Oral Health of Early Head Start Children: A Qualitative Study of Staff, Parents, and Pregnant Women

Oral Health of Early Head Start Children: A Qualitative Study of Staff, Parents, and Pregnant Women
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DOI:
10.2105/ajph.2008.133827
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发表时间:
2009-02-01
影响因子:
12.7
通讯作者:
Rozier, R. Gary
Rozier, R. Gary
中科院分区:
医学2区
文献类型:
--
作者:
Mofidi, Mahyar;Zeldin, Leslie P.;Rozier, R. Gary

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目的:我们探讨了早期启蒙(EHS)工作人员、家长和孕妇的口腔健康知识、态度和活动,沿着他们对未来针对EHS儿童的口腔健康教育干预的建议。九个焦点小组进行了EHS工作人员,家长和孕妇。录音后输入ATLAS.ti 5.0进行编码和分析。父母和孕妇对儿童口腔健康重要性的态度不一。工作人员表示对儿童的口腔健康负有责任,但对他们无法与父母有效沟通感到沮丧。家长反过来认为工作人员的批评,他们如何照顾他们的孩子的口腔健康。注意到EHS项目的口腔健康活动存在差距。与会者表示困惑的头开始口腔健康性能标准的EHS应用。强调了对文化敏感、实践性口腔健康教育的必要性。结论。需要量身定制的、基于理论的干预措施来改善EHS工作人员与家庭之间的沟通。明确的政策,对开端口腔健康绩效标准的应用,以EHS是必要的。教育活动应满足EHS参与者的需求和建议。(Am J公共卫生。2009;99:245-251. doi:10.2105/AJPH.2008.133827)
Objectives.We explored the oral health knowledge, attitudes, and activities of Early Head Start (EHS) staff members, parents, and pregnant women, along with their suggestions related to future oral health educational interventions targeting EHS children.Methods. Nine focus groups were conducted with EHS staff, parents, and pregnant women. Audiotapes of sessions were transcribed and entered into ATLAS.ti 5.0 for coding and analysis.Results. Attitudes about the importance of children's oral health among parents and pregnant women were mixed. Staff members voiced responsibility for children's oral health but frustration in their inability to communicate effectively with parents. Parents in turn perceived staff criticism regarding how they cared for their children's oral health. Gaps were noted in the oral health activities of EHS programs. Participants expressed confusion regarding the application of Head Start oral health performance standards to EHS. The need for culturally sensitive, hands-on oral health education was highlighted.Conclusions. Tailored, theory-based interventions are needed to improve communication between EHS staff and families. Clear policies on the application of Head Start oral health performance standards to EHS are warranted. Educational activities should address the needs and suggestions of EHS participants. (Am J Public Health. 2009;99:245-251. doi:10.2105/AJPH.2008.133827)