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Marquillier T, Azogui-Levy S, Tenenbaum A. A proposal for an oral health educational programme for the first 1000 days of life: from pregnancy to childhood. Eur Arch Paediatr Dent 2023; 24:803-806. [PMID: 37741951 DOI: 10.1007/s40368-023-00846-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Accepted: 09/05/2023] [Indexed: 09/25/2023]
Abstract
AIM The aim of this paper is to highlight the need to consider oral health during the first 1000 days of a child's life with a view to developing appropriate educational programmes. CONTEXT The first 1000 days of life represent a window of opportunity for prevention in children. This concept is built on a consideration of the overall health of mother and child, taking into account social inequalities in health. It is now established that the oral health of the mother determines the oral health of her child. Furthermore, parents' knowledge and behaviour have a direct influence on their child's health. CONCLUSION The majority of the population does not have the necessary skills to adopt behaviours that promote oral health. The need for oral health education begins in the first 1000 days of life. Following the model of family health education, these programmes would involve providing pregnant women and, therefore, families with the skills they need to manage their own oral health and that of their future child as early as possible.
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Affiliation(s)
- T Marquillier
- Université Lille, CHU Lille, UFR Odontologie, Odontologie Pédiatrique, 59000, Lille, France.
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France.
| | - S Azogui-Levy
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France
- Université Paris Cité, UFR d'Odontologie, Santé Publique, GH Pitié-Salpêtrière APHP-SU, Paris, France
| | - A Tenenbaum
- Université Sorbonne Paris Nord, Laboratoire Éducations et Promotion de La Santé, LEPS, UR 3412, 93017, Bobigny, France
- Université Paris Cité, UFR d'Odontologie, Santé Publique, GH Pitié-Salpêtrière APHP-SU, Paris, France
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Kyoon-Achan G, Schroth RJ, DeMaré D, Sturym M, Edwards JM, Sanguins J, Campbell R, Chartrand F, Bertone M, Moffatt MEK. First Nations and Metis peoples' access and equity challenges with early childhood oral health: a qualitative study. Int J Equity Health 2021; 20:134. [PMID: 34098968 PMCID: PMC8183050 DOI: 10.1186/s12939-021-01476-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2021] [Accepted: 05/12/2021] [Indexed: 12/28/2022] Open
Abstract
Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous populations compared to the general population. ECC has been strongly associated with social determinants of health. Methods Focus groups and sharing circles were conducted with four First Nations and Metis communities in urban and rural communities in Manitoba. There were eight groups in total of purposively sampled participants (n = 59). A grounded theory approach guided thematic analysis of audio recorded and transcribed data. Results Indigenous participants experienced challenges similar to those found in the general population, such as encouraging and motivating parents and caregivers to establish regular oral hygiene routines for their children. However other challenges reported, disproportionately affect Indigenous communities. These include poor access to dental care, specifically no dental offices within 1 h driving radius and not having transportation to get there. Not having evidence-based oral health information to support good oral hygiene practices, preventing parents from making the best choices of oral hygiene products and oral health behaviours for their children. Poverty and food insecurity resulting in poor nutritional choices and leading to ECC. For example, feeding children sugary foods and beverages because those are more readily avialble than healthy options. Confusing or difficult encounters with dental professionals, highlighted as a factor that can erode trust, reduce compliance and impact continued attendance at dental offices. Conclusion Closing existing early childhood oral health gaps for First Nations and Metis peoples and communities requires equity-oriented healthcare approaches to address specific problems and challenges faced by these populations. Family, community and systemic level interventions that directly implement community recommendations are needed.
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Affiliation(s)
- Grace Kyoon-Achan
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada. .,Children's Hospital Research Institute of Manitoba, Winnipeg, Canada. .,Ongomiizwin Research - Indigenous Institute of Health and Healing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada. .,Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
| | - Robert J Schroth
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada. .,Children's Hospital Research Institute of Manitoba, Winnipeg, Canada. .,Ongomiizwin Research - Indigenous Institute of Health and Healing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada. .,Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. .,Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
| | - Daniella DeMaré
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada.,Children's Hospital Research Institute of Manitoba, Winnipeg, Canada
| | - Melina Sturym
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada.,Children's Hospital Research Institute of Manitoba, Winnipeg, Canada
| | | | - Julianne Sanguins
- Health & Wellness Department, Manitoba Metis Federation, 150 Henry Avenue, Winnipeg, MB, R3B 0J7, Canada
| | - Rhonda Campbell
- First Nations Health and Social Secretariat of Manitoba, 600-275 Portage Ave, Winnipeg, MB, R3B 2B3, Canada
| | - Frances Chartrand
- Health & Wellness Department, Manitoba Metis Federation, 150 Henry Avenue, Winnipeg, MB, R3B 0J7, Canada
| | - Mary Bertone
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada
| | - Michael E K Moffatt
- Department of Preventive Dental Science, Dr. Gerald Niznick College Of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 3P4, Canada.,Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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Martin M, Pugach O, Avenetti D, Lee H, Salazar S, Rosales G, Songthangtham N. Oral Health Behaviors in Very Young Children in Low-Income Urban Areas in Chicago, Illinois, 2018-2019. Prev Chronic Dis 2020; 17:E152. [PMID: 33274700 PMCID: PMC7735487 DOI: 10.5888/pcd17.200213] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction Because most data on oral health do not include infants and toddlers, we aimed to describe the oral health behaviors of low-income children younger than 3 years and determine factors associated with child tooth brushing. Methods We obtained data from the Coordinated Oral Health Promotion Chicago study, which included 420 families with children aged 6 to 36 months and their caregivers in Cook County, Illinois. We assessed child frequency of brushing from caregiver reports and objectively determined child dental plaque scores. Significant factors associated with tooth brushing frequency and dental plaque score were identified using the Least Absolute Shrinkage and Selection Operator variable selection. Results Mean child age was 21.5 (SD, 6.9) months, and only 45% of caregivers brushed their children’s teeth twice per day or more. The mean plaque score was 1.9 (SD, 0.6), indicating high levels of plaque. Child brushing frequency was higher when children were older; used the correct toothpaste amount; brushed for a longer duration; and when caregivers brushed their own teeth more frequently, had more help with the overall care of the child’s teeth, and had family to help. Child brushing frequency was lower for caregivers with more interference from activities of daily life. Children whose caregivers had more adult help with child brushing had better plaque scores; worse plaque scores were seen in children with higher sugary beverage and food consumption and lower household incomes. Conclusion The tooth brushing behaviors of young children are strongly associated with those of their parents and with the level of family support for brushing. Interventions to improve brushing in young children should focus on the entire family.
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Affiliation(s)
- Molly Martin
- College of Medicine, Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois.,Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.,University of Illinois at Chicago, 840 South Wood St, M/C 856, Chicago, IL 60612.
| | - Oksana Pugach
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois
| | - David Avenetti
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.,College of Dentistry, Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois
| | - Helen Lee
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.,College of Medicine, Department of Anesthesiology, University of Illinois at Chicago, Chicago, Illinois
| | - Shojanny Salazar
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois
| | - Genesis Rosales
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois
| | - Nattanit Songthangtham
- Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois
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Abstract
In the United States, people are more likely to have poor oral health if they are low-income, uninsured, and/or members of racial/ethnic minority, immigrant, or rural populations who have suboptimal access to quality oral health care. As a result, poor oral health serves as the national symbol of social inequality. There is increasing recognition among those in public health that oral diseases such as dental caries and periodontal disease and general health conditions such as obesity and diabetes are closely linked by sharing common risk factors, including excess sugar consumption and tobacco use, as well as underlying infection and inflammatory pathways. Hence, efforts to integrate oral health and primary health care, incorporate interventions at multiple levels to improve access to and quality of services, and create health care teams that provide patient-centered care in both safety net clinics and community settings may narrow the gaps in access to oral health care across the life course.
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Affiliation(s)
- Mary E Northridge
- NYU Langone Dental Medicine-Brooklyn, Postdoctoral Residency Program, Brooklyn, New York 11220, USA; , ,
- Hansjörg Wyss Department of Plastic Surgery, NYU School of Medicine, Brooklyn, New York 11220, USA
| | - Anjali Kumar
- NYU Langone Dental Medicine-Brooklyn, Postdoctoral Residency Program, Brooklyn, New York 11220, USA; , ,
| | - Raghbir Kaur
- NYU Langone Dental Medicine-Brooklyn, Postdoctoral Residency Program, Brooklyn, New York 11220, USA; , ,
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