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    Maintaining Traditions: A Qualitative Study of Early Childhood Caries Risk and Protective Factors in an Indigenous Community

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    ijerph-14-00907-v2.pdf
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    Author
    Levin, Ana
    Sokal-Gutierrez, Karen
    Hargrave, Anita
    Funsch, Elizabeth
    Hoeft, Kristin
    Affiliation
    Univ Arizona, Zuckerman Coll Publ Hlth, Dept Biostat & Epidemiol
    Issue Date
    2017-08-11
    Keywords
    caries
    nutrition transition
    early childhood caries
    Ecuador
    Positive Deviance
    
    Metadata
    Show full item record
    Publisher
    MDPI AG
    Citation
    Maintaining Traditions: A Qualitative Study of Early Childhood Caries Risk and Protective Factors in an Indigenous Community 2017, 14 (8):907 International Journal of Environmental Research and Public Health
    Journal
    International Journal of Environmental Research and Public Health
    Rights
    © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    In lower middle-income economies (LMIE), the nutrition transition from traditional diets to sugary foods and beverages has contributed to widespread early childhood dental caries. This qualitative study explores perceived risk and protective factors, and overall experiences of early childhood nutrition and oral health in indigenous Ecuadorian families participating in a community-based oral health and nutrition intervention. Dental exams of 698 children age 6 months through 6 years determined each child's caries burden. A convenience sample of 18 "outlier" families was identified: low-caries children with <= 2 carious teeth vs. high-caries children with >= 10 carious teeth. Semi-structured in-depth interviews with parents/caregivers explored the child's diet, dental habits, and family factors related to nutrition and oral health. Interviews were transcribed and thematically analyzed using grounded theory. In the high-caries families, proximity to highway and stores, consumption of processed-food, and low parental monitoring of child behavior were identified as risk factors for ECC (early childhood caries). In the low-caries families, protective factors included harvesting and consuming food from the family farm, remote geography, and greater parental monitoring of child behavior. The study results suggest that maintaining traditional family farms and authoritative parenting to avoid processed foods/drinks and ensure tooth brushing could improve early childhood nutrition and oral health.
    Note
    Open access journal.
    ISSN
    1660-4601
    DOI
    10.3390/ijerph14080907
    Version
    Final published version
    Sponsors
    Berkeley Research Impact Initiative (BRII) - UC Berkeley Library, UC Berkeley Center for Latin American Studies; UC Berkeley Center for Global Public Health; Schoeneman Foundation; American Academy of Pediatrics; Rotary International
    Additional Links
    http://www.mdpi.com/1660-4601/14/8/907
    ae974a485f413a2113503eed53cd6c53
    10.3390/ijerph14080907
    Scopus Count
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    UA Faculty Publications

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