Martin Molly A, Sundararajan Vyshiali, Ochoa Nadia, Dziak John, Berbaum Michael, Lee Helen H, Avenetti David M, Zhang Tong, Sandoval Anna, Torres Javier, Wu Andy
University of Illinois Chicago.
Res Sq. 2023 May 25:rs.3.rs-2956733. doi: 10.21203/rs.3.rs-2956733/v1.
This research assessed oral health behaviors changes in urban families with young children during the stay-at-home period of the COVID-19 pandemic. Survey data on oral health behaviors were collected in homes at three points over one year before COVID-19, and then via phone during COVID-19. Multivariate logistic regression was used to model tooth brushing frequency. A subset of parents completed in-depth interviews via video/phone that expanded on oral health and COVID-19. Key informant interviews via video/phone were also conducted with leadership from 20 clinics and social service agencies. Interview data were transcribed and coded, and themes were extracted. COVID-19 data collection went from Nov 2020 - August 2021. Of the 387 parents invited, 254 completed surveys in English or Spanish (65.6%) during COVID-19. Fifteen key informant (25 participants) and 21 parent interviews were conducted. The mean child age was approximately 4.3 years. Children identified as mainly Hispanic (57%) and Black race (38%). Parents reported increased child tooth brushing frequency during the pandemic. Parent interviews highlighted significant changes in family routines that impacted oral health behaviors and eating patterns, suggesting less optimal brushing and nutrition. This was linked to changed home routines and social presentability. Key informants described major disruptions in their oral health services and significant family fear and stress. In conclusion, the stay-at-home period of the COVID-19 pandemic was a time of extreme routine change and stress for families. Oral health interventions that target family routines and social presentability are important for families during times of extreme crisis.
本研究评估了在新冠疫情居家期间城市中幼儿家庭的口腔健康行为变化。在新冠疫情前一年的三个时间点，通过上门收集有关口腔健康行为的调查数据，然后在新冠疫情期间通过电话收集。使用多变量逻辑回归对刷牙频率进行建模。一部分家长通过视频/电话完成了深入访谈，内容涉及口腔健康和新冠疫情。还通过视频/电话对20家诊所和社会服务机构的负责人进行了关键信息访谈。访谈数据被转录和编码，并提取了主题。新冠疫情数据收集时间为2020年11月至2021年8月。在受邀的387名家长中，有254名在新冠疫情期间用英语或西班牙语完成了调查（65.6%）。进行了15次关键信息访谈（25名参与者）和21次家长访谈。儿童的平均年龄约为4.3岁。儿童主要为西班牙裔（57%）和黑人（38%）。家长报告称，在疫情期间孩子的刷牙频率有所增加。家长访谈强调了家庭日常活动的重大变化，这些变化影响了口腔健康行为和饮食模式，表明刷牙和营养状况不太理想。这与家庭日常活动的改变以及社交形象有关。关键信息提供者描述了他们的口腔健康服务受到的重大干扰以及家庭的巨大恐惧和压力。总之，新冠疫情居家期间对家庭来说是日常活动发生极端变化和压力巨大的时期。针对家庭日常活动和社交形象的口腔健康干预措施在极端危机时期对家庭很重要。
