A Mixed-Methods Study on Topical Fluoride Beliefs and Refusal Behaviors for Caregivers of Children with Special Health Care Needs.
A Mixed-Methods Study on Topical Fluoride Beliefs and Refusal Behaviors for Caregivers of Children with Special Health Care Needs.
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关于有特殊医疗保健需求的儿童的护理人员对局部氟化物的信念和拒绝行为的混合方法研究。
DOI：
10.1007/s10995-023-03806-1
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发表时间：
2024
影响因子：
2.3
通讯作者：
Chi,DonaldL
中科院分区：
文献类型：
--
作者：
Koh,Madelyn;Kerr,Darragh;Hill,CourtneyM;Chi,DonaldL
目的了解特殊卫生保健需要儿童（CSHCN）照顾者的氟相关信念和拒绝行为。为了进行定量分析，我们调查了520名照顾者，以（a）比较CSHCN照顾者和健康儿童照顾者之间的氟相关信念和（B）评估特殊卫生保健需要（SHCN）状态和局部氟拒绝之间的关联。我们使用逻辑回归模型生成未调整的比值比、混杂因素调整的比值比（AOR）和95%置信区间（CI）。对于定性分析，我们采访了56名拒绝或犹豫外用氟化物的护理人员。数据进行编码演绎和比较SHCN状态到现有的概念模型的局部氟化物refussion.ResultsIn定量分析，41.3%的照顾者拒绝或拒绝局部氟化物的想法。根据SHCN状态，氟化物信念没有显著差异（p值> 0.05），SHCN状态和局部氟化物拒绝之间也没有显著关联（AOR：0.65，95%CI 0.37-1.14;p= 0.13）。在定性分析中，概念模型的每个领域的相对重要性是相似的照顾者群体之间。两个差异是，所有照顾者的CSHCN认为氟化物是不必要的，并希望保持化学物质出他们的孩子的body.Conclusions为PracticeWhile照顾者的CSHCN不更有可能拒绝外用氟化物比照顾者的健康儿童，可能有重要的差异，在根本原因拒绝外用氟化物。
ObjectiveTo understand topical fluoride-related beliefs and refusal behaviors for caregivers of children with special health care needs (CSHCN).MethodsThis was an explanatory sequential mixed methods study. For the quantitative analyses, we surveyed 520 caregivers to (a) compare fluoride-related beliefs between caregivers of CSHCN and caregivers of healthy children and (b) evaluate the association between special health care need (SHCN) status and topical fluoride refusal. We used logistic regression models to generate unadjusted odds ratios, confounder-adjusted odds ratios (AOR), and 95% confidence intervals (CI). For the qualitative analyses, we interviewed 56 caregivers who refused or were hesitant about topical fluoride. Data were coded deductively and compared by SHCN status to an existing conceptual model of topical fluoride refusal.ResultsIn the quantitative analysis, 41.3% of caregivers refused or thought about refusing topical fluoride. There were no significant differences in fluoride beliefs by SHCN status (p-values > 0.05) nor was there a significant association between SHCN status and topical fluoride refusal (AOR: 0.65, 95% CI 0.37–1.14;p= 0.13). In the qualitative analysis, the relative importance of each domain of the conceptual model was similar between the caregiver groups. Two differences were that all caregivers of CSHCN thought fluoride was unnecessary and wanted to keep chemicals out of their child’s body.Conclusions for PracticeWhile caregivers of CSHCN were not more likely to refuse topical fluoride than caregivers of healthy children, there may be important differences in the underlying reasons for refusing topical fluoride.