Family functioning and dental caries among preschool children

Al-Mutairi, Saleh Haif; Scambler, Sasha; Bernabé, Eduardo

doi:10.1111/jphd.12475

Cited by 10 publications

(8 citation statements)

References 31 publications

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“…The findings showed that participants had grown up in a secure environment, with supportive, responsive caregivers and a family that was resilient and able to solve problems. Previous studies have shown the importance of family functioning, such as responsiveness, involvement, encouragement, and problem‐solving, for good oral health and oral health behaviour in their children [34–37]. This association has also been observed in socioeconomically vulnerable populations [38, 39].…”

Section: Discussionmentioning

confidence: 82%

Some young adults can maintain good oral health despite socioeconomic challenges

Nordström,

Carlsson,

Ericson

et al. 2024

European J Oral Sciences

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The association between dental caries experience and socioeconomic status, as reflected in income and educational level, is well known. However, some individuals maintain good health despite socioeconomic disadvantage. The aim of this qualitative study was to explore salutogenic (health‐promoting) factors among healthy caries‐free young adults of low socioeconomic status. Seventeen participants (11 women), 19–23 years of age, who were caries‐free and of low socioeconomic status were interviewed in‐depth. The interviews were transcribed verbatim and analysed using qualitative content analysis with an inductive approach. The theme revealed was ‘Building trust and shifting responsibility from parent to child throughout children's development lays the salutogenic foundation for oral health’, comprising three categories: (i) a basis for health; (ii) creating one's own path by testing wings; and (iii) developing resources for health. A feeling of trust was expressed, participants were confident in the unconditional support of their caregivers, and caregivers were trusting participants to be able to take control over their own oral health. Health‐promotive factors were established not only by instilling healthy habits during childhood, but also by parental guidance through adolescence, enabling young adults to develop resources and assets to take control over their own health independently.

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Section: Discussionmentioning

confidence: 82%

Some young adults can maintain good oral health despite socioeconomic challenges

Nordström,

Carlsson,

Ericson

et al. 2024

European J Oral Sciences

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“…A final explanation is that a healthy level of interaction between family members might provide a psychosocial environment that is conducive to health‐promoting behaviours, child oral health and good quality of life. This potential pathway is supported by evidence showing that unhealthy family functioning was associated with greater sugar intake and less frequent toothbrushing among young children 26,27 . Both behaviours are established determinants of dental caries, 28 which is, in turn, a common oral disease affecting child and family quality of life 6…”

Section: Discussionmentioning

confidence: 93%

“…This potential pathway is supported by evidence showing that unhealthy family functioning was associated with greater sugar intake and less frequent toothbrushing among young children. 26,27 Both behaviours are established determinants of dental caries, 28 which is, in turn, a common oral disease affecting child and family quality of life. 6 This study also highlighted which domains of family functioning could be more relevant to the OHRQoL of children and their families.…”

Section: Discussionmentioning

confidence: 99%

Family functioning and preschool children's oral health‐related quality of life

Al-Mutairi

Scambler

Bernabé

2022

Comm Dent Oral Epid

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Introduction Identifying which aspects of how a family functions are relevant to child oral health provides opportunities for interventions targeting the family context. The aim of this study was to investigate the associations of general and domain‐specific family functioning with oral health‐related quality of life (OHRQoL) of 3–4‐year‐old children. Methods Cross‐sectional data from 740 parent‐child dyads from East London were analysed. Family functioning was assessed with the 60‐item Family Assessment Device that yields scores for general functioning and six domains (roles, behaviour control, communication, affective involvement, affective responsiveness and problem solving). Children's OHRQoL was measured using the Early Childhood Oral Health Impact Scale (ECOHIS), which measures the lifetime impacts of children's oral conditions on the child (child impact section, CIS) and family (family impact section, FIS). The associations of family functioning with the ECOHIS total, CIS and FIS scores were assessed in negative binomial regression models (rate ratios [RR] and 95% confidence intervals [95% CI] were calculated), adjusting for parental sociodemographic factors and child demographic factors and caries experience. Results Children in families with unhealthy general functioning had 1.45 (95% CI: 0.87–2.43), 1.24 (95% CI: 0.73–2.13) and 2.19 (95% CI: 1.20–3.99) times greater ECOHIS total, CIS and FIS scores, respectively, than those in families with healthy general functioning after adjustment for confounders. Unhealthy functioning in the roles domain was associated with greater ECOHIS total and FIS scores. Unhealthy functioning in the problem solving, roles and affective involvement domains were also associated with greater FIS scores. Conclusions Unhealthy family functioning was associated with worse child OHRQoL, especially in terms of disrupting family life. Effective assignment and undertaking of roles should be further explored as a target for intervention.

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“…The limited evidence indicates that positive parenting approaches work best to produce favourable oral hygiene behaviours in children, and lead to better oral health outcomes [5,36,37]. Previous research has also established that poor family functioning leads to poor oral health outcomes in children [38]. However, no study so far has examined the association between parenting practices and the impact of children's health on the family in the context of childhood oral diseases.…”

Section: Discussionmentioning

confidence: 99%

The Role of Parenting Practices on the Parent Perceived Impact of Child Oral Health on Family Wellbeing

Aurlene

Arora

Sun

et al. 2022

IJERPH

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Background: Family characteristics and parenting practices could significantly influence child oral health and the impact of child oral health on family wellbeing. Aim: To determine the association between parenting practices and parent-perceived impact of children’s oral health condition on family wellbeing. Design: A cross-sectional survey was conducted among 1539 school children in India. Parents answered the short form of FIS (Family Impact Scale), and PCRQ (parent–child relationship questionnaire) to assess the impact of the child’s oral health on family and parenting practices, respectively. Two factors emerged on factor analysis of PCRQ: ‘Positive parenting’ and ‘Power assertive parenting’. The intra-oral examination was conducted for children to assess their dental caries experience and gingival health status. Unadjusted linear regression and hierarchical multiple regression analysis were used to determine the influence of parenting practices on FIS. Results: An increase in power assertion (B = 1.16) parenting was associated with increased FIS scores indicating a higher adverse impact of the child’s oral health on family wellbeing when parents used more power assertive parenting practices. On the other hand, an increase in positive parenting (B = −1.27) was associated with decreased FIS scores, indicating a lesser impact of child’s oral health on family wellbeing when parents used more positive parenting practices. Conclusions: Parenting practices were associated with parents’ perceptions of the effect of children’s oral health on family wellbeing.

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Family functioning and dental caries among preschool children

Cited by 10 publications

References 31 publications

Some young adults can maintain good oral health despite socioeconomic challenges

Some young adults can maintain good oral health despite socioeconomic challenges

Family functioning and preschool children's oral health‐related quality of life

The Role of Parenting Practices on the Parent Perceived Impact of Child Oral Health on Family Wellbeing

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