Child and family health nurses' experiences of oral health of preschool children: a qualitative approach

Arora, Amit; Bedros, Dina; Bhole, Sameer; Do, Loc; Jordan, Scott; Blinkhorn, Anthony; Schwarz, Eli

doi:10.1111/j.1752-7325.2011.00295.x

Cited by 30 publications

(33 citation statements)

References 27 publications

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“…Studies have demonstrated that parental perceptions are associated with clinical characteristics, as children with dental caries are more prone to having their oral health status rated as poor [15, 33, 34]. As parents/caregivers are responsible for their child’s health care and admit that oral health problems can be avoided, the perception of poor oral health may cause feelings of guilt [8, 17]. Moreover, the perception of poor oral health is associated with dental treatment needs in preschool children [15].…”

Section: Discussionmentioning

confidence: 99%

“…Although dental health professionals explain the main methods for preventing dental caries [36], many parents fail to put these methods into daily practice [14, 18]. In such cases, parents/caregivers often feel accountable [8, 9] and worry about their child’s future opportunities in life [18]. Parental guilt with regard to cavitated lesions further demonstrates the negative impact of this oral health problem on quality of life [5–7, 35].…”

Section: Discussionmentioning

confidence: 99%

“…These conditions can have a negative impact on the oral health-related quality of life (OHRQoL) of the family [5–7], since parents feel responsible for their child’s oral health [8]. Indeed, parents play an important role in the oral health status of children and in seeking dental care [9, 10] and therefore tend to express feelings of guilt when their child exhibits oral health problems and/or treatment needs [5, 11].…”

Section: Introductionmentioning

confidence: 99%

“…A number of factors are considered determinants of the emergence of parental guilt, such as less time available for raising children and care delegated to third parties due to the need to work outside the home as well as a lack of knowledge on oral health care and the presence of oral health problems [8, 13, 14]. It is believed that many oral health problems can be reduced or even avoided when parents/caregivers have access to information on oral health [15, 16].…”

Section: Introductionmentioning

confidence: 99%

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Association between parental guilt and oral health problems in preschool children: a hierarchical approach

et al. 2014

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BackgroundDental caries and traumatic dental injury (TDI) can play an important role in the emergence of parental guilt, since parents feel responsible for their child’s health. The aim of the present study was to evaluate the influence of oral health problems among preschool children on parental guilt.MethodsA preschool-based, cross-sectional study was carried out with 832 preschool children between three and five years of age in the city of Campina Grande, Brazil. Parents/caregivers answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). The item "parental guilt" was the dependent variable. Questionnaires addressing socio-demographic variables (child’s sex, child’s age, parent’s/caregiver’s age, mother’s schooling, type of preschool and household income), history of toothache and health perceptions (general and oral) were also administered. Clinical exams for dental caries and TDI were performed by three dentists who had undergone a training and calibration exercise (Kappa: 0.85-0.90). Poisson hierarchical regression was used to determine the significance of associations between parental guilt and oral health problems (α = 5%). The multivariate model was carried out on three levels using a hierarchical approach from distal to proximal determinants: 1) socio-demographic aspects; 2) health perceptions; and 3) oral health problems.ResultsThe frequency of parental guilt was 22.8%. The following variables were significantly associated with parental guilt: parental perception of child’s oral health as poor (PR = 2.010; 95% CI: 1.502-2.688), history of toothache (PR = 2.344; 95% CI: 1.755-3.130), cavitated lesions (PR = 2.002; 95% CI: 1.388-2.887), avulsion/luxation (PR = 2.029; 95% CI: 1.141-3.610) and tooth discoloration (PR = 1.540; 95% CI: 1.169-2.028).ConclusionBased on the present findings, parental guilt increases with the occurrence of oral health problems that require treatment, such as dental caries and TDI of greater severity. Parental perceptions of poor oral health in their children and history of toothache were predictors of greater feelings of parental guilt.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between parental guilt and oral health problems in preschool children: a hierarchical approach

et al. 2014

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“…Oral diseases can have resultant impact on communities' general health and well-being [13]. Dental caries being the most prevalent chronic childhood disease worldwide [14] whilst periodontal disease is a chronic infection of the gingiva and supporting tooth structures which is highly prevalent particularly among adults of low income communities [15]. Both periodontal disease and dental caries are typically asymptomatic conditions for long periods of time with only intermittent exacerbations [15].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

Gwengu¹

2017

J Oral Hyg Health

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A case control study was conducted to determine factors (enhancers and barriers) relating to the utilization of oral health services by postnatal mothers in the Sisters of Mercy Clinic in Winterveldt. Control of oral diseases of postnatal mothers depends on the availability, readiness and accessibility of oral health systems, but any reduction of risk to diseases is only possible if services are oriented towards Primary Health Care (PHC).107 cases (postnatal mothers who were present users of oral health services in the dental unit at the time of their interviews) and 107 controls (postnatal mothers who were present non-users of oral health services in the postnatal and immunization unit at the time of their interviews) were included in the study. Age matched non-users of oral health services who were fulfilling the same inclusion criteria for users of oral health services were selected for comparison. A closed ended questionnaire was specifically designed for the study in English, and together with the information sheet and consent forms translated into the vernacular. Questionnaires were administered by a trained researcher from December 2010 -February 2012. The questionnaire was divided into four categories, namely, sociodemographic factors, socio-economic factors, access factors and utilization factors. Bivariate (Chi-square test) and multivariate (logistic regression) analyses were carried out to find associations between the factors and use of oral health services. Results:The study revealed that the majority of postnatal mothers were less than 29 years old (61% were cases and 47% were controls); were biological mothers (93% cases and 78% controls); were unemployed (93% cases and 84% controls); were on social grants (68% cases and 66% controls) and had a secondary school education (80% cases and 79% controls). In the control group, 64% reported that they had dental problems compared to 36% in the case group, but only 51% of the controls reported that they had previous visits at Sisters of Mercy dental clinic compared to 64% of the cases. Bivariate analysis revealed significant differences in 14 variables. Logistic regression revealed the strongest predictors for present use of oral health services to be: the number of household children and travelling time. Participants in the dental unit had to travel for 30 minutes who were found to be more likely to utilize oral health services (OR= 1.38; CI=1.01-1.90; P ≤ 0.05) compared to those from the postnatal unit who had to travel longer (more than 1 hour). Participants with fewer children in the postnatal unit were found to be less likely to utilize oral health services (OR= 0.53; CI=0.305-0.924; P ≤ 0.05) compared to those with more children (>5) in the dental unit. Conclusions:Despite having fewer children, most postnatal mothers in the postnatal unit did not make previous use of oral health services. There is a need to encourage them to utilise oral health services and to ensure that the Sisters of Mercy dental clinic is accessible to them. Mothers who...

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Recruitment of Research Participants

Manohar

MacMillan

Steiner

et al. 2018

Handbook of Research Methods in Health Social Sciences

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Child and family health nurses' experiences of oral health of preschool children: a qualitative approach

Cited by 30 publications

References 27 publications

Association between parental guilt and oral health problems in preschool children: a hierarchical approach

Association between parental guilt and oral health problems in preschool children: a hierarchical approach

Determinants of Utilization of Oral Health Services by Postnatal Mothers in Winterveldt, Gauteng Province, South Africa

Recruitment of Research Participants

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