Urban Mexican-American mothers' beliefs about caries etiology in children
Urban Mexican-American mothers' beliefs about caries etiology in children
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DOI：
10.1111/j.1600-0528.2009.00528.x
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发表时间：
2010-06-01
影响因子：
2.3
通讯作者：
Masterson, Erin E.
中科院分区：
文献类型：
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作者：
Hoeft, Kristin S.;Barker, Judith C.;Masterson, Erin E.
目的：龋齿是一种严重的疾病，不成比例地影响美国的拉丁裔儿童。本研究旨在上下文的理解城市，低收入的墨西哥裔美国母亲的信念，观念，知识和行为周围的原因carries.Methods：在城市圣何塞，加利福尼亚州，进行了定性研究，一个方便的样本，墨西哥裔美国母亲的幼儿有关他们的信念和知识的原因龋齿。主要以西班牙语进行的带开放式问题的深入访谈录音被翻译成英文，然后逐字转录。文本独立阅读和主题分析由两个researcher.Results：即使表示不确定性，所有48位母亲提到龋齿的具体原因，最经常引用糖果或果汁消费（85%），口腔卫生不良（65%）和使用瓶（52%）。母亲们很少认识到糖果以外的致龋食物，不知道或执行推荐的口腔卫生程序，并表现出困惑和不确定婴儿奶瓶到底如何对牙齿有害。近一半的母亲还提到了继发性蛀牙的原因，如遗传、缺钙、不去看牙医或缺乏氟化物。母亲们没有提到细菌的作用。虽然母亲们认识到口腔卫生可以抵消糖果消费的不利影响，但他们没有认识到它在其他情况下的有益影响。他们也不知道其他的预防活动。结论：母亲认识到三个主要的重要因素引起龋齿：糖的消费，口腔卫生不良和瓶使用。然而，他们的知识在深度和特异性上是有限的，这限制了龋病预防行为的发展。需要更全面的教育，包括有关龋齿预防（口腔卫生）行为的教育，这可能会导致对儿童口腔健康的自我效能感增加。
Objectives:Caries is a severe condition which disproportionately affects Latino children in the US. This study sought contextual understanding of urban, low-income Mexican-American mothers' beliefs, perceptions, knowledge and behavior surrounding causes of caries.Methods:In urban San Jose, CA, a qualitative study was conducted with a convenience sample of Mexican-American mothers of young children about their beliefs and knowledge about the causes of caries. Audio-taped in-depth interviews with open-ended questions, primarily in Spanish, were translated to English and then transcribed verbatim. Texts were independently read and thematically analyzed by two researchers.Results:Even while expressing uncertainty, all 48 mothers mentioned specific causes of caries, most frequently citing candy or juice consumption (85%), poor oral hygiene (65%) and use of the bottle (52%). Mothers rarely recognized cariogenic foods beyond candy, did not know or perform recommended oral hygiene routines, and demonstrated confusion and uncertainty about exactly how baby bottles are detrimental to teeth. Nearly half of these mothers also mentioned secondary cavity causes, such as genetics, lack of calcium, not going to the dentist or lack of fluoride. Mothers did not mention the role of bacteria. While mothers recognized that oral hygiene can counteract the detrimental effects of candy consumption, they did not recognize its beneficial effects in other contexts. Nor did they know about other preventive activities.Conclusions:Mothers recognized the three major important factors causing caries: sugar consumption, poor oral hygiene and bottle use. However, their knowledge is limited in depth and specificity which restricts development of caries prevention behaviors. More comprehensive education is needed, including about caries prevention (oral hygiene) behaviors, which could lead to an increased sense of self-efficacy with respect to their children's oral health.