Developing explanatory models of health inequalities in childhood dental caries
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Developing explanatory models of health inequalities in childhood dental caries. / Pine, Cynthia M; Adair, Pauline M; Petersen, Poul Erik; Douglass, Chester; Burnside, Girvan; Nicoll, Alison D; Gillett, Angela; Anderson, Ruth; Beighton, David; Jin-You, Bian; Broukal, Zdenek; Brown, John P; Chestnutt, Ivor G; Declerck, Dominique; Devine, Deirdre; Espelid, Ivar; Falcolini, Giuliano; Ping, Feng Xi; Freeman, Ruth; Gibbons, David; Gugushe, Tshepo; Harris, Rebecca; Kirkham, Jennifer; Lo, Edward C M; Marsh, Philip; Maupomé, Gerardo; Naidoo, Sudeshni; Ramos-Gomez, Francisco; Sutton, Betty King; Williams, Sonia.
In: Community Dental Health, Vol. 21, No. 1 Suppl, 03.2004, p. 86-95.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Developing explanatory models of health inequalities in childhood dental caries
AU - Pine, Cynthia M
AU - Adair, Pauline M
AU - Petersen, Poul Erik
AU - Douglass, Chester
AU - Burnside, Girvan
AU - Nicoll, Alison D
AU - Gillett, Angela
AU - Anderson, Ruth
AU - Beighton, David
AU - Jin-You, Bian
AU - Broukal, Zdenek
AU - Brown, John P
AU - Chestnutt, Ivor G
AU - Declerck, Dominique
AU - Devine, Deirdre
AU - Espelid, Ivar
AU - Falcolini, Giuliano
AU - Ping, Feng Xi
AU - Freeman, Ruth
AU - Gibbons, David
AU - Gugushe, Tshepo
AU - Harris, Rebecca
AU - Kirkham, Jennifer
AU - Lo, Edward C M
AU - Marsh, Philip
AU - Maupomé, Gerardo
AU - Naidoo, Sudeshni
AU - Ramos-Gomez, Francisco
AU - Sutton, Betty King
AU - Williams, Sonia
PY - 2004/3
Y1 - 2004/3
N2 - OBJECTIVE: Long-term aim is to determine optimum interventions to reduce dental caries in children in disadvantaged communities and minimise the effects of exclusion from health care systems, of ethnic diversity, and health inequalities.DESIGN: Generation of initial explanatory models, study protocol and development of two standardised measures. First, to investigate how parental attitudes may impact on their children's oral health-related behaviours and second, to assess how dentists' attitudes may impact on the provision of dental care.SUBJECTS: Core research team, lead methodologists, 44 consortium members from 18 countries. To complete the development of the questionnaire, the initial set of items was administered to parents (n = 23) with children in nursery schools in Dundee, Scotland and sent to the same parents one week later. A standardised measure examining barriers to providing dental care for children aged 3 to 6 years was developed. 20 dentists working in primary dental care in Scotland completed the measure on two different occasions separated by one week.RESULTS: Explanatory models were developed. Family questionnaire: test-retest reliability excellent (r = 0.93 p < or = 0.001) with very good internal reliability (alpha = 0.89). Dentists questionnaire: excellent test-re-test reliability r = 0.88, (alpha = 0.90).CONCLUSIONS: Interaction between consortium members enhanced the validity of the questionnaires and protocols for different cultural locations. There were challenges in developing and delivering this multi-centre study. Experience gained will support the development of substantive trials and longitudinal studies to address the considerable international health disparity of childhood dental caries.
AB - OBJECTIVE: Long-term aim is to determine optimum interventions to reduce dental caries in children in disadvantaged communities and minimise the effects of exclusion from health care systems, of ethnic diversity, and health inequalities.DESIGN: Generation of initial explanatory models, study protocol and development of two standardised measures. First, to investigate how parental attitudes may impact on their children's oral health-related behaviours and second, to assess how dentists' attitudes may impact on the provision of dental care.SUBJECTS: Core research team, lead methodologists, 44 consortium members from 18 countries. To complete the development of the questionnaire, the initial set of items was administered to parents (n = 23) with children in nursery schools in Dundee, Scotland and sent to the same parents one week later. A standardised measure examining barriers to providing dental care for children aged 3 to 6 years was developed. 20 dentists working in primary dental care in Scotland completed the measure on two different occasions separated by one week.RESULTS: Explanatory models were developed. Family questionnaire: test-retest reliability excellent (r = 0.93 p < or = 0.001) with very good internal reliability (alpha = 0.89). Dentists questionnaire: excellent test-re-test reliability r = 0.88, (alpha = 0.90).CONCLUSIONS: Interaction between consortium members enhanced the validity of the questionnaires and protocols for different cultural locations. There were challenges in developing and delivering this multi-centre study. Experience gained will support the development of substantive trials and longitudinal studies to address the considerable international health disparity of childhood dental caries.
KW - Attitude of Health Personnel
KW - Attitude to Health
KW - Child
KW - Child Development
KW - Child, Preschool
KW - Cross-Sectional Studies
KW - Dental Care for Children
KW - Dental Caries
KW - Dentists
KW - Health Behavior
KW - Health Knowledge, Attitudes, Practice
KW - Health Services Accessibility
KW - Humans
KW - Parents
KW - Questionnaires
KW - Reproducibility of Results
KW - Social Environment
KW - Vulnerable Populations
M3 - Journal article
C2 - 15072477
VL - 21
SP - 86
EP - 95
JO - Community Dental Health
JF - Community Dental Health
SN - 0265-539X
IS - 1 Suppl
ER -
ID: 129775560