Association between parental guilt and oral health problems in preschool children: a hierarchical approach

BMC Public Health

Saul Martins Paiva²  Ana Flávia Granville-Garcia¹  Carolina Castro Martins²  Tassia Cristina de Almeida Pinto-Sarmento¹  Marayza Alves Clementino¹  Monalisa Cesarino Gomes¹ 

[1] Postgraduate Program in Dentistry, State University of Paraiba (UEPB), 1325/410 Capitão João Alves de Lira, 58428-800 Campina Grande, PB, Brazil;Department of Pediatric Dentistry and Orthodontic, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil

关键词: Preschool child;    Tooth injuries;    Dental caries;    Guilt;   

Others  :  1128299
DOI  :  10.1186/1471-2458-14-854

 received in 2014-03-16, accepted in 2014-08-08,  发布年份 2014

【 摘 要 】

Background

Dental caries and traumatic dental injury (TDI) can play an important role in the emergence of parental guilt, since parents feel responsible for their child’s health. The aim of the present study was to evaluate the influence of oral health problems among preschool children on parental guilt.

Methods

A preschool-based, cross-sectional study was carried out with 832 preschool children between three and five years of age in the city of Campina Grande, Brazil. Parents/caregivers answered the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). The item "parental guilt" was the dependent variable. Questionnaires addressing socio-demographic variables (child’s sex, child’s age, parent’s/caregiver’s age, mother’s schooling, type of preschool and household income), history of toothache and health perceptions (general and oral) were also administered. Clinical exams for dental caries and TDI were performed by three dentists who had undergone a training and calibration exercise (Kappa: 0.85-0.90). Poisson hierarchical regression was used to determine the significance of associations between parental guilt and oral health problems (α = 5%). The multivariate model was carried out on three levels using a hierarchical approach from distal to proximal determinants: 1) socio-demographic aspects; 2) health perceptions; and 3) oral health problems.

Results

The frequency of parental guilt was 22.8%. The following variables were significantly associated with parental guilt: parental perception of child’s oral health as poor (PR = 2.010; 95% CI: 1.502-2.688), history of toothache (PR = 2.344; 95% CI: 1.755-3.130), cavitated lesions (PR = 2.002; 95% CI: 1.388-2.887), avulsion/luxation (PR = 2.029; 95% CI: 1.141-3.610) and tooth discoloration (PR = 1.540; 95% CI: 1.169-2.028).

Conclusion

Based on the present findings, parental guilt increases with the occurrence of oral health problems that require treatment, such as dental caries and TDI of greater severity. Parental perceptions of poor oral health in their children and history of toothache were predictors of greater feelings of parental guilt.

【 授权许可】

   
2014 Gomes et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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