Journal article
Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal
American journal of public health (1971), Vol.104(7), pp.1327-1333
07/2014
DOI: 10.2105/AJPH.2014.301927
PMCID: PMC4056200
PMID: 24832428
Abstract
The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children.
Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-item survey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs).
The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P < .001; caregiver self-report PRR = 6.20; 95% CI = 3.21, 11.98; P < .001). Caregivers younger than 35 years were significantly more likely than older caregivers to refuse both immunizations and topical fluoride (P < .05).
Caregiver refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children.
Details
- Title: Subtitle
- Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal
- Creators
- Donald L Chi - University of Washington
- Resource Type
- Journal article
- Publication Details
- American journal of public health (1971), Vol.104(7), pp.1327-1333
- DOI
- 10.2105/AJPH.2014.301927
- PMID
- 24832428
- PMCID
- PMC4056200
- ISSN
- 0090-0036
- eISSN
- 1541-0048
- Grant note
- R03 DE021439 / NIDCR NIH HHS L60MD003921 / NIMHD NIH HHS L60 MD003921 / NIMHD NIH HHS UL1 RR025014 / NCRR NIH HHS U54 DE019346 / NIDCR NIH HHS UL1RR025014 / NCRR NIH HHS U54DE019346 / NIDCR NIH HHS R03DE021439 / NIDCR NIH HHS K08 DE020856 / NIDCR NIH HHS K08DE020856 / NIDCR NIH HHS UL1 TR000423 / NCATS NIH HHS
- Language
- English
- Date published
- 07/2014
- Academic Unit
- Public Policy Center (Archive)
- Record Identifier
- 9984283701102771
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