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A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries

BACKGROUND: Interest in aqueous silver diamine fluoride (SDF) has been growing as a treatment for caries arrest. A cross-sectional study was conducted to identify factors associated with caregiver acceptance of SDF treatment for children presenting with caries at 8 Federally Qualified Health Centers...

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Autores principales: Kumar, Anjali, Cernigliaro, Dana, Northridge, Mary E., Wu, Yinxiang, Troxel, Andrea B., Cunha-Cruz, Joana, Balzer, Jay, Okuji, David M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814040/
https://www.ncbi.nlm.nih.gov/pubmed/31651325
http://dx.doi.org/10.1186/s12903-019-0915-1
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author Kumar, Anjali
Cernigliaro, Dana
Northridge, Mary E.
Wu, Yinxiang
Troxel, Andrea B.
Cunha-Cruz, Joana
Balzer, Jay
Okuji, David M.
author_facet Kumar, Anjali
Cernigliaro, Dana
Northridge, Mary E.
Wu, Yinxiang
Troxel, Andrea B.
Cunha-Cruz, Joana
Balzer, Jay
Okuji, David M.
author_sort Kumar, Anjali
collection PubMed
description BACKGROUND: Interest in aqueous silver diamine fluoride (SDF) has been growing as a treatment for caries arrest. A cross-sectional study was conducted to identify factors associated with caregiver acceptance of SDF treatment for children presenting with caries at 8 Federally Qualified Health Centers. The study purpose was to examine associations between caregiver acceptance of SDF treatment for children with caries and (1) sociodemographic and acculturation characteristics of caregivers and (2) clinical assessments of the children by dentists. METHODS: A caregiver survey collected information on: sociodemographic characteristics; acculturation characteristics, measured using the validated Short Acculturation Scale for Hispanics (SASH); perceived benefits and barriers of SDF treatment, including caregiver comfort; and perceived health-related knowledge. Chart reviews were conducted to assess: the medical / dental insurance of pediatric patients; cumulative caries experience, measured using decayed, missing, filled teeth total scores (dmft / DMFT); whether operating room treatment was needed; and a record of caregiver acceptance of SDF treatment (the outcome measure). Standard logistic regression models were developed for caregiver acceptance of SDF treatment for their children as the binary outcome of interest (yes / no) to calculate unadjusted odds ratios (OR) and adjusted ORs for covariates of interest. RESULTS: Overall, 434 of 546 caregivers (79.5%) accepted SDF treatment for their children. A U-shaped relationship between caregiver odds of accepting SDF treatment and age group of pediatric patients was present, where caregivers were most likely to accept SDF treatment for their children who were either < 6 years or 9–14 years, and least likely to accept SDF treatment for children 6 to < 9 years. The relationship between acculturation and caregiver acceptance of SDF treatment depended upon whether or not caregivers were born in the United States: greater acculturation was associated with caregiver acceptance of SDF treatment among caregivers born in this country, and lower acculturation was associated with caregiver acceptance of SDF treatment among caregivers born elsewhere. CONCLUSIONS: Caregiver acceptance of SDF treatment is high; child’s age and caregiver comfort are associated with acceptance. Providers need to communicate the risks and benefits of evidence-based dental treatments to increasingly diverse caregiver and patient populations.
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spelling pubmed-68140402019-10-31 A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries Kumar, Anjali Cernigliaro, Dana Northridge, Mary E. Wu, Yinxiang Troxel, Andrea B. Cunha-Cruz, Joana Balzer, Jay Okuji, David M. BMC Oral Health Research Article BACKGROUND: Interest in aqueous silver diamine fluoride (SDF) has been growing as a treatment for caries arrest. A cross-sectional study was conducted to identify factors associated with caregiver acceptance of SDF treatment for children presenting with caries at 8 Federally Qualified Health Centers. The study purpose was to examine associations between caregiver acceptance of SDF treatment for children with caries and (1) sociodemographic and acculturation characteristics of caregivers and (2) clinical assessments of the children by dentists. METHODS: A caregiver survey collected information on: sociodemographic characteristics; acculturation characteristics, measured using the validated Short Acculturation Scale for Hispanics (SASH); perceived benefits and barriers of SDF treatment, including caregiver comfort; and perceived health-related knowledge. Chart reviews were conducted to assess: the medical / dental insurance of pediatric patients; cumulative caries experience, measured using decayed, missing, filled teeth total scores (dmft / DMFT); whether operating room treatment was needed; and a record of caregiver acceptance of SDF treatment (the outcome measure). Standard logistic regression models were developed for caregiver acceptance of SDF treatment for their children as the binary outcome of interest (yes / no) to calculate unadjusted odds ratios (OR) and adjusted ORs for covariates of interest. RESULTS: Overall, 434 of 546 caregivers (79.5%) accepted SDF treatment for their children. A U-shaped relationship between caregiver odds of accepting SDF treatment and age group of pediatric patients was present, where caregivers were most likely to accept SDF treatment for their children who were either < 6 years or 9–14 years, and least likely to accept SDF treatment for children 6 to < 9 years. The relationship between acculturation and caregiver acceptance of SDF treatment depended upon whether or not caregivers were born in the United States: greater acculturation was associated with caregiver acceptance of SDF treatment among caregivers born in this country, and lower acculturation was associated with caregiver acceptance of SDF treatment among caregivers born elsewhere. CONCLUSIONS: Caregiver acceptance of SDF treatment is high; child’s age and caregiver comfort are associated with acceptance. Providers need to communicate the risks and benefits of evidence-based dental treatments to increasingly diverse caregiver and patient populations. BioMed Central 2019-10-24 /pmc/articles/PMC6814040/ /pubmed/31651325 http://dx.doi.org/10.1186/s12903-019-0915-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kumar, Anjali
Cernigliaro, Dana
Northridge, Mary E.
Wu, Yinxiang
Troxel, Andrea B.
Cunha-Cruz, Joana
Balzer, Jay
Okuji, David M.
A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title_full A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title_fullStr A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title_full_unstemmed A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title_short A survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
title_sort survey of caregiver acculturation and acceptance of silver diamine fluoride treatment for childhood caries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814040/
https://www.ncbi.nlm.nih.gov/pubmed/31651325
http://dx.doi.org/10.1186/s12903-019-0915-1
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