BackgroundLittle is known about oral health in early childhood in the West Indies or the views and experiences of caregivers about preventive oral care and dental attendance The aims of this study were to explore and understand parents and caregivers’ experience of oral healthcare for their preschool aged children and how, within their own social context, this may have shaped their oral health attitudes and behaviours. These data can be used to inform oral health promotion strategies for this age group.MethodAfter ethical approval, a qualitative study was undertaken using a focus group approach with a purposive sample of parents and caregivers of preschool children in central Trinidad.Group discussions were initiated by use of a topic guide. Audio recording and field notes from the three focus groups, with a total of 18 participants, were transcribed and analysed using a thematic approach.ResultsDespite some ambivalence toward the importance of the primary teeth, the role of fluoride and confusion about when to take a child for their first dental visit, most participants understood the need to ensure good oral hygiene and dietary habits for their child. Problems expressed included, overcoming their own negative experiences of dentistry, which along with finding affordable and suitable dental clinics, affected their attitude to taking their child for a dental visit. There was difficulty in establishing good brushing routines and controlling sweet snacking in the face of many other responsibilities at home. Lack of availability of paediatric dental services locally and information on oral health care were also highlighted. Many expressed a need for more contact with dental professionals in non-clinic settings, for oral health care advice and guidance.ConclusionParents and caregivers in this qualitative study showed generally positive attitudes towards oral health but appear to have encountered several barriers and challenges to achieving ideal preventive care for their child, with respect to healthy diet, good oral hygiene and dental attendance. Oral health promotion should include effective dissemination of oral health information, more practical health advice and greater access to dental care for families with preschool children.

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Resumen Este ensayo investiga una economía espacial de segregación y confinamiento que da forma al compromiso cívico de los pobres urbanos que también perpetúa las jerarquías raciales y de clase. Basado en un estudio etnográfico de un barrio empobrecido de Puerto España, el ensayo explora la morale colonial y neoliberal que perpetúa la segregación de clases en la Trinidad y Tobago contemporánea. La economía espacial resultante de confinamiento restringe la movilidad geográfica y social de los pobres urbanos. También regula su acceso al espacio público y reduce sus oportunidades de participar en debates públicos y hacer declaraciones políticas. En un espacio nacional fragmentado, los pobres urbanos quedan excluidos de las negociaciones de vida y futuro en común. [antropología social, Caribe, clase social, colonialismo, postcolonialismo, urbano]

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