Racial and ethnic differences in a regular source of dental care and the oral health, behaviors, beliefs and services of low-income mothers
Racial and ethnic differences in a regular source of dental care and the oral health, behaviors, beliefs and services of low-income mothers
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DOI：
10.1922/cdh_2309grembowski08
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发表时间：
2009-06-01
影响因子：
1.7
通讯作者：
Milgrom, P.
中科院分区：
文献类型：
--
作者：
Grembowski, D.;Spiekerman, C.;Milgrom, P.
目的通过对3-6岁低收入儿童母亲的种族/民族多样性调查，我们确定：1)定期牙科保健来源（RSDC）、自评口腔健康、信仰和行为是否因种族/民族而异；2)估计RSDC是否与口腔健康、信仰和行为相关，以及这些关联是否因种族/民族而异，3)在母亲牙科使用中检验这些关系。基础研究设计横断面调查。参与者;从美国华盛顿州108,151名3-6岁的医疗补助儿童中，按种族/民族分层抽样10,909名符合条件的儿童。符合条件的母亲完成了以下组的混合模式调查：黑人（n=818），西班牙裔（n= 1,310）或白人（n= 1,382）。主要观察指标包括母亲的RSDC、个人特征、自评牙齿健康、牙齿外观、牙齿问题、刷牙时间、使用牙线频率、使用牙签或增白剂、相信清洁可以防止蛀牙或牙齿松动，以及最后一次牙科就诊时自我评价的服务。结果约3840%的母亲有RSDC。对于黑人、西班牙裔和白人母亲来说，拥有RSDC始终与更好的口腔健康、更大的洗牙可能性和更少的拔牙可能性相关。RSDC与口腔健康信念和行为无普遍关联。口腔健康行为因种族/民族而异。结论黑人、西班牙裔和白人低收入幼儿母亲的RSDC与自述口腔健康、健康行为、信念和牙科服务的关系相似。不同种族/民族的口腔健康行为不同，这可能对母亲和儿童的口腔健康有影响。
Objective In a racial/ethnically-diverse sample of low-income mothers of children aged 3-6, we determine: 1) whether a regular source of dental care (RSDC), self-rated oral health, beliefs and behaviors differ by racial/ethnic group; 2) estimate whether a RSDC is associated with oral health, beliefs and behaviors, and whether these associations differ by racial/ethnic group, and 3) examine these relationships for mothers' dental utilization. Basic Research Design Cross-sectional survey. Participants; From a population of 108,151 Medicaid children aged 3-6 in Washington state, U.S., 10,909 eligible children were sampled stratified by racial/ethnic group. Eligible mothers completed a mixed-mode survey in the following groups: Black (n=818), Hispanic (n=1,3 10), or White (n = 1,382). Main Outcome Measures Measures were mothers' RSDC, personal characteristics, self-rated dental health, appearance of teeth, dental problems, brushing duration, flossing frequency, use of toothpicks or whiteners, belief that cleaning prevents cavities or loose teeth, and self-reponed services at last dental visit. Results About 3840% of mothers had a RSDC. For Black, Hispanic and White mothers, having a RSDC was associated consistently with better oral health, greater likelihood of a dental cleaning and less likelihood of tooth extraction. RSDC was not associated generally with oral health beliefs and behaviors. Oral health behaviors differ by racial/ethnic group. Conclusions Relationships between RSDC and self-reported oral health, health behaviors, beliefs and dental services are similar for Black, Hispanic and White low-income mothers of young children. Oral health behaviors differ across racial/ethnic groups, which may have implications for mother and child oral health.