Effects of an oral health program: Community‑based education among mothers of young children living in socioeconomically disadvantaged neighborhoods
نویسندگان
1 Department of Midwifery, Faculty of Health Sciences, Ege University, Izmir, Turkey
2 Department of Pedodontics, Faculty of Dentistry, Ege University
3
doi
چکیده
INTRODUCTION: An oral health program for mothers starting from pregnancy in a disadvantageddistrict of İzmir was performed in 2013–2016. Dental behaviors and their determinants amongintervention and control groups were compared in the third phase of the program.METHODS: This nonrandomized‑controlled study was conducted in Phase 3. The intervention groupbegan with 248 pregnant women; 69.4% (n = 172) of mothers with 6–9‑month‑old babies participatedin Phase 2, 2014. At Phase 3 (18–24 months), 68.6% (n = 118) of mothers in the intervention groupand 113 mothers living in another district as controls were included. Sociodemographic characteristics,determinants of behaviors, and outcomes defined as dental behaviors in the last week were assessedusing a questionnaire.RESULTS: Regarding knowledge, perceived severity, and fatalistic beliefs, the intervention grouphad higher correct answer percentages. The percentage of mothers who could clean their children’steeth before sleep was higher in the intervention group (76.3%; P < 0.05), but the difference waslost by a child’s resistance. The significant difference on avoiding bedtime nursing (65.3%) andsugary snacks (74.4%) in the intervention group disappeared with the obstacle of a child’s protestsor interference from relatives. In the intervention group, 32.2% of the mothers reported that theydid not give any sugary snacks, 43.2% had never fed during sleep, and 26.3% cleaned theirchildren’s teeth during the last week. The results in the control group were 24.8%, 18.6%, and 8.8%,respectively (P < 0.05).CONCLUSIONS: The program improved the mothers’ views regarding the determinants of dentalbehaviors, but greater support against obstacles was needed. Social environmental support is plannedfor the following stages of the program.