Sociodemographic and behavioural determinants of early childhood caries knowledge among expectant mothers in Kuwait

M Al-Sane 1, A Koerber 2, M Montero 3, J K Baskaradoss 4, E Al-Sarraf 5, M Arab 6

Affiliations

01 June 2021

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doi: 10.1007/s40368-020-00579-x

Abstract

Purpose: Early Childhood Caries (ECC) is a highly prevalent disease in Kuwait. It poses health, economic, and social implications affecting patients, their families and communities. ECC awareness campaigns targeting expectant mothers hold a promising potential as primary prevention tools. Understanding the baseline of ECC knowledge (ECC-K) is an important foundational step in planning such interventions. The aim of this study was to assess the level of ECC-K in a sample of expectant mothers, and to identify the sociodemographic and behavioural determinants of that knowledge.

Methods: A multiple-choice questionnaire was distributed to 430 expectant women from one maternity hospital in Kuwait. The questionnaire gathered information on the demographics, ECC-K, and the oral health behaviours of the participants. Bivariate analysis assessed the relationship between ECC-K scores and the different socio-demographic variables and oral health practices of the participants. A multiple linear regression model was developed to identify the predictors of ECC-K scores RESULTS: The response rate was 94% (n = 405). The mean ECC-K score was 6.4 [standard deviation (SD) = 2.5] out of a maximum score of 14. Age, education, number of children, frequency of dental visits, and flossing frequency were significantly associated with ECC-K levels (p < 0.05).

Conclusions: ECC-K among this cohort of expectant mothers was inadequate. Educational interventions are needed to foster better ECC preventive practices.

Keywords: Early childhood caries; Infant oral health; Knowledge; Pregnancy; Prenatal oral health care.

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References

  1.  
    1. Alkhubaizi Q, Moule A, Al-Sane M, Sorkin JD. Oral health practices and knowledge among parents and hired caregivers. Eur Arch Paediatr Dent. 2018;19:403–10. - DOI
  2.  
    1. Al-Mutawa SA, Shyama M, Al-Duwairi Y, Soparkar P. Dental caries experience of Kuwaiti kindergarten schoolchildren. Commun Dent Health. 2010;27:213–7.
  3.  
    1. Al-Sane M, Bourisly N, Almulla T, Andersson L. Laypeoples’ preferred sources of health information on the emergency management of tooth avulsion. Dent Traumatol. 2011;27:432–7. - DOI
  4.  
    1. American Academy of Pediatrics, Section on Pediatric Dentistry and Oral Health. Preventive oral health intervention for paediatricians. Pediatrics. 2008;122:1387–94. - DOI
  5.  
    1. Ashkanani F, Al-Sane M. Knowledge, attitudes and practices of caregivers in relation to oral health of preschool children. Med Princ Pract. 2013;22:167–72. - DOI
  6.  
    1. Baker SD, Quiñonez RB, Boggess K, Phillips C. Pregnant women’s infant oral health knowledge and beliefs: influence of having given birth and of having a child in the home. Matern Child Health J. 2016;20:1288–95. - DOI
  7.  
    1. Borrelli B, Tooley EM, Scott-Sheldon LA. Motivational interviewing for parent-child health interventions: a systematic review and meta-analysis. Pediatr Dent. 2015;37:254–65. - PubMed
  8.  
    1. Casamassimo PS, Hammersmith K, Gross EL, Amini H. Infant oral health: an emerging dental public health measure. Dent Clin N Am. 2018;62:235–44. - DOI
  9.  
    1. International Association of Paediatric Dentistry (IAPD). Early Childhood Caries. IAPD Bangkok declaration. Int J Paediatr Dent. 2019;29:384–6. - DOI
  10.  
    1. ElKarmi R, Aljafari A, Eldali H, Hosey MT. Do expectant mothers know how early childhood caries can be prevented? A cross-sectional study. Eur Arch Paediatr Dent. 2019;20:595–601. - DOI
  11.  
    1. Flores MT, Al-Sane M, Andresson L. Information to the public, patients and emergency services on traumatic dental injuries. In: Andreasen OJ, Andreasen FM, Anderson L, editors. Textbook and color atlas of traumatic injuries to the teeth. Oxford: Wiley; 2019. p. 992–1008.
  12.  
    1. Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol. 2005;32:809–14. - DOI
  13.  
    1. Hooley M, Skouteris H, Boganin C, et al. Parental influence and the development of dental caries in children aged 0–6 years: a systematic review of the literature. J Dent. 2012;40:873–85. - DOI
  14.  
    1. Kaste LM, Sreenivasan D, Koerber A, et al. Pediatric oral health knowledge of African American and Hispanic of Mexican origin expectant mothers. Pediatr Dent. 2007;29:287–92. - PubMed
  15.  
    1. Keirse MJ, Plutzer K. Women’s attitudes to and perceptions of oral health and dental care during pregnancy. J Perinat Med. 2010;38:3–8. - DOI
  16.  
    1. Kolstad C, Zavras A, Yoon RK. Cost-benefit analysis of the age one dental visit for the privately insured. Pediatr Dent. 2015;37:376–80. - PubMed
  17.  
    1. McGoldrick N, Burns J, Muir M. Is there an association between prenatal oral healthcare and early childhood caries prevention? Evid Based Dent. 2019;20:64–5. - DOI
  18.  
    1. Meyer K, Geurtsen W, Günay H. An early oral health care program starting during pregnancy: results of a prospective clinical long-term study. Clin Oral Investig. 2010;14:257–64. - DOI
  19.  
    1. Phantumvanit P, Makino Y, Ogawa H, et al. WHO global consultation on public health intervention against early childhood caries. Commun Dent Oral Epidemiol. 2018;46:280–7. - DOI
  20.  
    1. Plutzer K, Spencer AJ. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Commun Dent Oral Epidemiol. 2008;36:335–46. - DOI
  21.  
    1. American Academy of Pediatric Dentistry (AAPD), Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. Pediatr Dent.2016;38:52-4.
  22.  
    1. Riggs E, Kilpatrick N, Slack-Smith L, et al. Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries. Cochrane Database Syst Rev. 2019;2019:CD012155.
  23.  
    1. Rothnie JJ, Walsh CA, Wang MJ, et al. An exploratory study of pregnant women’s knowledge of child oral health care in New Zealand. N Z Dent J. 2012;108:129–33. - PubMed
  24.  
    1. Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC). Int J Circumpolar Health. 2007;66:153–67. - DOI
  25.  
    1. Seow KW. Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent. 2012;22:157–68. - DOI
  26.  
    1. Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29:238–48. - DOI
  27.  
    1. Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010;89:1395–400. - DOI
  28.  
    1. Weintraub JA, Prakash P, Shain SG, et al. Mothers’ caries increases odds of children’s caries. J Dent Res. 2010;89:954–8. - DOI
  29.  
    1. Xiao J, Alkhers N, Kopycka-Kedzierawski DT, et al. Prenatal oral health care and early childhood caries prevention: a systematic review and meta-analysis. Caries Res. 2019;53:411–21. - DOI

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