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6th World Nursing and Healthcare Conference

London, UK

Ching-Feng Chang

Ching-Feng Chang

Fooyin University School of Nursing, Taiwan

Title: Parental perceived barriers toward young children’s oral health-related behaviors among Chinese immigrant parents
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Biography: Ching-Feng Chang


Background: Chinese immigrant children have higher decayed and filled primary teeth than their US counterparts. According to recommendations by the American Academy of Pediatric Dentistry, child oral health-related behaviors are crucial factors for preventing dental caries. There is limited information regarding Chinese immigrant parents’ barriers of assisting their children’s oral health-related practices. Accordingly, this descriptive study provided new knowledge about parental barriers towards caries prevention. The purpose of this qualitative study was to describe Chinese parents’ perceived barriers of young children’s oral health-related behaviors (sweet consumption, tooth brushing, routine dental visits) within the Chinese immigrant family context. Methods: Purposive and modified respondent-driven samplings were used to recruit Chinese immigrant parents of children aged 0-6 years through three Chinese immigrant agencies and participant referrals in King County, Washington. Participants completed in-person, semi-structured interviews that included perceived barriers of engaging in children’s daily oral-health practices (sweet consumption, tooth brushing, routine dental visits). Interviews were audio-recorded, transcribed verbatim in Chinese and analyzed by two coders using content analysis. Results: Forty-six parents participated in the study. Barriers to control children’s sweet consumption included child factors (physical development, temperaments, diet habits), parent factors (parenting styles and skills), family factors (sibling influence, grandparents’ care, family events and holidays), social factors (peer influence, events and holidays), and environmental factors (access to sweets). Barriers to assist children’s oral hygiene practices included child factors (physical development, temperaments), parent factors (lack of oral hygiene knowledge and skills, parenting styles and skills, lack of time), family factors(sibling influence, grandparents’ care, lack of family routine), and environmental factors (preschool’s lack of brushing equipments, eat out). Barriers to take children for routine dental visits included parent factors (lack of time, schedule issue), family factors (lack of grandparents’ support), and environmental factors (weather, transportation). Conclusion: Caries prevention education and parenting skills is needed to facilitate parents’ assistance roles in children’s healthy snacks, oral hygiene practices, and regular dental visits. Health professionals should be informed about Chinese immigrant parents' barriers of promoting their children’s oral health behaviors in order to understand parents better and provide culturally competent care.

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