Hoeft Kristin S, Masterson Erin E, Barker Judith C
Department of Preventive and Restorative Dental Sciences, University of California San Francisco, San Francisco, USA.
Pediatr Dent. 2009 Sep-Oct;31(5):395-404.
To investigate caregiver beliefs and behaviors as key issues in the initiation of home oral hygiene routines. Oral hygiene helps reduce the prevalence of early childhood caries, which is disproportionately high among Mexican-American children.
Interviews were conducted with a convenience sample of 48 Mexican-American mothers of young children in a low income, urban neighborhood. Interviews were digitally recorded, translated, transcribed, coded and analyzed using standard qualitative procedures.
The average age of tooth brushing initiation was 1.8 +/- 0.8 years; only a small proportion of parents (13%) initiated oral hygiene in accord with American Dental Association (ADA) recommendations. Mothers initiated 2 forms of oral hygiene: infant oral hygiene and regular tooth brushing. For the 48% of children who participated in infant oral hygiene, mothers were prompted by pediatrician and social service (WIC) professionals. For regular tooth brushing initiation, a set of maternal beliefs exist about when this oral hygiene practice becomes necessary for children. Beliefs are mainly based on a child's dental maturity, interest, capacity and age/size.
Most (87%) of the urban Mexican-American mothers in the study do not initiate oral hygiene practices in compliance with ADA recommendations. These findings have implications for educational messages.
探讨照顾者的观念和行为，将其作为启动家庭口腔卫生习惯的关键问题。口腔卫生有助于降低幼儿龋齿的患病率，而墨西哥裔美国儿童的患病率高得不成比例。
对低收入城市社区的48名墨西哥裔美国幼儿母亲进行了便利抽样访谈。访谈进行了数字录音、翻译、转录、编码，并使用标准定性程序进行分析。
开始刷牙的平均年龄为1.8±0.8岁；只有一小部分家长（13%）按照美国牙科协会（ADA）的建议开始进行口腔卫生护理。母亲们启动了两种口腔卫生护理形式：婴儿口腔卫生护理和定期刷牙。对于48%参与婴儿口腔卫生护理的儿童，母亲们是受到儿科医生和社会服务（WIC）专业人员的提示。对于开始定期刷牙，母亲们对于儿童何时需要进行这种口腔卫生护理存在一系列观念。这些观念主要基于孩子的牙齿成熟度、兴趣、能力以及年龄/体型。
该研究中大多数（87%）城市墨西哥裔美国母亲没有按照ADA的建议启动口腔卫生护理措施。这些发现对教育信息有启示意义。
