Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru

BMC Oral Health

Jo E Frencken¹  Jan Mulder¹  Wil JM van der Sanden¹  Rita S Villena²  Eraldo Pesaressi² 

[1] Department of Global Oral Health, Radboud University Medical Center, College of Oral Sciences, P.O. Box 9101, 6500, HB, Nijmegen, the Netherlands;Department of Paediatric Dentistry, Universidad de San Martin de Porres; Dental School, Lima, Peru

关键词: Primary health care;    Peru;    Nurses perception;    Caries prevention;    Early childhood caries;    Oral health;   

Others  :  1120397
DOI  :  10.1186/1472-6831-14-17

 received in 2013-09-14, accepted in 2014-02-26,  发布年份 2014

【 摘 要 】

Background

To identify barriers to participation in a primary oral health care programme aimed at preventing early childhood caries, as perceived by nurses.

Methods

Of a total of 140 randomly selected nurses employed in 40 government health centres in Lima, 123 completed a pre-tested questionnaire. Background variables were districts’ ‘socio-economic status’ (SES) and ‘years of experience’. Factor analysis was performed. ANOVA was applied for testing the influence of the background variables on the barrier factors. Chi-square test was applied to test for differences between single item barriers and the background variables. The Likert-scale (1–4) was used.

Results

There was no statistical significant effect of ‘SES’ or of ‘years of experience’ of nurses on any of the 7 barrier factors, nor on the 11 single item barrier factors. The highest mean score (3.81) was obtained for the barrier factor ‘importance of oral health’, followed by ‘perceived responsibility’ (3.44). The lowest mean score was (1.70) for ‘knowledge on caries prevention’.

Conclusions

Nurses consider oral health very important and are willing to participate actively in programmes aimed at reducing Early Childhood Caries, provided that they will be trained well and that the director and dentists of the health centre give their consent.

【 授权许可】

   
2014 Pesaressi et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Drury TF, Horowitz AM, Ismail AI, Maertens MP, Rozier RG, Selwitz RH: Diagnosing and reporting early childhood caries for research purposes. A report of a workshop sponsored by the National Institute of Dental and Cranial Research, the Health Resources and Services Administation, and the Health Care Financing Administration. J Public Health Dent 1999, 59:192-197.
• [2]Correa-Faria P, Martins-Junior PA, Vieira-Andrade RG, Marques LS, Ramos-Jorge ML: Factors associated with the development of early childhood caries among Brazilian preschoolers. Braz Oral Res 2013, 27:356-362.
• [3]Gongui G, Campus G, Sale S, Spano G, Cagetti MG, Luglie PF: Early childhood caries and associated determinants: a cross-sectional study on Italian preschool children. J Public Health Dent 2013. doi:10.1111/jphd.12038
• [4]Sheiham A: Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J 2006, 201:625-626.
• [5]Graves CE, Berkowitz RJ, Proskin HM, Chase I, Weinstein P, Billings R: Clinical outcomes for early childhood caries: influence of aggressive dental surgery. J Dent Child 2004, 71:114-117.
• [6]Colak H, Dulgergil C, Dalli M, Hamidi MM: Early Childhood caries update: a review of causes, diagnoses and treatment. J Nat Sci Biol Med 2013, 4:29-38.
• [7]Psoter WJ, Reid BC, Katz RV: Malnutrition and dental caries: a review of the literature. Caries Res 2005, 39:441-447.
• [8]Kressin N, Nunn M, Singh H, Orner M, Pbert L, Hayes C, Culler RDH, Glicken S, Palfrey S, Geltman P, Cadoret C, Henshaw M: Pediatric clinicians can help reduce rates of early childhood caries: effects of a practice based intervention. Med Care 2009, 47:1121-1128.
• [9]Ismail AI: Prevention of early childhood caries. Community Dent Oral Epidemiol 1998, 26:49-61.
• [10]Plutzer K, Spencer AJ: Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Community Dent Oral Epidemiol 2008, 36:335-346.
• [11]American Academy of Pediatric Dentistry: Guideline on infant oral health care. Pediatr Dent 2006, 28:69-72.
• [12]Clarkson J, Watt RG, Rugg-Gunn AJ, Pitiphat W, Ettinger RL, Horowitz AM, Petersen PE, Ten Cate JM, Vianna R, Ferrillo P, Gugushe TS, Siriphant P, Pine C, Buzalaf MAR, Pessan JP, Chankanka O, Maki Y, Postma TC, Villena RS, Wang WJ, MacEntee MI, Shinsho F, Cal E, Rudd RE, Schou L, Shin SC, Fox CH: Proceedings: 9th world congress on preventive dentistry (WCPD) “community participation and global alliances for lifelong oral health for all” Phuket, Thailand, September 7–10, 2009. Adv Dent Res 2010, 22:2-30.
• [13]Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM: A cluster randomised trial of effectiveness of educational intervention in primary health care on early childhood caries. Caries Res 2009, 43:110-118.
• [14]Mouradian W, Huebner CE, Ramos-Gomez F, Slavkin HC: Beyond access, the role of family and community in children’s oral health. J Dent Educ 2007, 71:619-631.
• [15]Sohn W, Ismail AI, Tellez M: Efficacy of education intervention targeting primary care providers practice behaviors: an overview of published systematic reviews. J Pub Health Dent 2004, 64:164-172.
• [16]Close K, Rozier G, Zeldin L, Gilbert A: Barriers to adoption and implementation of preventive dental services in primary medical care. Pediatrics 2010, 125:509-517.
• [17]US Preventive Service Task Force: Prevention of dental caries in preschool children - recommendations and rationale. Am J Prev Med 2004, 26:326-329.
• [18]Gussy MG, Waters E, Kilpatrick NM: A qualitative study exploring barriers to a model of shared care for pre-school children´s oral health. Br Dent J 2006, 201:165-170.
• [19]Villena-Sarmiento R, Pachas-Barrionuevo F, Sanchez-Huaman Y, Carrasco-Loyola M: Prevalencia de caries de infancia temprana en niños menores de 6 años de edad residents de los poblados urbano marginales de Lima Norte. Rev Estomatol Herediana 2011, 21:79-86.
• [20]Weintraub JA: Prevention of early childhood caries: a public health perspective. Community Dent Oral Epidemiol 1998, 26:62-66.
• [21]Watt R, McGlone P, Evans D, Boulton S, Jacobs J, Graham S, Appleton T, Perry S, Sheiham A: The facilitating factors and barriers influencing change in dental practice in a sample of English general dental practitioners. Br Dent J 2004, 197:485-489.
• [22]Peru - Ministry of Health (MINSA): Transparency portal. [http://www.minsa.gob.pe/transparencia/prs_listado.asp webcite]
• [23]University of Minnesota: Easy Randomizer Software. [https://www.msu.edu/user/brickerc/download.html webcite]
• [24]Peru - Instituto Nacional de Estadística e Informática (INEI): Perú en Cifras. Proyecciones. 2009. [http://www.inei.gob.pe webcite]
• [25]O´Brien MA, Freemantle N, Oxman AD, Wolf F, Davis DA, Herrin J: Continuing education meetings and workshops effects on professionals practice and health care outcomes. Cochrane Database of Syst Rev 2001., (Issue 1) [http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003030/pdf webcite]