Learning from caries‐free children in a high‐caries American Indian population. (24th June 2014)

• Record Type: Journal Article
• Authors: Albino, Judith; Tiwari, Tamanna; Henderson, William G.; Thomas, Jacob; Bryant, Lucinda L.; Batliner, Terrence S.; Braun, Patricia A.; Wilson, Anne; Quissell, David O.
• Is Part Of: Journal of public health dentistry. Volume 74:Number 4(2014)
• Page Start: 293
• Page End: 300
• Publication Date: 2014-06-24
• Subjects: Dental public health -- Periodicals; 362.1976
• DOI: 10.1111/jphd.12058
• Languages: English
• ISSNs: 0022-4006

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jphd12058-sec-0001" sec-type="section"> <title>Objective</title> <p>We aimed to identify salutogenic patterns of parental knowledge, behaviors, attitudes, and beliefs that may support resistance to early childhood caries (ECC) among a high caries population of preschool American Indian (AI) children.</p> </sec> <sec id="jphd12058-sec-0002" sec-type="section"> <title>Method</title> <p>Participants were 981 child–parent dyads living on a Southwestern reservation who completed baseline assessments for an ongoing randomized clinical trial. T‐tests were used to assess differences between reported knowledge, behaviors, and beliefs of parents whose children were caries‐free (10.7 percent) and those whose children had caries (89.3 percent). Chi‐square analyses were used for categorical variables.</p> </sec> <sec id="jphd12058-sec-0003" sec-type="section"> <title>Results</title> <p>Although there were no socio‐demographic differences, parents of caries‐free children viewed oral health as more important and reported more oral health knowledge and adherence to caries‐preventing behaviors for their children. Parents of caries‐free children were more likely to have higher internal locus of control, to perceive their children as less susceptible to caries, and to perceive fewer barriers to prevention. These parents also had higher sense of coherence scores and reported lower levels of personal distress and community‐related stress.</p> </sec> <sec id="jphd12058-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Effective interventions for ECC prevention in high‐caries AI populations may benefit from approaches that support and model naturally salutogenic behaviors.</p> </sec> </abstract>