Riedy C A, Weinstein P, Milgrom P, Bruss M
Department of Dental Public Health Sciences, University of Washington, Seattle 98195-7475, USA.
Int Dent J. 2001 Aug;51(4):305-12. doi: 10.1002/j.1875-595x.2001.tb00843.x.
To provide guidance for a public health intervention in a high caries rate multicultural population by understanding cultural issues surrounding children's oral health.
Seven community focus groups were conducted with five ethnic populations (Chamorro, Filipino, Carolinian, Pohnpean, and Chuukese) living on the island of Saipan, Commonwealth of the Northern Mariana Islands, USA. Participants were asked questions about their beliefs, attitudes, knowledge, and care practices regarding issues around children's oral health.
Analysis consisted of a content review of participants' responses within two targeted areas: past and current attitudes and health beliefs, and behaviours impacting risk of developing disease. Both the lack of value of baby teeth and negative parental experiences are factors underlying health beliefs and behaviours. Although some differences in beliefs and practices existed across cultural groups, most women were interested in learning about new preventive strategies to reduce dental disease. Several new mothers reported that they actively sought out parenting information during their initial pregnancy.
Aversive parental experience and disregard for primary dentition were identified as serious obstacles to be addressed in order for any new programme to be effective. Despite these obstacles, new mothers were open to information and strategies to reduce the prevalence of early childhood caries.
通过了解围绕儿童口腔健康的文化问题，为高龋齿率多元文化人群的公共卫生干预提供指导。
在美国北马里亚纳群岛联邦塞班岛，对五个族裔群体（查莫罗人、菲律宾人、卡罗琳人、波纳佩人及楚克人）开展了七个社区焦点小组访谈。询问参与者有关儿童口腔健康问题的信念、态度、知识及护理习惯。
分析包括对参与者在两个目标领域的回答进行内容审查：过去和当前的态度及健康信念，以及影响疾病发生风险的行为。乳牙缺乏价值观念和负面的家长经历是健康信念和行为的潜在因素。尽管不同文化群体在信念和习惯上存在一些差异，但大多数女性有兴趣了解减少牙齿疾病的新预防策略。几位新妈妈报告说，她们在初次怀孕时就积极寻求育儿信息。
为使任何新计划有效，厌恶性的家长经历和对乳牙的忽视被确定为需要解决的严重障碍。尽管存在这些障碍，但新妈妈们愿意接受减少幼儿龋齿患病率的信息和策略。
