Tiwari Tamanna, Poravanthattil Anila, Rai Nayanjot, Wilson Anne
School of Dental Medicine, University of Colorado, Aurora, CO 80045, USA.
Children's Hospital, University of Colorado, Aurora, CO 80045, USA.
Children (Basel). 2021 Mar 22;8(3):243. doi: 10.3390/children8030243.
The purpose of our study was to explore the association of acculturation and Latino parent behavioral and psychosocial characteristics. A cross-sectional survey was conducted with 197 parent-children triads. Participating parents completed survey questions encompassing oral health knowledge, behaviors and beliefs from a validated oral health instrument. The mean score for acculturation in this sample was 3.8, where acculturation was dichotomized to a categorical variable. The bivariate associations between the independent variables (caregiver psychosocial factors and socio-economic factors (SES) factors) and acculturation (more/less acculturated) were conducted using logistic regression analysis, and for the final model a multivariate logistic regression model was used. In the bivariate analyses, less acculturated parents reported lower oral health knowledge ( = 0.02), higher social support ( = 0.028) and chronic stress ( = 0.015) and lower perceived susceptibility to dental caries in their children ( = 0.039). The bivariate analysis demonstrated that less acculturated parents had less education and employment ( < 0.0001) than more acculturated parents. The multivariate logistic model demonstrated that social support ( = 0.028), chronic stress ( = 0.015) and health beliefs as barriers to access dental care ( = 0.039) were higher in less acculturated parents compared to more acculturated parents. Less acculturated parents demonstrated lower oral health knowledge, higher stress and more barriers to accessing oral health care for their children. Oral health interventions for Latino families should incorporate strategies that include consideration of parental oral health beliefs.
我们研究的目的是探讨文化适应与拉丁裔父母行为及心理社会特征之间的关联。对197个亲子三元组进行了横断面调查。参与调查的父母完成了涵盖来自一份经过验证的口腔健康工具的口腔健康知识、行为和信念的调查问卷。该样本中文化适应的平均得分为3.8,文化适应被二分法转换为一个分类变量。使用逻辑回归分析对自变量(照顾者心理社会因素和社会经济因素(SES))与文化适应(文化适应程度较高/较低)之间的双变量关联进行分析,最终模型使用多元逻辑回归模型。在双变量分析中,文化适应程度较低的父母报告其口腔健康知识较低(P = 0.02)、社会支持较高(P = 0.028)和慢性压力较高(P = 0.015),且他们认为自己孩子患龋齿的易感性较低(P = 0.039)。双变量分析表明,与文化适应程度较高的父母相比,文化适应程度较低的父母受教育程度和就业水平较低(P < 0.0001)。多元逻辑模型表明,与文化适应程度较高的父母相比,文化适应程度较低的父母的社会支持(P = 0.028)、慢性压力(P = 0.015)以及作为获得牙科护理障碍的健康信念(P = 0.039)更高。文化适应程度较低的父母表现出较低的口腔健康知识、较高的压力以及为其子女获得口腔保健的更多障碍。针对拉丁裔家庭的口腔健康干预应纳入包括考虑父母口腔健康信念的策略。