Parental Attitudes and Tooth Brushing Habits in Preschool Children in Mangalore, Karnataka: A Cross-sectional Study

ObjectivesSocioeconomic inequalities in oral health are often neglected in oral health promotion. This cross-sectional study assessed the association between dental caries and socioeconomic status (SES) among preschool children in China.DesignCross-sectional study.SettingData from the Fourth National Oral Health Survey of China (2015), comprising of 40 360 children aged 3–5 years was used.MethodsDental caries indicators including prevalence of dental caries, dental pain experience and number of decayed, missing and filling teeth (dmft). SES indicators included parental education and household income. The associations between SES and dental caries were analysed by using negative binomial regression or Poisson regression models according to data distribution. Relative and absolute inequalities in dental caries were quantified by using the Relative Index of Inequality (RII) and Slope Index of Inequality (SII), respectively.ResultsThere were significant associations between SES and prevalence of dental caries and dmft (p<0.001). Children from lower educated (RII 1.36, 95% CI 1.3 to 1.43; SII 0.97, 95% CI 0.81 to 1.13) and lower household income (RII 1.17, 95% CI 1.11 to 1.24; SII 0.55, 95% CI 0.35 to 0.75) families had higher dmft than those from well-educated and most affluent families. Relative and absolute inequalities in dental caries were larger in urban areas by household income, and in rural areas by parental education.ConclusionsAssociation between dental caries and SES was demonstrated and socioeconomic inequalities in dental caries existed among Chinese preschool children.

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Pre-schoolers’ tooth brushing behaviour and association with their oral health: a cross sectional study

BMC Oral Health ◽

10.1186/s12903-021-01643-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Iqra Muhammad Khan ◽

Shani Ann Mani ◽

Jennifer Geraldine Doss ◽

Mahmoud Danaee ◽

Lydia Yi Li Kong

Keyword(s):

Preschool Children ◽

Oral Health ◽

Dental Caries ◽

Parental Involvement ◽

Cross Sectional Study ◽

Parental Supervision ◽

Gingival Index ◽

Sectional Study ◽

Cross Sectional ◽

Plaque Score

Abstract Background Toothbrushing is an important yet neglected behaviour that affects the oral health of preschool children. Little is reported on parental supervision, an essential aspect of routine effective toothbrushing in this age group. The aim of this study was to evaluate pre-schoolers’ toothbrushing behaviour including parental involvement and its association with their oral health. Methods This was a cross-sectional study. A total of 92 preschool children (4–6 years) were invited to participate with their parents/guardians. Nine parameters of toothbrushing behaviour were assessed from parental responses (questionnaire) and observation of child and parents/guardians (video recording). Oral examination included recording plaque, gingival and dental caries indices. BORIS software was used to assess toothbrushing parameters and Smart PLS was used to perform association with a second-generation multivariate analysis to create models with and without confounding factors. Results Girls were slightly more (53%) than boys (47%). Children aged 4 years were slightly more in number (38%), followed by 6-year-olds and 5-year-olds. Nearly, 90% parents had tertiary education and 46% had more than 2 children. Differences were recorded in the reported and observed behaviour. Thirty-five percent parents/guardians reported using pea-size toothpaste amount but only 28% were observed. Forty percent reported to brush for 30 s–1 min, however 51% were observed to brush for 1–2 min. Half the children were observed to use fluoridated toothpaste (F < 1000 ppm) under parental supervision (11%). The mean (SD) plaque score reduction after toothbrushing was 10.80 (2.46), mean pre-brushing plaque score was 90.3 (10.2), mean gingival index was 0.89 (0.65) and mean dental caries status (ICDAS(1–6)) was 18.87 (12.39). Toothbrushing behaviour in terms of toothbrushing technique, duration, pattern and frequency, toothbrush type and grip type, toothpaste type and amount, post-brushing mouth rinsing and parental involvement contributed significantly to plaque score change (86%), dental caries status (73%), gingival index (66%) and pre-brushing plaque score (31%). The significant confounding variables had a small influence on oral health of preschool children. Conclusions Preschool children’s toothbrushing behaviour was inadequate while their oral health was poor, with a significant association between the two parameters.

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Polycyclic aromatic hydrocarbons exposures and telomere length: A cross-sectional study on preschool children

Environmental Research ◽

10.1016/j.envres.2021.110757 ◽

2021 ◽

Vol 195 ◽

pp. 110757

Author(s):

Abolfazl Adli ◽

Seyed Mostafa Hosseini ◽

Moslem Lari Najafi ◽

Maryam Behmanesh ◽

Elahe Ghezi ◽

...

Keyword(s):

Polycyclic Aromatic Hydrocarbons ◽

Preschool Children ◽

Telomere Length ◽

Aromatic Hydrocarbons ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Polycyclic Aromatic

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Recurrent wheeze and its relationship with lung function and airway inflammation in preschool children: a cross-sectional study in South Korea

BMJ Open ◽

10.1136/bmjopen-2017-018010 ◽

2017 ◽

Vol 7 (10) ◽

pp. e018010 ◽

Cited By ~ 7

Author(s):

Ji Eun Soh ◽

Kyung-Moon Kim ◽

Ji-Won Kwon ◽

Hyung Young Kim ◽

Ju-Hee Seo ◽

...

Keyword(s):

Preschool Children ◽

Lung Function ◽

Airway Inflammation ◽

Allergic Diseases ◽

Cross Sectional Study ◽

Secondary Outcome ◽

Sectional Study ◽

Cross Sectional ◽

Airway Function ◽

Recurrent Wheeze

BackgroundRelationship between recurrent wheeze and airway function and inflammation in preschool children is not fully known.ObjectiveTo investigate the relationship between recurrent wheeze and airway inflammation, lung function, airway hyper-reactivity (AHR) and atopy in preschool children.DesignObservational study, comparing forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC) and mid-forced expiratory flow (FEF25%–75%), dose–response slope (DRS), exhaled nitric oxide (eNO) and atopic sensitisation between children with recurrent wheeze and those without.SettingPopulation-based, cross-sectional study in Seoul and the Gyeonggi province of Korea conducted as a government-funded programme to perform standardised measurement of the prevalence of allergic diseases, and related factors, in preschool children.Participants900 children aged 4–6 years.Primary and secondary outcome measureseNO, FEV1/FVC, FEF25%–75%, DRS, atopic sensitisation and allergic diseases.MethodsChildren completed the modified International Study of Asthma and Allergies in Childhood questionnaire and underwent eNO assessments, spirometry, methacholine bronchial provocation tests and skin prick tests. Recurrent wheeze was defined as having a lifetime wheeze of more than three episodes, based on the questionnaire. The frequency of hospitalisation and emergency room visits was also obtained by means of the questionnaire. ‘Current’ wheeze was defined as having symptoms or treatments within the past 12 months.ResultsThe prevalence of recurrent wheeze was 13.4%. Children with recurrent wheeze showed a higher prevalence of lifetime or current allergic rhinitis (p=0.01 and p=0.002, respectively) and lifetime atopic dermatitis (p=0.007). Children with recurrent wheeze showed lower FEV1/FVC (p=0.033) and FEF25%–75%(p=0.004), and higher eNO levels (p=0.013) than those without recurrent wheeze. However, the DRS, prevalence of atopic sensitisation and serum IgE levels were not significantly different between the two groups.ConclusionsRecurrent wheeze in preschool children may be associated with airway inflammation and diminished airway function, but not with AHR or atopy.

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Predictors of Parental Barriers to Reduce Excessive Child’s Screen Time Among Parents of Children Under Five Years of Age in Selangor: A Cross-Sectional Study (Preprint)

10.2196/preprints.25219 ◽

2020 ◽

Author(s):

Elliza Mansor ◽

Norliza Ahmad ◽

Nor Afiah Mohd. Zulkefli

Keyword(s):

Young Children ◽

Screen Time ◽

Parental Attitudes ◽

Cross Sectional Study ◽

Sectional Study ◽

Parental Attitude ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Parental Barriers

BACKGROUND Globally, there is an increasing prevalence of excessive screen time exposure among young children, including Malaysia. Parents are advised to limit this exposure but there are barriers for many of them to follow this recommendation. To date, there is a lack of studies on the factors that cause these parental barriers. OBJECTIVE This study aimed to determine the parental barrier towards the reduction of excessive child’s screen time and its predictors among parents of children under five years old in Petaling District, Selangor. METHODS A cross-sectional study was conducted from April 2019 to June 2020 among 789 parent-child dyads attending child health clinics in Petaling District, Selangor. Validated self-administered questionnaires were used to capture information on sociodemographic factors, parental influences, child-related factors, environmental factors, and parental barriers. Stratified sampling with probability proportionate to size was employed. Data were analysed with IBM SPSS version 25. Descriptive analysis and bivariate analysis were performed before multiple linear regression was used to identify the predictors of parental barriers. RESULTS The overall mean score of parental barriers was 3.51 ± 0.83, indicating that the average numbers of barriers experienced by parents were more than three. The multivariate analysis showed that the predictors of parental barriers included monthly household income (adjusted β: -0.031, 95% CI: -0.048 to -0.015), parents who worked in public sectors (adjusted β: 0.178, 95% CI: 0.063 to 0.292), positive parental attitude on screens (adjusted β: 0.684, 95% CI: 0.576 to 0.793), parents’ low self-efficacy to influence child’s physical activity (adjusted β: -0.318, 95% CI: -0.432 to -0.204), and child’s screen time (adjusted β: 0.042, 95% CI: 0.024 to 0.061). CONCLUSIONS The strongest predictor of the parental barriers to reduce excessive child’s screen time was the positive parental attitude on screen time. Thus, future intervention strategies should aim to foster correct parental attitudes towards screen time activities among young children.

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Association between objectively measured body composition, sleep parameters and physical activity in preschool children: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-042669 ◽

2021 ◽

Vol 11 (1) ◽

pp. e042669

Author(s):

Justyna Wyszyńska ◽

Piotr Matłosz ◽

Muhammad Asif ◽

Agnieszka Szybisty ◽

Paweł Lenik ◽

...

Keyword(s):

Physical Activity ◽

Body Composition ◽

Preschool Children ◽

Muscle Mass ◽

Sleep Duration ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sleep Parameters ◽

Objectively Measured

ObjectiveAssociations between self-reported sleep duration and obesity indices in children are well recognised; however, there are no studies on associations between objectively measured other sleep parameters and physical activity with body composition in preschoolers. Therefore, the aim of this study was to determine the associations between sleep parameters and moderate-to-vigorous physical activity (MVPA) with body composition indices in preschoolers using objective measures.DesignA cross-sectional study.ParticipantsThe study group consisted of 676 children aged 5–6 years, who were enrolled in kindergartens in the 2017/2018 school year.Outcome measuresSleep parameters and MVPA were measured using accelerometers for 7 days. Bioelectrical impedance analysis was used to estimate body composition.ResultsSleep duration and sleep efficiency were inversely associated with body fat percentage (BFP) (β=−0.013 and β from –0.311 to −0.359, respectively) and body mass index (BMI) (β from −0.005 to −0.006 and from −0.105 to –0.121, respectively), and directly associated with fat-free mass (FFM) (β from 0.010 to 0.011 and from 0.245 to 0.271, respectively) and muscle mass (β from 0.012 to 0.012 and from 0.277 to 0.307, respectively) in unadjusted and adjusted models. BFP was inversely associated with MVPA and positively associated with number of awakenings and sleep periods. Number of sleep periods was inversely associated with FFM, and positively with BMI and muscle mass. Correlation matrix indicated significant correlation between BFP, FFM and muscle mass with sleep duration, sleep efficiency, number of sleep periods and MVPA.ConclusionsPeriodic assessment of sleep parameters and MVPA in relation to body composition in preschool children may be considered, especially in those who are at risk for obesity.

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The view of parents and teachers about the occurrence of deleterious oral habits in a group of preschool children

Revista CEFAC ◽

10.1590/1982-0216/201921214418 ◽

2019 ◽

Vol 21 (2) ◽

Author(s):

Denise Maria Zaratini Fernandes ◽

Maria Cecília Marconi Pinheiro Lima

Keyword(s):

Preschool Children ◽

Cross Sectional Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Present Sample ◽

Oral Habits ◽

Stomatognathic System ◽

Chi Square Test ◽

Self Administered Questionnaire

ABSTRACT Objective: to compare the parents and teachers views about the occurrence of deleterious oral habits in preschool children. Methods: a cross - sectional study with a quantitative analysis. Parents and teachers answered a self-administered questionnaire regarding the deleterious habits of preschool children and signed the Informed Consent Term. At the end, 221questionaries were included. The data were submitted to Chi-square test, Fisher exact and McNemar tests. Results: according to the parents, the most frequent habit was the bottle with 52.04%, followed by the pacifier with 24.09%. According to the teachers, the pacifier was the most frequent one, accounting for 20.36% of cases, followed by the use of bottle (7.69%). In the present sample, 90.95% of the children were breastfed. When related to oral habits, it was observed that the longer the breastfeeding time, the lower the use of pacifiers and bottles. By comparing the questionnaires, it was verified that the parents noticed, more frequently, the oral habits than did the teachers. Conclusion: in the group studied, the parents reported more the presence of deleterious oral habits than did the teachers. It is important that parents, and especially teachers, have information about the harm caused by the prolonged presence of such habits, so that they can encourage their interruption, thus, avoiding possible damages to the stomatognathic system and the performance of orofacial functions.

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Uptake of routine vitamin A supplementation for children in Humbo district, southern Ethiopia: community-based cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-09617-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Getnet Kassa ◽

Addisalem Mesfin ◽

Samson Gebremedhin

Keyword(s):

Preschool Children ◽

Vitamin A ◽

Vitamin A Deficiency ◽

Economic Status ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Vitamin A Supplementation ◽

Socio Economic Status

Abstract Background In low- and middle-income countries routine vitamin A supplementation (VAS) is a key strategy for reducing vitamin A deficiency and mortality and morbidity of preschool children. However, in Ethiopia, there is paucity of evidence regarding the level and determinants of the uptake of the supplement. This study was designed to assess the coverage and predictors of VAS among preschool children in Humbo district, Southern Ethiopia. Methods A cross-sectional study was conducted in April 2016. A total of 840 mothers/caregivers having children 6–59 months of age were selected using multistage cluster sampling technique from six rural villages implementing routine VAS program. Data were collected using interviewer administered questionnaire. Possible predictors considered in the study include distance from the nearby health facility, household socio-economic status, type of the household (model vs non-model), maternal access to health education on VAS, and knowledge on vitamin A and VAS. Multivariable logistic regression analysis was performed to identify predictors of uptake of VAS. The outputs are presented using adjusted odds ratio (AOR) with the respective 95% confidence interval (CI). Results The coverage of VAS was 75.0% (95% CI: 72.1–77.9). Better knowledge of mothers about the importance of the supplement (AOR: 1.49, 1.02–2.17), obtaining VAS related information from frontline community health workers (AOR: 1.51, 1.34–2.72) than health professionals and being from households in the “rich” wealth tertile (AOR: 1.80, 95% CI: 1.07–3.03) were positively associated with uptake VAS. Conclusion The VAS coverage of the area was approaching the expected national target of 80%. However, the uptake can be enhanced though awareness creation and improving socio-economic status of the community.

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