Knowledge, Attitudes, and Practices towards Early Childhood Caries among Affluent Parents of Lahore
Knowledge, Attitudes, and Practices of Early Childhood Caries among Affluent Parents
DOI:
https://doi.org/10.54393/pjhs.v6i2.2552Keywords:
Caries, Attitude, Affluent, Oral HygieneAbstract
Parents influence oral hygiene practices and children's health behaviours as young ones lack the comprehension and dexterity to maintain oral health. Objectives: To evaluate the knowledge, attitudes, and practices about early childhood caries among affluent parents of Lahore. Methods: A cross-sectional study was conducted from August 2024 to October 2024 using non-probability sampling with 203 participants. Revalidated questionnaires inquiring about knowledge, attitude, and practice were distributed to parents with children under 5 years old, enrolled in affluent schools within the city. Frequency and percentage distributions were obtained for each qualitative variable and mean, and standard deviation were acquired for quantitative variables. The differences between genders were analyzed using chi-squared statistics. A p-value of less than 0.05 was considered statistically significant. Results: Among 203 participants, the majority were mothers 56.2% and the sample comprised of most male children in age group 3-5 years. Among the participants, more than half of the parents had graduated from university; some had graduated from high school. Only a few had completed their primary-level education. The overall mean knowledge score was 52.77 ± 21.59, whereas the mean score for attitude and practice was 61.24 ± 25.49 and 65.61 ± 26.66 respectively. Mothers had significantly greater overall knowledge (p=<0.001), better attitudes (p=0.164), and practices (p-value=0.112) towards early childhood caries as compared to fathers. Conclusions: It was concluded that although affluent parents of 5-year-old children had good knowledge regarding the Early Childhood Caries, their attitude and practices were still lacking in keeping up with the recommended standards.
References
Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C et al., Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. International Journal of Paediatric Dentistry. 2019 May; 29(3): 238-48. doi: 10.1111/ipd.12484. DOI: https://doi.org/10.1111/ipd.12484
Sabbah W, Folayan MO, El Tantawi M. The link between oral and general health. International Journal of Dentistry. 2019; 2019. doi: 10.1155/2019/7862923. DOI: https://doi.org/10.1155/2019/7862923
Mohammed Al-Dahan H and Ali Ismael S. Early childhood caries: parents’ knowledge, attitude and practice towards its prevention in refugee camps in Erbil, Iraq. BioMed Central Oral Health. 2023 Oct; 23(1): 792. doi: 10.1186/s12903-023-03516-8. DOI: https://doi.org/10.1186/s12903-023-03516-8
Zaror C, Matamala‐Santander A, Ferrer M, Rivera‐Mendoza F, Espinoza‐Espinoza G, Martínez‐Zapata MJ. Impact of early childhood caries on oral health‐related quality of life: A systematic review and meta‐analysis. International Journal of Dental Hygiene. 2022 Feb; 20(1):120-35. doi: 10.1111/idh.12494. DOI: https://doi.org/10.1111/idh.12494
Azzaldeen A and Muhamad AH. Two Implant Mandibular Overdentures: Clinical and Laboratory Procedures. Journal of Dentistry and Oral Implants. 2021 Nov; 2(4). doi: 10.14302/issn.2473-1005.jdoi-21-3988. DOI: https://doi.org/10.14302/issn.2473-1005.jdoi-21-3988
Uribe SE, Innes N, Maldupa I. The global prevalence of early childhood caries: a systematic review with meta‐analysis using the WHO diagnostic criteria. International Journal of Pediatric Dentistry. 2021 Nov; 31(6): 817-30. doi: 10.1111/ipd.12783. DOI: https://doi.org/10.1111/ipd.12783
Kaushik M. A systematic review of parents’ knowledge of children’s oral health. Cureus. 2023 Jul; 15(7). doi: 10.7759/cureus.41485. DOI: https://doi.org/10.7759/cureus.41485
Bittencourt JM, Martins LP, Paiva SM, Pordeus IA, Bendo CB. Psychosocial associated factors of early childhood caries and oral health-related quality of life: structural equation model approach. Journal of Dentistry. 2023 Jun; 133: 104506. doi: 10.1016/j.jdent.2023.104506. DOI: https://doi.org/10.1016/j.jdent.2023.104506
Das H, Janakiram C, Karuveettil V. Effectiveness of school-based oral health education interventions on oral health status and oral hygiene behaviours among schoolchildren: an umbrella review. Evidence-Based Dentistry. 2025 Jan: 1-2. doi: 10.1038/s41432-024-01101-8. DOI: https://doi.org/10.1038/s41432-024-01101-8
Kuppusamy E, Ratnasingam MD, Yazid F, Rosli TI, Ali AM, Sockalingam SN et al., Patterns of parental information seeking behaviour on early childhood caries: a qualitative exploration. Journal of International Society of Preventive and Community Dentistry. 2023 Mar; 13(2): 133-40. doi: 10.4103/jispcd.JISPCD_213_22. DOI: https://doi.org/10.4103/jispcd.JISPCD_213_22
Naidu R, Nunn J, Irwin JD. The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study. BioMed Central Oral Health. 2015 Dec; 15: 1-5. doi: 10.1186/s12903-015-0068-9. DOI: https://doi.org/10.1186/s12903-015-0068-9
Saheb SA, Najmuddin M, Nakhran AM, Mashhour NM, Moafa MI, Zangoti AM. Parents’ Knowledge and Attitudes toward Preschool's Oral Health and Early Childhood Caries. International Journal of Clinical Pediatric Dentistry. 2023 Mar; 16(2): 371. DOI: https://doi.org/10.5005/jp-journals-10005-2522
Blumer S, Ratson T, Peretz B, Dagon N. Parents' attitude towards the use of fluorides and fissure sealants and its effect on their children's oral health. Journal of Clinical Pediatric Dentistry. 2018 Jan; 42(1): 6-10. DOI: https://doi.org/10.17796/1053-4628-42.1.2
Ashar T, Shakoor A, Sajid M, Zafar R, Javaid M, Afzal J. Parent’s Knowledge and Awareness in Maintaining their Children's Oral Health: A Cross-Sectional Survey. Pakistan Journal of Public Health. 2020; 10(4): 226-30. doi: 10.32413/pjph.v10i4.516. DOI: https://doi.org/10.32413/pjph.v10i4.516
Al-Jaber AS, Al-Qatami HM, Al Jawad FH. Knowledge, Attitudes, and Practices of Parents on Early Childhood Caries in Qatar—A Questionnaire Study. European Journal of Dentistry. 2022 Jul; 16(03): 669-79. doi: 10.1055/s-0041-1739446. DOI: https://doi.org/10.1055/s-0041-1739446
Gurunathan D, Moses J, Arunachalam SK. Knowledge, attitude, and practice of mothers regarding oral hygiene of primary school children in Chennai, Tamil Nadu, India. International Journal of Clinical Pediatric Dentistry. 2018 Jul; 11(4): 338. doi: 10.5005/jp-journals-10005-1535. DOI: https://doi.org/10.5005/jp-journals-10005-1535
Patil AN, Karkare S, Jadhav HS, Damade Y, Punjari BK. Knowledge, Attitude, and Practice of Parents Toward Their Children's Oral Health and Its Influence On the Dental Caries Status of 5-10-Year-Old Schoolchildren in Nashik, Maharashtra: A Cross-Sectional Study. International Journal Of Clinical Pediatric Dentistry. 2022; 15(Suppl 2): S126. doi: 10.5005/jp-journals-10005-2137. DOI: https://doi.org/10.5005/jp-journals-10005-2137
Almutairi MA. Mother’s Knowledge, Attitude, And Practices Related To Their 1–5-Year-Old Children’s Oral Health Status, Riyadh, Saudi Arabia. Pakistan Oral and Dental Journal. 2021 Jun; 41(2): 49-57.
Helal M, Moneim SA, Foad M. Parents' Knowledge, Attitude and Practices Toward Oral Health of Their Children With Primary Dentition: A Cross-Sectional Study. Journal of Medicine in Scientific Research. 2022 Apr; 5(2). DOI: https://doi.org/10.4103/jmisr.jmisr_24_22
Sogi HS, Hugar SM, Nalawade TM, Sinha A, Hugar S, Mallikarjuna RM. Knowledge, attitude, and practices of oral health care in the prevention of early childhood caries among parents of children in Belagavi city: A Questionnaire study. Journal of Family Medicine and Primary Care. 2016 Apr; 5(2): 286-90. doi: 10.4103/2249-4863.192332. DOI: https://doi.org/10.4103/2249-4863.192332
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