published studies, 22 – 28 and modified it to meet our patient population cultures.…”

Section: Methodsmentioning

confidence: 99%

Parental preference for fluoride varnish: a new concept in a rapidly developing nation

Hendaus¹,

Jama²,

Siddiqui³

et al. 2016

PPA

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ObjectiveThe objective of this study was to investigate parental preference for fluoride varnish in a country where the average percentage of dental caries in young children is up to ~73%. Consequently, the aim of this study, despite being a pilot, was to create a nationwide project in the State of Qatar to promote oral health in children.MethodsA cross-sectional perspective study was conducted at Hamad Medical Corporation in Qatar. Parents of children aged ≤5 years were offered an interview survey. A total of 200 questionnaires were completed (response rate =100%). The study was conducted between December 1, 2014 and March 30, 2015, and included all children aged >1 year and <5 years who came to the outpatient clinics for well-child and sick visits. We also included children who were admitted to the inpatient wards.ResultsThe mean age of participant children was 2.8±1.1 years. When inquiring regarding parents’ knowledge and awareness of dental health, we found that >90% of families were aware that dental health affects the health of the whole body. The study showed that ~70% of parents were not aware of the existence of fluoride varnish, but would allow a health provider to apply fluoride varnish. Furthermore, ~80% of parents would not stop brushing their child’s teeth and would not skip dentist appointments if varnish was to be applied. Approximately 40% of parents conveyed some concerns regarding the safety of fluoride varnish, despite being considered as a new concept. The main concern was that the child might swallow some of the fluoride. Another important concern expressed by parents was the availability of the fluoride varnish in all clinics.ConclusionThe robust positive attitude of parents in this sample suggests that introducing fluoride varnish is feasible and acceptable in our community. Actions to augment fluoride varnish acceptability in the developing world, such as focusing on safety, could be important in the disseminated implementation of fluoride varnish.

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Caregiver acceptability and preferences for preventive dental treatments for young African‐American children

Cited by 12 publications

References 12 publications

Parent Refusal of Topical Fluoride for Their Children

Parent Refusal of Topical Fluoride for Their Children

The Persistence of Oral Health Disparities for African American Children: A Scoping Review

Parental preference for fluoride varnish: a new concept in a rapidly developing nation

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