Oral Health Behaviors for Young Low-Income Urban Children during the COVID-19 Pandemic: A Mixed Methods Analysis.
Oral Health Behaviors for Young Low-Income Urban Children during the COVID-19 Pandemic: A Mixed Methods Analysis.
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DOI：
10.3390/children10081329
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发表时间：
2023-08-01
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影响因子：
--
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中科院分区：
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本研究评估了 COVID-19 大流行期间（2020 年 11 月至 2021 年 8 月）居家期间（2020 年 11 月至 2021 年 8 月）有幼儿的城市家庭的口腔健康行为变化。有关口腔健康行为的调查数据是在 COVID-19 之前的三个时间点在家中收集的，并在 COVID-19 期间通过电话收集的。来自诊所和社会服务机构的部分家长和关键信息提供者通过视频/电话完成了深度访谈。在受邀的 387 名家长中，有 254 名家长在 COVID-19 期间用英语或西班牙语完成了调查（65.6%）。进行了 15 名关键知情人访谈（25 名参与者）和 21 名家庭访谈。平均儿童年龄为 4.3 岁。儿童主要为西班牙裔（57%）和黑人（38%）。家长们反映，疫情期间儿童刷牙频率有所增加。家庭访谈强调了家庭日常生活的变化影响了口腔健康行为和饮食模式，表明刷牙和营养不太理想。这与家庭生活习惯和社交形象的改变有关。主要知情人描述了口腔健康服务的严重破坏、家庭恐惧和压力。总之，新冠肺炎 (COVID-19) 大流行期间的居家隔离期间是一个日常工作发生极大变化且给家庭带来压力的时期。在极端危机时期，针对家庭日常生活和社交形象的口腔健康干预措施对于家庭来说非常重要。
This research assessed oral health behaviors changes in urban families with young children during the stay-at-home period of the COVID-19 pandemic (Nov 2020–August 2021). Survey data on oral health behaviors were collected in homes at three points before COVID-19, and via phone during COVID-19. A subset of parents and key informants from clinics and social service agencies completed in-depth interviews via video/phone. Of the 387 parents invited, 254 completed surveys in English or Spanish (65.6%) during COVID-19. Fifteen key informant interviews (25 participants) and 21 family interviews were conducted. The mean child age was 4.3 years. Children identified as mainly Hispanic (57%) and Black race (38%). Parents reported increased child tooth brushing frequency during the pandemic. Family interviews highlighted changes in family routines that impacted oral health behaviors and eating patterns, suggesting less optimal brushing and nutrition. This was linked to changed home routines and social presentability. Key informants described major disruptions in oral health services, family fear, and stress. In conclusion, the stay-at-home period of the COVID-19 pandemic was a time of extreme routine change and stress for families. Oral health interventions that target family routines and social presentability are important for families during times of extreme crisis.
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