Oral health content of early education and child care regulations and standards
Oral health content of early education and child care regulations and standards
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DOI：
10.1111/j.1752-7325.2010.00204.x
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发表时间：
2011-03-01
影响因子：
2.3
通讯作者：
Rozier, R. Gary
中科院分区：
文献类型：
--
作者：
Kranz, Ashley M.;Rozier, R. Gary
目的：几乎每三个五岁以下的美国儿童中就有两个接受父母以外的人的托儿服务。早期教育和儿童保育（EECC）项目中的健康促进可以改善儿童和家庭的整体健康，但对这些项目在口腔健康中的作用知之甚少。我们确定了美国EECC项目指南，并评估了其对婴幼儿口腔健康的建议。方法：从国家儿童保健与安全资源中心的在线数据库中获得各州许可条例。通过搜索PubMed、早期儿童组织网站和早期儿童文献，确定了专业标准。所有EECC指南都对与儿童口腔健康促进有关的关键术语进行了审查，并按领域进行了总结。结果：36个州将口腔健康纳入其许可条例，但建议是有限的，而且大多数是针对牙刷的储存。确定了11套标准，其中4套对口腔健康提出了建议。美国儿科学会/美国公共卫生协会（AAP/APHA）和开端办公室（OHS）的标准提供了关于筛查和转诊、课堂活动和教育的最全面的口腔健康建议。结论：存在详细的口腔卫生实践指南，但在数量和内容上存在很大差异。各州可以使用来自AAP/APHA和OHS的综合标准来告知和加强其许可法规的口腔健康内容。需要进行研究以确定法规和标准的遵守情况及其对口腔健康的影响。
Objective: Almost two out of every three US children younger than five receive child care from someone other than their parents. Health promotion in early education and child care (EECC) programs can improve the general health of children and families, but little is known about the role of these programs in oral health. We identified US EECC program guidelines and assessed their oral health recommendations for infants and toddlers.Methods: State licensing regulations were obtained from the National Resource Center for Health and Safety in Child Care's online database. Professional standards were identified through a search of PubMed, early childhood organizations' websites, and early childhood literature. All EECC guidelines were reviewed for key terms related to oral health promotion in children and summarized by domains.Results: Thirty-six states include oral health in their licensing regulations, but recommendations are limited and most often address the storage of toothbrushes. Eleven sets of standards were identified, four of which make recommendations about oral health. Standards from the American Academy of Pediatrics/American Public Health Association (AAP/APHA) and the Office of Head Start (OHS) provide the most comprehensive oral health recommendations regarding screening and referral, classroom activities, and education.Conclusions: Detailed guidelines for oral health practices exist but they exhibit large variation in number and content. States can use the comprehensive standards from the AAP/APHA and OHS to inform and strengthen the oral health content of their licensing regulations. Research is needed to determine compliance with regulations and standards, and their effect on oral health.