Midwestern Latino caregivers’ knowledge, attitudes and sense making of the oral health etiology, prevention and barriers that inhibit their children’s oral health: a CBPR approach

BMC Oral Health

Research Article

Armando E. Soto-Rojas¹  E. Angeles Martínez-Mier¹  Richard D. Jackson¹  Sarah M. Stelzner²  Gabriela J. Smith³  Laura Dandelet⁴  Dulce Vega⁴  Miriam Acevedo⁴  Lorena C. Galvez⁵  Kimberly K. Walker⁶ 

[1] Department of Cariology, Operative Dentistry and Dental Public Health, Indiana University School of Dentistry, 415 Lansing Street, 46202, Indianapolis, IN, USA;Department of Pediatrics, Indiana University School of Medicine, 5515 W 38th St., 46254, Indianapolis, IN, USA;Indiana University/Purdue University at Indianapolis, IN. 420 University Blvd, 46202, Indianapolis, IN, USA;La Plaza Inc., 8902 E. 38th Street, 46226, Indianapolis, IN, USA;Oral Health Research Institute, 415 Lansing Street, 46202, Indianapolis, IN, USA;The Zimmerman School of Advertising and Mass Communications, University of South Florida, 4202 E. Fowler Ave, CIS1040, 33620, Tampa, FL, USA;Indiana University of Dentistry, Indianapolis, USA;

关键词: Community-based-participatory research;    Latinos;    Midwest;    Child health;    Focus groups;    Oral health;    Prevention;   

DOI  :  10.1186/s12903-017-0354-9

 received in 2016-08-24, accepted in 2017-02-22,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundUsing community-based participatory research, the Health Protection Model was used to understand the cultural experiences, attitudes, knowledge and behaviors surrounding caries etiology, its prevention and barriers to accessing oral health care for children of Latino parents residing in Central Indiana.MethodsA community reference group (CBPR) was established and bi-lingual community research associates were used to conduct focus groups comprised of Latino caregivers. Transcripts were analyzed for thematic content using inductive thematic analysis.ResultsResults indicated significant gaps in parental knowledge regarding caries etiology and prevention, with cultural underlays. Most parents believed the etiology of caries was related to the child’s ingestion of certain foods containing high amounts of carbohydrates. Fewer parents believed either genetics/biological inheritance or bacteria was the primary causative factor. Fatalism negatively impacted preventive practices, and a clear separation existed concerning the perceived responsibilities of mothers and fathers to provide for the oral needs of their children. Females were more likely to report they were primarily responsible for brushing their children’s teeth, overseeing the child’s diet and seeking dental care for the child. Fathers believed they were primarily responsible for providing the means to pay for professional care. Perceived barriers to care were related to finances and communication difficulties, especially communicating with providers and completing insurance forms.ConclusionThe main study implication is the demonstration of how the CBPR model provided enhanced understanding of Latino caregivers’ experiences to inform improvements in oral prevention and treatment of their children. Current efforts continue to employ CBPR to implement programs to address the needs of this vulnerable population.

【 授权许可】

CC BY   
© The Author(s). 2017