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社会剥夺社区中的母亲如何看待幼儿的口腔健康?一项定性研究。

How Do Mothers Living in Socially Deprived Communities Perceive Oral Health of Young Children? A Qualitative Study.

机构信息

School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.

Translational Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith, NSW 2751, Australia.

出版信息

Int J Environ Res Public Health. 2021 Mar 29;18(7):3521. doi: 10.3390/ijerph18073521.

Abstract

This qualitative study aims to explore and gain an in-depth understanding of the knowledge and perceptions of mothers living in Greater Western Sydney (GWS), one of Australia's most socio-economically disadvantaged regions, regarding the factors that influence oral health of young children. Mother-child dyads ( = 45) were purposively selected from a population-based cohort study in GWS. Semi-structured in-depth interviews were audio-recorded, transcribed verbatim, and subsequently analyzed using thematic analysis. Five main themes emerged from the interviews: (1) beliefs about child oral health and first set of teeth; (2) awareness and attitudes towards oral health services; (3) identification of caries risk and protective factors; (4) broader cultural and social class influences on childhood oral health practices; and (5) the influence of parental self-confidence, self-efficacy, and perceived control. Overall, mothers reported having limited knowledge and awareness on the importance of baby teeth, child's first dental visit, and seeking oral health care. Oral health and preventative practices in children were reported to be influenced by past dental experiences, culture and social class, and parental factors. The empirical findings of this study bring our attention to the critical factors that influence child oral health and the opportunities for co-creating child oral health promotion by targeting mothers.

摘要

本定性研究旨在深入探讨和了解居住在澳大利亚社会经济最贫困地区之一——大悉尼西部地区(Greater Western Sydney,简称 GWS)的母亲们,她们对影响幼儿口腔健康的因素的认识和看法。在 GWS 的一项基于人群的队列研究中,我们有目的地选择了母婴对子(=45)。对他们进行了半结构化的深入访谈,并进行了录音、逐字转录,随后使用主题分析对访谈内容进行了分析。访谈中出现了五个主要主题:(1)对儿童口腔健康和第一副牙齿的信念;(2)对口腔卫生服务的认识和态度;(3)识别龋齿风险和保护因素;(4)更广泛的文化和社会阶层对儿童口腔健康习惯的影响;以及(5)父母自信心、自我效能感和感知控制的影响。总体而言,母亲们报告称,她们对婴儿牙齿、孩子第一次看牙和寻求口腔保健的重要性的了解有限。儿童的口腔健康和预防措施受过去的牙科经历、文化和社会阶层以及父母因素的影响。这项研究的实证发现引起了我们对影响儿童口腔健康的关键因素的关注,并为针对母亲共同开展儿童口腔健康促进提供了机会。

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