A qualitative study of the multi-level influences on oral hygiene practices for young children in an Early Head Start program
A qualitative study of the multi-level influences on oral hygiene practices for young children in an Early Head Start program
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DOI：
10.1186/s12903-019-0857-7
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发表时间：
2019-07-26
期刊：
影响因子：
2.9
通讯作者：
Ramos-Gomez, Francisco
中科院分区：
文献类型：
--
作者：
Finlayson, Tracy L.;Cabudol, MarkJason;Ramos-Gomez, Francisco
背景儿童早期龋齿（ECC）的个体水平的危险因素已被研究，但更广泛的家庭和社区水平对儿童口腔卫生行为的影响还不太清楚。本研究探讨了早期开端（EHS）对幼儿口腔卫生行为的多层次影响，以告知未来针对低收入家庭儿童的行为干预。MethodsTwenty-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洛杉矶，CA，2016-7年参加了BEECON口腔健康iNecomics试点研究（BEECON）。如有必要，还翻译了访谈录音，并以英文转录，Dedoose定性软件为编码和分析提供了便利。本次调查采用一般的主题分析指导下的费舍尔-欧文斯儿童口腔健康的概念框架，以确定口腔卫生行为的影响，为年幼的child.ResultsMany母亲报告刷牙两次/天，并关注，大多数儿童经常抵制刷牙。他们认为孩子们在外出后生病或累了/睡着了，因为他们没有刷牙。几个儿童，家庭和社区层面的主题被确定为影响儿童口腔卫生行为。在儿童一级，儿童的发展阶段和独立的愿望被认为是一种负面影响。家庭层面的影响包括母亲自己的口腔卫生行为，其他家庭角色模型，母亲的知识和态度对儿童口腔健康，和母亲的应对技巧和策略，以克服挑战，刷牙的孩子。总体而言，EHS-HV项目中的母亲对ECC风险因素非常了解，包括细菌和糖消耗的作用，这促使了定期的卫生行为。在社区一级，母亲们在HV协调的家长会议和游戏小组中讨论了与其他EHS-HV家庭联系的机会。一些母亲指出，EHS-HV游戏组包括刷牙后，吃零食，这可能是一个潜在的积极影响儿童的卫生practices.ConclusionChild，家庭和社区层面的因素是重要的考虑，以告知量身定制的口腔健康预防保健计划的发展，为家庭在EHS-HV程序。
BackgroundIndividual 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.MethodsTwenty-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.ResultsMany 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.ConclusionChild-, 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.