van Nes K A, Veerkamp J S J, Reis R
Department of Cariology, Endodontology Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Gustav Mahlerlaan 3004, room 2N41, 1081 LA, Amsterdam, The Netherlands.
Department of Public health and Primary Care, Leiden University Medical Centre (LUMC), Postbus 9600, 2300 RC, Leiden, The Netherlands.
Eur Arch Paediatr Dent. 2018 Oct;19(5):353-364. doi: 10.1007/s40368-018-0367-3. Epub 2018 Aug 20.
Previous studies showed that 5-year-old Dutch-Moroccan children had significantly higher dmft scores compared to Dutch children of the same age, even after correction for socio-economic status. The mechanisms underlying this difference are little understood.
To explore cultural factors involved in poorer oral health of Dutch-Moroccan children by identifying knowledge, attitudes and behaviour of their mothers concerning their children's oral health.
In 2012 mothers of Dutch-Moroccan preschool children in two cities in the Netherlands were interviewed in two focus groups (n = 16) or individual semi-structured interviews (n = 13). Semi structured interviews were also c onducted with three oral health professionals, working with Dutch-Moroccan children, and one physician from an under-five-clinic. All interviews were voice recorded, transcribed and inductively coded. MAXQDA software was used for data analysis.
All mothers mentioned pain complaints, swelling and black front teeth as oral health problems in their children. Although mothers were aware that brushing teeth and reducing sugary snacks are effective preventative strategies, they did not sufficiently implement these measures. This was due to lack of brushing skills, insufficient awareness of the daily sugar intake of their children and their childrearing concerning these measures. Most mothers indicated they felt empowered in making dental care decisions.
This research revealed the presence of knowledge on preventive strategies regarding their children's oral health in Dutch-Moroccan mothers, but an inadequate implementation of these measures in their daily lives. Additional qualitative research is needed to gain deeper insight for broader exposure of values, knowledge and culture.
先前的研究表明，与同龄的荷兰儿童相比，5岁的荷兰摩洛哥裔儿童即使在对社会经济地位进行校正后，其龋失补牙面（dmft）得分仍显著更高。人们对造成这种差异的机制了解甚少。
通过确定荷兰摩洛哥裔儿童母亲对其子女口腔健康的知识、态度和行为，探索与荷兰摩洛哥裔儿童口腔健康较差相关的文化因素。
2012年，在荷兰两个城市对荷兰摩洛哥裔学龄前儿童的母亲进行了访谈，其中16人参加了两个焦点小组访谈，13人接受了个人半结构化访谈。还对三名为荷兰摩洛哥裔儿童提供服务的口腔卫生专业人员和一名来自五岁以下儿童诊所的医生进行了半结构化访谈。所有访谈均进行了录音、转录并进行归纳编码。使用MAXQDA软件进行数据分析。
所有母亲都提到疼痛、肿胀和门牙变黑是其子女的口腔健康问题。尽管母亲们知道刷牙和减少含糖零食是有效的预防策略，但她们并未充分实施这些措施。这是由于缺乏刷牙技巧、对子女每日糖分摄入量的认识不足以及在这些措施方面的育儿方式所致。大多数母亲表示，她们在做出牙科护理决定时感到有自主权。
本研究揭示，荷兰摩洛哥裔母亲了解有关子女口腔健康预防策略的知识，但在日常生活中未充分实施这些措施。需要进行更多的定性研究，以更深入地了解价值观、知识和文化的更广泛影响。
