Trubey Rob J, Moore Simon C, Chestnutt Ivor G
Applied Clinical Research and Public Health, Cardiff University School of Dentistry, Cardiff, UK.
Int J Paediatr Dent. 2014 Mar;24(2):104-12. doi: 10.1111/ipd.12034. Epub 2013 Apr 18.
Despite recent improvements in oral health, dental caries remains a significant source of morbidity for young children. Research has shown that regular toothbrushing with fluoride toothpaste reduces the risk of dental caries, but the factors that influence parental decisions about whether or not to brush their infant children's teeth at home are poorly understood.
To develop an in-depth understanding of the issues that parents face from socio-economically deprived areas when trying to brush their young children's teeth at home.
Fifteen parents of children aged 3-6 years took part in semi-structured telephone interviews, discussing factors relating to brushing their child's teeth at home. Thematic analysis was used to develop three themes.
Parents discussed the difficulty of brushing their children's teeth in the evening, due to changing day-to-day routines, and the subsequent difficulty of forming a toothbrushing habit. Motivating factors for brushing children's teeth were largely short term. Satisfaction with brushing frequency was influenced more by perceptions of how often other parents brushed children's teeth than by the 'twice a day' norm or health outcomes.
Results are discussed in relation to research and theories from the psychology and behavioural economics literature, and comparisons are drawn with assumptions inherent in more traditional oral health promotion messages.
尽管近期口腔健康状况有所改善，但龋齿仍是幼儿发病的一个重要原因。研究表明，使用含氟牙膏定期刷牙可降低患龋齿的风险，但对于影响父母在家是否给婴幼儿刷牙决策的因素，我们了解甚少。
深入了解来自社会经济贫困地区的父母在家给幼儿刷牙时所面临的问题。
15名3至6岁儿童的家长参与了半结构化电话访谈，讨论了与在家给孩子刷牙相关的因素。采用主题分析法得出了三个主题。
家长们谈到，由于日常作息不断变化，晚上给孩子刷牙存在困难，进而难以养成刷牙习惯。给孩子刷牙的激励因素大多是短期的。对刷牙频率的满意度更多地受到对其他家长给孩子刷牙频率的认知影响，而非“每天两次”的标准或健康结果。
结合心理学和行为经济学文献中的研究与理论对结果进行了讨论，并与更传统的口腔健康促进信息中固有的假设进行了比较。
