Knowledge, attitudes and practices of caregivers in relation to oral health of preschool children

Affiliations

01 January 2013

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doi: 0.1159/000341764


Abstract

Objective: To assess the knowledge, attitudes and practices of caregivers in Kuwait in relation to the oral health of preschool children.

Subjects and methods: Questionnaires with multiple-choice questions were distributed to 334 caregivers of children under the age of 6 years attending vaccination centers in Kuwait. For each question, one of the multiple-choice answers was consistent with the consensus in the pediatric dental literature in relation to early childhood caries prevention, and was considered to be correct. The χ2 test, independent t test, ANOVA, and stepwise linear regression were used to assess the associations between the variables in question and p ≤ 0.05 was accepted as statistically significant.

Results: Of the 334 participants, 234 (70%) were between 20 and 40 years of age with a high school diploma or higher degree and had between 2 and 5 children. The mean knowledge score was 4.68 ± 1.87, the mean attitude score was 4.34 ± 0.88 and the mean practice score was 2.45 ± 0.99. Major weaknesses were reported in infant oral health-related concepts. Mothers had better knowledge than other caregivers (p < 0.001). Higher education was significantly associated with better knowledge (p = 0.003) and better practices (p = 0.017). In addition, knowledge, attitude and level of education were positively and significantly associated with practices (p < 0.005).

Conclusions: Our study showed that caregivers had weak knowledge and practice in relation to the oral health of preschool children. Mothers and caregivers with higher education had better knowledge and practices. Education and attitude appeared to be favorable indicators of the caregivers' practices with regard to the oral health of their preschool children.


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KMEL References


References

  1.  
    1. Ripa LW. Nursing caries: a comprehensive review. Pediatr Dent. 1988;10:268–282. - PubMed
  2.  
    1. American Academy of Pediatric Dentistry Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent 2008/ 2009;30:40–43. - PubMed
  3.  
    1. Williams NJ, Whittle JG, Gatrell AC. The relationship between socio-demographic characteristics and dental health knowledge and attitudes of parents with young children. Br Dent J. 2002;193:651–654. - PubMed
  4.  
    1. Borssen E, Stecksen-Blicks C. Risk factors for dental caries in 2-year-old children. Swed Dent J. 1998;22:9–14. - PubMed
  5.  
    1. Stroebe W, Stroebe M. Social Psychology and Health. ed 1. Buckingham: Open University Press; 1995.
  6.  
    1. Szatko F, Wierzbicka M, Dybizbanska E, Struzycka I, Iwanicka-Frankowska E. Oral health of Polish three-year-olds and mothers’ oral health-related knowledge. Community Dent Health. 2004;21:175–180. - PubMed
  7.  
    1. Vann WF, Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on the oral health outcome in early childhood. J Dent Res. 2010;89:1395–1400. - PMC - PubMed
  8.  
    1. Pattussi MP, Marcenes W, Croucher R, Sheiham A. Social deprivation, income inequality, social cohesions and dental caries in Brazilian schoolchildren. Soc Sci Med. 2001;53:915–925. - PubMed
  9.  
    1. Watt RG. Emerging theories into the social determinants of health: implications for oral health promotion. Community Dent Oral Epidemiol. 2002;30:241–247. - PubMed
  10.  
    1. Akpata ES, Al-Attar A, Sharma PN. Factors associated with severe caries among adults in Kuwait. Med Princ Pract. 2009;18:93–99. - PubMed
  11.  
    1. Dye BA, Tan S, Smith V, Lewis BJ, Barker LK, Thornton-Evans G, Eke PI, Beltran-Aguilar ED, Horowitz AM, Li CH. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 11. 2007;248:1–92. - PubMed
  12.  
    1. Behbehani JM, Scheutz F. Oral health in Kuwait. Int Dent J. 2004;54(suppl 1):401–408. - PubMed
  13.  
    1. Behbehani JM, Shah NM. Oral health in Kuwait before the Gulf War. Med Princ Prac. 2002;11(suppl 1):36–43. - PubMed
  14.  
    1. Vigild M, Skougaard M, Hadi RA, Al-Zaabi F, Al-Yasseen I. Dental caries and dental fluorosis among 4-, 6-, 12- and 15-year-old children in kindergartens and public schools in Kuwait. Community Dent Health. 1996;13:47–50. - PubMed
  15.  
    1. Glass RL. Kuwait national dental health survey. Part I. The oral health of school children 6–16 years of age in Kuwait 1982. Kuwait Ministry of Health; 1982.
  16.  
    1. Al-Mutawa SA, Shyama M, Al-Duwairi Y, Soparkar P. Dental caries experience of Kuwaiti schoolchildren. Community Dent Health. 2006;23:31–36. - PubMed
  17.  
    1. Blinkhorn AS, Wainwright-Stringer YM, Holloway PJ. Dental health knowledge and attitudes of regularly attending mothers of high-risk, pre-school children. Int Dent J. 2001;51:435–438. - PubMed
  18.  
    1. Schroth RJ, Brothwell DJ, Moffatt M. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC) Int J Circumpolar Health. 2007;66:153–167. - PubMed
  19.  
    1. Saied-Moallemi Z, Virtanen JI, Ghofranipour F, Murtomaa H. Influence of mothers’ oral health knowledge and attitudes on their children's dental health. Eur Arch Paediatr Dent. 2008;9:79–83. - PubMed
  20.  
    1. Chan SC, Tsai JS, King NM. Feeding and oral hygiene habits of preschool children in Hong Kong and their caregivers’ dental knowledge and attitudes. Int J Paediatr Dent. 2002;12:322–331. - PubMed
  21.  
    1. Kay E, Locker D. A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dent Health. 1998;15:132–144. - PubMed
  22.  
    1. Kay E, Locker D. Is dental health education effective? A systematic review of current evidence. Community Dent Oral Epidemiol. 1996;24:231–235. - PubMed
  23.  
    1. Ammari JB, Baqain ZH, Ashley PF. Effects of programs for prevention of early childhood caries. A systematic review. Med Princ Pract. 2007;16:437–442. - PubMed