Reducing disease burden and health inequalities arising from chronic disease among indigenous children: an early childhood caries intervention in Aotearoa/New Zealand

BMC Public Health

Lisa M Jamieson⁵  Herenia P Lawrence⁸  Kay Berryman⁶  Jonathan Kilgour⁶  Sarah-Jane Tiakiwai⁶  Kate C Morgaine⁴  W Murray Thomson²  Marie Person¹  Joyce Te H Maipi³  John R Broughton⁷ 

[1] Raukura Hauora O Tainui Trust, South Auckland Mail Centre, PO Box 97644, Auckland, New Zealand;Sir John Walsh Research Institute, Faculty of Dentistry, The University of Otago, PO Box 647, 9054 Dunedin, New Zealand;Raukura Hauora O Tainui Trust, The Base, Te Rapa, PO Box 101–30, 3241 Hamilton, New Zealand;Dental Epidemiology and Public Health Group, Faculty of Dentistry, The University of Otago, PO Box 647, 9054 Dunedin, New Zealand;Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, Adelaide, Australia;Waikato-Tainui College for Research and Development, 451 Old Taupiri Road, Hopuhopu, Private Bag 542, 3742 Ngaaruawaahia, New Zealand;Department of Preventive and Social Medicine, Dunedin School of Medicine, The University of Otago, 9054 Dunedin, New Zealand;School of Dentistry, University of Toronto, Toronto, Canada

关键词: Early childhood caries;    Oral health;    Mother;    Child;    Māori;    Indigenous;   

Others  :  1161447
DOI  :  10.1186/1471-2458-13-1177

 received in 2013-08-02, accepted in 2013-10-11,  发布年份 2013

【 摘 要 】

Background

Maaori are the Indigenous people of New Zealand and do not enjoy the same oral health status as the non-Indigenous majority. To overcome oral health disparities, the life course approach affords a valid foundation on which to develop a process that will contribute to the protection of the oral health of young infants. The key to this process is the support that could be provided to the parents or care givers of Maaori infants during the pregnancy of the mother and the early years of the child. This study seeks to determine whether implementing a kaupapa Maaori (Maaori philosophical viewpoint) in an early childhood caries (ECC) intervention reduces dental disease burden among Maaori children. The intervention consists of four approaches to prevent early childhood caries: dental care provided during pregnancy, fluoride varnish application to the teeth of children, motivational interviewing, and anticipatory guidance.

Methods/design

The participants are Maaori women who are expecting a child and who reside within the Maaori tribal area of Waikato-Tainui.

This randomised-control trial will be undertaken utilising the principles of kaupapa Maaori research, which encompasses Maaori leadership, Maaori relationships, Maaori customary practices, etiquette and protocol. Participants will be monitored through clinical and self-reported information collected throughout the ECC intervention. Self-report information will be collected in a baseline questionnaire during pregnancy and when children are aged 24 and 36 months. Clinical oral health data will be collected during standardised examinations at ages 24 and 36 months by calibrated dental professionals. All participants receive the ECC intervention benefits, with the intervention delayed by 24 months for participants who are randomised to the control-delayed arm.

Discussion

The development and evaluation of oral health interventions may produce evidence that supports the application of the principles of kaupapa Maaori research in the research processes. This study will assess an ECC intervention which could provide a meaningful approach for Maaori for the protection and maintenance of oral health for Maaori children and their family, thus reducing oral health disparities.

Trial registration

Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12611000111976.

【 授权许可】

   
2013 Broughton et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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