Lewis Charlotte W, Linsenmayer Kristi A, Williams Alexis
School of Medicine, University of Washington Department of Pediatrics, Division of General Pediatrics, University of Washington Child Health Institute, Seattle, USA.
Pediatr Dent. 2010 Nov-Dec;32(7):518-24.
Using qualitative methods, the purpose of this study was to understand low-income parents' experiences and how these influenced their oral health-related behavior toward their children.
Twenty-eight parents were recruited from 7 sites that serve low-income families. Interviews, which were audiotaped and transcribed, were comprised of mostly open-ended questions. Transcripts were analyzed for common themes.
Parents' experiences influenced their oral health-related beliefs, intentions, and behaviors. Finding dentists who accept Medicaid was the greatest barrier to realizing intended preventive dental care. Physicians appeared to have relatively little impact on these families' oral health care, even though parents believed that oral health is part of overall health care. WIC (the Supplemental Nutrition Program for Women, Infants and Children) played an important role in facilitating oral health knowledge and access to dental care.
Most low-income parents had received little attention to their own oral health, yet wanted better for their children. This motivated the high value placed on their children's preventive oral health. Parents faced challenges finding dental care for their children. Difficulty finding a regular source of dental care for low-income adults, however, was nearly universal. The authors identified strategies, which emerged from their interviews, to improve the oral health knowledge and dental care access for these low-income families.
本研究采用定性方法，旨在了解低收入父母的经历以及这些经历如何影响他们对孩子的口腔健康相关行为。
从7个为低收入家庭服务的地点招募了28名家长。访谈进行了录音和转录，访谈内容主要由开放式问题组成。对转录文本进行了共同主题分析。
父母的经历影响了他们的口腔健康相关信念、意图和行为。找到接受医疗补助的牙医是实现预期预防性牙科护理的最大障碍。尽管父母认为口腔健康是整体医疗保健的一部分，但医生对这些家庭的口腔保健影响相对较小。妇女、婴儿和儿童营养补充计划（WIC）在促进口腔健康知识和获得牙科护理方面发挥了重要作用。
大多数低收入父母对自己的口腔健康关注较少，但希望孩子能有更好的口腔健康。这促使他们高度重视孩子的预防性口腔健康。父母在为孩子寻找牙科护理方面面临挑战。然而，为低收入成年人找到常规牙科护理来源的困难几乎是普遍存在的。作者从访谈中确定了一些策略，以提高这些低收入家庭的口腔健康知识和获得牙科护理的机会。
