Preventing caries in young children of immigrant Bangladeshi families in New York: Perspectives of mothers and paediatricians
Preventing caries in young children of immigrant Bangladeshi families in New York: Perspectives of mothers and paediatricians
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DOI：
10.1922/cdh_3234karasz
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发表时间：
2014-06-01
影响因子：
1.7
通讯作者：
McKee, D.
中科院分区：
文献类型：
--
作者：
Karasz, A.;Patel, V.;McKee, D.
目的：儿童龋病在南亚移民家庭中很常见。很少有儿童在12个月内去看牙医，正如目前的指南所建议的那样。儿科访问具有将儿童与预防保健联系起来的重要潜力。本研究的目的是了解在纽约的孟加拉移民家庭的幼儿龋齿预防的障碍和促进因素。收集定性数据作为南亚儿童口腔健康咨询干预发展的初步步骤。基本设计：定性访谈儿童喂养和口腔健康预防进行了孟加拉国的母亲。定性访谈进行了儿科医生提供护理的经验。使用标准的定性方法对数据进行分析。背景：儿科实践服务于低收入的孟加拉移民在纽约市。参会人员：26名6-24个月婴儿的母亲在5个儿科机构接受服务，15名儿科医生在这些机构提供护理。结果：母亲和儿科医生都描述了危险的喂养方法，沟通问题和缺乏依从性。对于一些母亲来说，幼儿的口腔健康并不重要。然而，大多数人担心儿童龋齿，但缺乏技能或资源，以减少龋齿的风险。结论：结果支持我们的计划，开发一个授权为基础的咨询干预，以解决儿童龋齿的风险。儿科牙医应了解这一群体的龋病预防障碍。
Objective: Childhood caries is common in South Asian immigrant families. Few children visit a dentist by 12 months, as recommended by current guidelines. The paediatric visit has important potential for linking children to preventive care. The aim of this study was to understand the barriers and facilitators to caries prevention for young children of immigrant Bangladeshi families in New York. Qualitative data were collected as a preliminary step in the development of an oral health counselling intervention for South Asian children. Basic Design: Qualitative interviews on child feeding and oral health prevention were conducted with Bangladeshi mothers. Qualitative interviews were conducted with paediatricians regarding their experiences with providing care. The data were analysed using standard qualitative approaches. Setting: Paediatric practices serving low income Bangladeshi immigrants in New York City. Participants: 26 mothers of children aged 6-24 months receiving services in five paediatric settings and 15 paediatricians providing care in these settings. Results: Both mothers and their paediatricians described risky feeding practices, communication problems and a lack of compliance. Oral health for young children was a low priority for some mothers. Most, however, were concerned about childhood caries but lacked skills or resources to decrease caries risk. Conclusions: Results support our plan to develop an empowerment-based counselling intervention to address caries risk in children. Paediatric dentists should be aware of the barriers to caries prevention in this group.