AbstractThe aim of this study was to investigate the possible potential of preschool staff through a newly designed questionnaire and evaluate their role in the prevention of early childhood caries (EEC) in Serbia where extremely high prevalence of this preventable disease was recorded.We preformed a cross-sectional study of 268 preschool staff using specially prepared semi-structured questionnaire for measuring potential of secondary children’s caregivers to prevent EEC. The questionnaire was tested on a pilot sample and after that all collected data were analyzed trough construction of correlation matrix with the evaluation of the value of each question, reliability testing, factorial analysis and estimating of its validity using SPSS software.The tested questionnaire had good internal consistency based on the Cronbach’s alpha coefficient value of 0.873 calculated directly and similar value (0.899) after applied Spearman-Brown “prediction” formula. Using exploratory factorial analysis and orthogonal rotation, we identified two domains that emerged with similar loadings (4.043 and 3.183). The first factor (domain) reflected attitudes of the study participants towards prevention of EEC, and the second factor (domain) showed behaviour of the study participants, which includes preventive actions against EEC.The total score of the questionnaire was correlated positively with oral health knowledge (Spearman’s correlation coefficient 0.331, p=000) and inversely with the length of employment, where each additional year of employment decreased the total score of the questionnaire by 1.20.These findings could partially explain an extremely high prevalence of EEC in young children and indicate that preschool teachers should be more engaged in health education activities and motivation programs.
References
1.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175–91.
2.
Bissar A, Schiller P, Wolff A, Niekusch U, Schulte AG. Factors contributing to severe early childhood caries in south-west Germany. Clinical Oral Investigations. 2014;18(5):1411–8.
3.
Hashim R, Williams S, Thomson WM. Severe early childhood caries and behavioural risk indicators among young children in Ajman, United Arab Emirates. European Archives of Paediatric Dentistry. 2011;12(4):205–10.
4.
Kostadinovic L, Aleksic B, Igic M, Surdilovic D, Trickovic-Janjic O. Medical, social, and economic significance of school dental care service. Acta stomatologica Naissi. 2011;27(63):1043–58.
5.
Caufield PW, Li Y, Bromage TG. Hypoplasia-associated Severe Early Childhood Caries – A Proposed Definition. Journal of Dental Research. 2012;91(6):544–50.
6.
Ravishankar T, Suresh B, Chaitra T, Mohapatra A, Gupta V. Mother′s knowledge about pre-school child′s oral health. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2010;28(4):282.
7.
Li Y, Zhang Y, Yang R, Zhang Q, Zou J, Kang D. Associations of social and behavioural factors with early childhood caries in Xiamen city in China. International Journal of Paediatric Dentistry. 2011;21(2):103–11.
8.
Losso EM, Tavares MCR, Silva JYB da, Urban C de A. Cárie precoce e severa na infância: uma abordagem integral. Jornal de Pediatria. 85(4):295–300.
9.
Oliveira AFB, Chaves AMB, Rosenblatt A. The Influence of Enamel Defects on the Development of Early Childhood Caries in a Population with Low Socioeconomic Status: A Longitudinal Study. Caries Research. 2006;40(4):296–302.
10.
Naidu R, Nunn J, Kelly A. Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad. BMC Oral Health. 2013;13(1).
11.
Ramos-Gomez F, Weintraub J, Gansky S, Hoover C, Featherstone J. Bacterial, behavioral and environmental factors associated with early childhood caries. Journal of Clinical Pediatric Dentistry. 2003;26(2):165–73.
12.
Ribeiro NME, Ribeiro MAS. Aleitamento materno e cárie do lactente e do pré-escolar: uma revisão crítica. Jornal de Pediatria. 80(5):s199–210.
13.
Mani S, Aziz A, John J, Ismail N. Knowledge, attitude and practice of oral health promoting factors among caretakers of children attending day-care centers in Kubang Kerian, Malaysia: A preliminary study. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2010;28(2):78.
14.
FERREIRA SH, BÉRIA JU, KRAMER PF, FELDENS EG, FELDENS CA. Dental caries in 0‐ to 5‐year‐old Brazilian children: prevalence, severity, and associated factors. International Journal of Paediatric Dentistry. 2007;17(4):289–96.
15.
Southward LH, Robertson A, Wells‐Parker E, Eklund NP, Silberman SL, Crall JJ, et al. Oral Health Status of Mississippi Delta 3– to 5‐Year‐Olds in Child Care: An Exploratory Study of Dental Health Status and Risk Factors for Dental Disease and Treatment Needs. Journal of Public Health Dentistry. 2006;66(2):131–7.
16.
Lawoyin TO, Olawuyi JF, Onadeko MO. Factors Associated With Exclusive Breastfeeding in Ibadan, Nigeria. Journal of Human Lactation. 2001;17(4):321–5.
17.
Nobile CG, Fortunato L, Bianco A, Pileggi C, Pavia M. Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study. BMC Public Health. 2014;14(1).
18.
Begzati A, Berisha M, Meqa K. Early childhood caries in preschool children of Kosovo - a serious public health problem. BMC Public Health. 2010;10(1).
19.
Slabšinskienė E, Milčiuvienė S, Narbutaitė J, Vasiliauskienė I, Andruškevičienė V, Bendoraitienė EA, et al. Severe early childhood caries and behavioral risk factors among 3-year-old children in Lithuania. Medicina. 46(2):135.
20.
Chu CH, Ho PL, Lo EC. Oral health status and behaviours of preschool children in Hong Kong. BMC Public Health. 2012;12(1).
21.
Kressin NR, Nunn ME, Singh H, Orner MB, Pbert L, Hayes C, et al. Pediatric Clinicians Can Help Reduce Rates of Early Childhood Caries. Medical Care. 2009;47(11):1121–8.
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