Family Influences on Caries in Grenada
Abstract
:1. Introduction
1.1. Current Interventions for Early Childhood Caries
1.2. Family Maltreatment Prevalence in Grenada
1.3. Culturally Competent Practice in Grenada
2. Materials and Methods
2.1. Study 1: Procedure
2.2. Study 2: Procedure
2.3. Study 2: Measures
3. Results
3.1. Study 1: Results
3.2. Study 2: Results
3.2.1. Descriptive Statistics
3.2.2. Associations of Oral Health Behaviors and Other Variables
3.2.3. Motivational Interviewing Procedure and Results
4. Discussion
4.1. Study 1: Discussion
4.2. Study 2: Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Appendix A
- What are the stressors that are on your family?
- What are the things that help you cope with those stressors?
- All children misbehave. How do you handle child misbehavior?
- All couples have disagreements. How do you handle disagreements with your partner?
- 5.
- What kinds of things do you do to keep your family healthy?
- 6.
- Tell us what you think about teeth and cavities.
- 7.
- What sorts of things do you do or your kids do to prevent cavities? What helps make that easier or harder?
- 8.
- What sorts of snacks and drinks do your kids have? What makes it easier or harder to have them make the choices you would like them to?
- 9.
- Tell me the first words or images that come to your mind when you hear the word “dentist”.
- 10.
- What are your family’s attitudes and beliefs about dentists and care of your mouth?
- 11.
- What makes it difficult for you to see a dentist?
- 12.
- Tell me about your last experience seeing a dentist.
- 13.
- Tell me what factors contribute to you following or not following a dentist’s recommendations (like changing your diet or getting cavities filled).
- 14.
- Would you ever be in a program for families to help the parents support their children’s healthy development? What if it were at the school? What if it were just for you and your spouse? What if you could do it on your own time?
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Demographic Varable | Women (n = 48) | Men (n = 6) | Children (n = 54) |
---|---|---|---|
Age * (M (SD)) | 35.23 (7.43) | 40.39 (9.77) | 8.55 (2.66) |
Employment * (n, %) | |||
Full-time | 21 (42%) | 22 (59.5%) | |
Part-time | 10 (20%) | 9 (24.3%) | |
Homemaker | 9 (18%) | 0 (0%) | |
Unemployed | 6 (12%) | 2 (5.4%) | |
Disabled | 1 (2%) | 0 (0%) | |
Missing | 3 (6%) | 4 (10.8%) | |
Education * (n, %) | |||
Some High School | 20 (40%) | 18 (48.6%) | |
High School Diploma or GED | 13 (26%) | 9 (24.3%) | |
Some College | 8 (16%) | 4 (10.8%) | |
College Graduate | 6 (12%) | 2 (5.4%) | |
Missing | 3 (6%) | 4 (10.8%) | |
Marital Status (n, %) | |||
Single | 17 (31.5%) | ||
Married | 11 (20.4%) | ||
In a Relationship | 5 (9.3%) | ||
Living with Partner | 17 (31.5%) | ||
Missing | 4 (7.4%) |
Self-Reported Variables | Mean | SD | Range | Possible Range | Clinical Cut-Score |
---|---|---|---|---|---|
Oral Health | |||||
Adult Brushing Frequency (times per day) | 1.35 | 0.52 | 0–2 | 0–4 | – |
Adult Brushing Time (in minutes) | 2.65 | 1.28 | 1–5 | 1–6 | – |
Adult Flossing Frequency (times per week) | 1.73 | 1.51 | 0–4 | 0–4 | – |
Adult Tooth Loss—Decay (number of teeth) | 1.02 | 1.73 | 0–4 | 0–5 | – |
Child Brushing Frequency (times per day) | 1.51 | 0.61 | 0–3 | 0–4 | – |
Child Brushing Time (in minutes) | 2.33 | 1.05 | 1–5 | 1–6 | – |
Child Flossing Frequency (times per week) | 1.15 | 1.23 | 0–4 | 0–4 | – |
Child Tooth Loss—Decay (number of teeth) | 0.67 | 1.26 | 0–4 | 0–5 | – |
Family Functioning | |||||
Relationship Satisfaction (higher = more satisfied) | 13.72 | 4.07 | 7.00–21.00 | 0–21 | 13.5 |
Lax Discipline (higher = more lax) | 2.97 | 1.15 | 1.17–6.17 | 1–7 | N/A |
Overreactive Discipline (higher = more overreactive) | 3.49 | 1.20 | 1.00–5.80 | 1–7 | N/A |
Child Internalizing Problems—Younger Children (4–8) | 0.30 | 0.30 | 0.00–1.13 | 0–2 | 0.72 |
Child Internalizing Problems—Older Children (9–18) | 0.61 | 0.31 | 0.05–1.18 | 0–2 | 0.72 |
Child Externalizing Problems—Younger Children (4–8) | 0.49 | 0.32 | 0.00–1.06 | 0–2 | 0.68 |
Child Externalizing Problems—Older Children (9–18) | 0.61 | 0.33 | 0.07–1.53 | 0–2 | 0.68 |
Observed parental warmth | 3.11 | 0.77 | 1.00–5.00 | 1–5 | – |
Observed parental responsiveness | 2.68 | 0.76 | 1.00–4.00 | 1–5 | – |
Self-Reported Variables | Child Ext. | Child Int. | Over-Reactive Discipline | Lax Discipline | Observed Parental Warmth | Observed Parental Responsiveness | Adult Brush Freq | Adult Brush Time | Adult Floss Freq | Adult Lost Tooth Decay | Adult Lost Tooth Injury | Child Brush Freq | Child Brush Time | Child Floss Freq | Child Lost Tooth Decay | Child Lost Tooth Injury |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Relationship Satisfaction | −0.48 ** | −0.45 ** | −0.22 | −0.15 | −0.23 | −0.08 | −0.03 | −0.32 | 0.41 * | −0.02 | 0.00 | −0.10 | −0.41 * | −0.14 | −0.18 | −0.06 |
Child Ext. | − | 0.48 ** | 0.15 | −0.01 | 0.32 * | 0.15 | −0.03 | 0.35 * | −0.05 | −0.04 | 0.20 | −0.01 | 0.17 | −0.19 | −0.05 | 0.19 |
Child Int. | – | 0.12 | −0.13 | 0.07 | −0.07 | 0.20 | 0.32 * | −0.08 | 0.31 * | 0.30 | 0.06 | 0.20 | −0.12 | 0.27 | 0.23 | |
Overreactive Discipline | – | 0.17 | 0.06 | −0.01 | −0.14 | 0.20 | −0.14 | 0.04 | 0.07 | −0.26 | 0.02 | −0.05 | 0.26 | 0.23 | ||
Lax Discipline | – | −0.06 | −0.08 | 0.04 | 0.06 | −0.08 | −0.05 | −0.14 | −0.14 | −0.06 | 0.00 | 0.02 | 0.04 | |||
Observed parental warmth | – | 0.80 ** | −0.03 | 0.21 | 0.15 | 0.15 | 0.06 | 0.03 | −0.05 | 0.12 | −0.06 | 0.08 | ||||
Observed parental responsiveness | – | −0.19 | 0.03 | 0.17 | 0.11 | −0.07 | −0.17 | −0.03 | −0.01 | −0.10 | 0.00 | |||||
Adult Brush Freq | – | 0.02 | −0.03 | −0.03 | 0.00 | 0.47 ** | −0.08 | 0.15 | 0.16 | −0.25 | ||||||
Adult Brush Time | – | 0.14 | 0.10 | 0.12 | −0.08 | 0.64 ** | −0.03 | 0.16 | 0.20 | |||||||
Adult Floss Freq | – | 0.10 | 0.21 | −0.00 | −0.03 | 0.43 ** | 0.10 | 0.22 | ||||||||
Adult Lost Tooth Decay | – | −0.08 | −0.05 | 0.07 | 0.04 | 0.25 | 0.03 | |||||||||
Adult Lost Tooth Injury | – | −0.03 | 0.12 | 0.11 | 0.18 | 0.19 | ||||||||||
Child Brush Freq | – | -0.02 | 0.02 | −0.01 | −0.21 | |||||||||||
Child Brush Time | – | −0.06 | -0.01 | −0.06 | ||||||||||||
Child Floss Frequency | – | 0.09 | 0.08 | |||||||||||||
Child Lost Tooth Decay | – | 0.18 |
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Mitnick, D.; Dills, A.; Smith Slep, A.M.; Heyman, R.E.; Giresi, J. Family Influences on Caries in Grenada. Dent. J. 2020, 8, 105. https://doi.org/10.3390/dj8030105
Mitnick D, Dills A, Smith Slep AM, Heyman RE, Giresi J. Family Influences on Caries in Grenada. Dentistry Journal. 2020; 8(3):105. https://doi.org/10.3390/dj8030105
Chicago/Turabian StyleMitnick, Danielle, Ashley Dills, Amy M. Smith Slep, Richard E. Heyman, and Jill Giresi. 2020. "Family Influences on Caries in Grenada" Dentistry Journal 8, no. 3: 105. https://doi.org/10.3390/dj8030105
APA StyleMitnick, D., Dills, A., Smith Slep, A. M., Heyman, R. E., & Giresi, J. (2020). Family Influences on Caries in Grenada. Dentistry Journal, 8(3), 105. https://doi.org/10.3390/dj8030105