Caregivers Who Refuse Preventive Care for Their Children: The Relationship Between Immunization and Topical Fluoride Refusal

Donald, L.

doi:10.2105/ajph.2014.301927

Cited by 35 publications

(51 citation statements)

References 75 publications

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“…11 Fluoride refusal was more common among parents under age 35 years and those with a college degree. 11 The implication of this study was that a potential strategy to reduce fluoride refusal was to address vaccine refusal. However, subsequent analyses found that different behavioral and social factors were related to vaccination and fluoride refusal behaviors, indicating that different solutions are needed to solve these related problems separately.…”

Section: Introductionmentioning

confidence: 99%

“…11 Even more parents are fluoride hesitant, meaning that they may accept fluoride for their children but have unresolved concerns. These findings, which are the only published data specifically on fluoride refusal behaviors, are of concern from an evidence-based perspective because fluoride is one of the only preventive treatments we have available for caries prevention.…”

Section: Introductionmentioning

confidence: 99%

“…24,25 Only one other study to date has identified factors related to topical fluoride refusal. 11 In a three-clinic study in Washington state, fluoride refusal was significantly associated with vaccination refusal. 11 Fluoride refusal was more common among parents under age 35 years and those with a college degree.…”

Section: Introductionmentioning

confidence: 99%

“…11 In a three-clinic study in Washington state, fluoride refusal was significantly associated with vaccination refusal. 11 Fluoride refusal was more common among parents under age 35 years and those with a college degree. 11 The implication of this study was that a potential strategy to reduce fluoride refusal was to address vaccine refusal.…”

Section: Introductionmentioning

confidence: 99%

“…This narrative is consistent with data that fluoride refusal is bimodal – with the highest rates among the lowest- and highest-income families. 11 …”

Section: Introductionmentioning

confidence: 99%

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Parent Refusal of Topical Fluoride for Their Children

Donald

2017

Dental Clinics of North America

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SYNOPSIS A growing number of parents are refusing topical fluoride for their children during preventive dental and medical visits. This nascent clinical and public health problem warrants attention from dental professionals and the scientific community. There are immediate clinical and community-based strategies available to improve fluoride-related communications with parents and the public. In terms of future research priorities, there is a need to develop screening tools to identify parents who are likely to refuse topical fluoride and diagnostic instruments to uncover the reason(s) for topical fluoride refusal. The goal is to use these tools and instruments to measure the efficacy of programs aimed at addressing fluoride refusal. Over time, this knowledge will lead to evidence-based strategies that can be widely disseminated into clinical practice. These efforts will help parents make optimal preventive dental care decisions for their children, reduce dental disease in high-risk children, and reduce persisting pediatric oral health inequalities.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…This narrative is consistent with data that fluoride refusal is bimodal – with the highest rates among the lowest- and highest-income families. 11 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Parent Refusal of Topical Fluoride for Their Children

Donald

2017

Dental Clinics of North America

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Oral Health Treatment Planning: Dental Disease Prevention and Oral Health Promotion for Children with Autism Spectrum Disorder and Developmental Disabilities

Donald

Duker²

2022

Handbook of Treatment Planning for Children With Autism and Other Neurodevelopmental Disorders

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Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance

Marcewicz

Clayton

Maenner

et al. 2017

Matern Child Health J

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Objectives Vitamin K deficiency bleeding (VKDB) in infants is a coagulopathy preventable with a single dose of injectable vitamin K at birth. The Tennessee Department of Health (TDH) and Centers for Disease Control and Prevention (CDC) investigated vitamin K refusal among parents in 2013 after learning of four cases of VKDB associated with prophylaxis refusal. Methods Chart reviews were conducted at Nashville-area hospitals for 2011–2013 and Tennessee birthing centers for 2013 to identify parents who had refused injectable vitamin K for their infants. Contact information was obtained for parents, and they were surveyed regarding their reasons for refusing. Results At hospitals, 3.0% of infants did not receive injectable vitamin K due to parental refusal in 2013, a frequency higher than in 2011 and 2012. This percentage was much higher at birthing centers, where 31% of infants did not receive injectable vitamin K. The most common responses for refusal were a belief that the injection was unnecessary (53%) and a desire for a natural birthing process (36%). Refusal of other preventive services was common, with 66% of families refusing vitamin K, newborn eye care with erythromycin, and the neonatal dose of hepatitis B vaccine. Conclusions for Practice Refusal of injectable vitamin K was more common among families choosing to give birth at birthing centers than at hospitals, and was related to refusal of other preventive services in our study. Surveillance of vitamin K refusal rates could assist in further understanding this occurrence and tailoring effective strategies for mitigation.

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Caregivers Who Refuse Preventive Care for Their Children: The Relationship Between Immunization and Topical Fluoride Refusal

Cited by 35 publications

References 75 publications

Parent Refusal of Topical Fluoride for Their Children

Parent Refusal of Topical Fluoride for Their Children

Oral Health Treatment Planning: Dental Disease Prevention and Oral Health Promotion for Children with Autism Spectrum Disorder and Developmental Disabilities

Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance

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