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Parental Oral Health Beliefs and Practices toward Young Children's Dental Caries among Chinese Immigrant Parents

机译：中国移民父母对幼儿口腔龋的父母口腔健康观念和实践

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摘要

Background. Dental caries is the most common chronic childhood disease. Chinese immigrant children have higher decayed and filled primary teeth than their US counterparts. There is limited information regarding Chinese American immigrant families' oral health beliefs and practices, which could influence their children's oral health outcomes. This study generated new knowledge about parental oral health beliefs and practices toward early childhood caries among Chinese immigrant parents toward the long-range goal of improving immigrant children's oral health. Aims. The overall goal of this cross-sectional descriptive study was to describe Chinese immigrant parents' Explanatory Model of dental caries (etiology, onset of symptoms, pathophysiology, course of caries, treatment) and the impact of Chinese culture, Chinese health beliefs and behaviors on parents' oral-health care of their children. Methods. Purposive and modified respondent-driven samplings were used to recruit Chinese immigrant parents of children aged 0-6 years through Chinese immigrant agencies and participant referrals in King County, Washington. Participants completed in-person, semi-structured interviews that included perceived influencing factors in order to capture cultural and personal perspectives about early childhood caries and children's oral health care. Interviews were audio-recorded, transcribed verbatim in Chinese and analyzed using content analysis. Results. Forty-six parents participated in the study. Parents believed the causes of dental caries included diet and oral hygiene habits, biological and somatic factors (inheritance, genetic, inborn and transmission issues), children's biting fingers habit, and lack of routine dental visits. They held different understandings on the age of onset for dental caries. Most parents recognized the onset of disease through dental examinations, children's toothaches, and color changes on their children's teeth. Parents were familiar with dental caries through personal experiences and experiences with their friends' children. Parents believed childhood caries had the potential to have a short-term or lifelong negative impact on their children. Most parents would immediately seek professional help for caries treatment, but indicated that information about dental caries and its prevention was needed from dental professional. Furthermore, results from the analysis using a framework derived from a critical analysis of Chinese culture revealed that 11 concepts were reflected in parents' oral-health beliefs and practices. Parents believed that they: (1) had an obligation for their children's oral care; (2) valued their children's training in oral care; (3) expected children to be independent in tooth brushing; (4) allowed children to receive sweets as gifts from relatives; (5) expressed fatalism regarding children's dental caries; (6) believed kinship contributed to children's dental caries; (7) obeyed dentists' authority; (8) avoided confrontation with dentists and family members; (9) demonstrated group orientation related to friends' dental knowledge and advice; (10) valued face related to children's physical facial appearance; and (11) were concerned dental caries would affect their children's school achievement. Results from the analysis using a framework derived from a critical analysis of Chinese health beliefs and behaviors revealed that eight domains were related to their oral-health beliefs and practices, including (1) belief regarding primary teeth; (2) belief regarding tooth worms; (3) belief regarding gum bleeding; (4) belief regarding sugary foods; (5) belief regarding a balanced diet; (6) belief regarding self-care; (7) belief regarding the need for dental care services; and (8) belief regarding tooth extraction. Implications. Explanatory Model of dental caries could be applied to assess parental beliefs and practices towards childhood dental caries. Understanding of Chinese culture, health beliefs and behaviors could be helpful in developing oral-health interventions in relation to family needs. Caries prevention intervention is needed to facilitate parents' daily assistance roles in children's oral hygiene behaviors, as well as healthy diet habits. The knowledge served as a foundation for developing a conceptual framework for designing culturally relevant family-focused interventions to improve immigrant children's oral health.
机译：背景。龋齿是最常见的慢性儿童疾病。与美国同龄人相比，中国移民儿童的蛀牙和蛀牙更高。关于美国华裔移民家庭的口腔健康信仰和习惯的信息很少，这可能会影响他们孩子的口腔健康状况。这项研究为改善移民儿童口腔健康的长期目标提供了关于父母口腔健康观念和实践的新知识，其中包括父母对中国移民父母幼儿期龋齿的看法。目的这项横断面描述性研究的总体目标是描述中国移民父母的龋齿解释模型（病因，症状发作，病理生理，龋病进程，治疗）以及中国文化，中国健康信念和行为对中国的影响。父母对子女的口腔保健。方法。目的性和改进的由受访者驱动的抽样用于通过中国移民机构和华盛顿州金县的参与者推荐来招募0-6岁儿童的中国移民父母。参与者完成了面对面的，半结构化的访谈，其中包括感知到的影响因素，以便捕捉有关幼儿龋齿和儿童口腔保健的文化和个人观点。对访谈进行录音，中文逐字记录并使用内容分析进行分析。结果。四十六名父母参加了这项研究。父母认为引起龋齿的原因包括饮食和口腔卫生习惯，生物学和躯体因素（遗传，遗传，先天和传播问题），儿童咬手指的习惯以及缺乏常规的牙齿就诊。他们对龋齿的发病年龄有不同的理解。大多数父母通过牙齿检查，儿童牙痛和孩子牙齿颜色的变化来识别疾病的发作。父母通过亲身经历以及与朋友子女的经历来熟悉龋齿。父母认为，儿童龋齿有可能对其子女造成短期或终生负面影响。大多数父母会立即寻求专业的龋齿治疗帮助，但表示需要牙科专业人员提供有关龋齿及其预防的信息。此外，使用对中国文化进行批判性分析得出的框架进行的分析结果表明，父母的口腔健康信念和做法反映了11个概念。父母认为他们：（1）有义务对孩子进行口腔护理； （2）重视子女的口腔保健培训； （3）期望儿童独立刷牙； （4）允许儿童从亲戚那里获得糖果作为礼物； （5）对儿童龋齿表示宿命； （6）认为亲属有助于儿童龋齿； （七）服从牙医的权威； （八）避免与牙医及其家人发生冲突； （9）表现出与朋友的牙齿知识和建议有关的小组定向； （10）重视与孩子的生理面部外观有关的面孔； （11）担心龋齿会影响孩子的学业。使用对中国健康信仰和行为进行批判性分析得出的框架进行分析后得出的结果表明，八个领域与他们的口腔健康信仰和行为有关，包括（1）关于乳牙的信仰； （2）对蠕虫的信仰； （3）对牙龈出血的信念； （4）对含糖食品的信念； （5）关于均衡饮食的信念； （6）关于自我保健的信念； （7）对需要牙科护理服务的信念； （8）关于拔牙的信念。含义。龋齿解释模型可以用于评估父母对儿童龋齿的信仰和行为。了解中国文化，健康观念和行为可能有助于制定与家庭需求有关的口腔保健干预措施。需要预防龋齿干预以促进父母在儿童口腔卫生行为以及健康饮食习惯中的日常协助作用。这些知识为开发概念框架奠定了基础，该概念框架旨在设计与文化相关的以家庭为中心的干预措施，以改善移民儿童的口腔健康。

著录项

  • 作者

    Chang, Ching-Feng.;

  • 作者单位

    University of Washington.;

  • 授予单位 University of Washington.;
  • 学科 Nursing.;Dentistry.;Asian American studies.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 282 p.
  • 总页数 282
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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