PMID- 31651325
OWN - NLM
STAT- MEDLINE
DCOM- 20200206
LR  - 20200206
IS  - 1472-6831 (Electronic)
IS  - 1472-6831 (Linking)
VI  - 19
IP  - 1
DP  - 2019 Oct 24
TI  - A survey of caregiver acculturation and acceptance of silver diamine fluoride 
      treatment for childhood caries.
PG  - 228
LID - 10.1186/s12903-019-0915-1 [doi]
LID - 228
AB  - BACKGROUND: Interest in aqueous silver diamine fluoride (SDF) has been growing as 
      a treatment for caries arrest. A cross-sectional study was conducted to identify 
      factors associated with caregiver acceptance of SDF treatment for children 
      presenting with caries at 8 Federally Qualified Health Centers. The study purpose 
      was to examine associations between caregiver acceptance of SDF treatment for 
      children with caries and (1) sociodemographic and acculturation characteristics 
      of caregivers and (2) clinical assessments of the children by dentists. METHODS: 
      A caregiver survey collected information on: sociodemographic characteristics; 
      acculturation characteristics, measured using the validated Short Acculturation 
      Scale for Hispanics (SASH); perceived benefits and barriers of SDF treatment, 
      including caregiver comfort; and perceived health-related knowledge. Chart 
      reviews were conducted to assess: the medical / dental insurance of pediatric 
      patients; cumulative caries experience, measured using decayed, missing, filled 
      teeth total scores (dmft / DMFT); whether operating room treatment was needed; 
      and a record of caregiver acceptance of SDF treatment (the outcome measure). 
      Standard logistic regression models were developed for caregiver acceptance of 
      SDF treatment for their children as the binary outcome of interest (yes / no) to 
      calculate unadjusted odds ratios (OR) and adjusted ORs for covariates of 
      interest. RESULTS: Overall, 434 of 546 caregivers (79.5%) accepted SDF treatment 
      for their children. A U-shaped relationship between caregiver odds of accepting 
      SDF treatment and age group of pediatric patients was present, where caregivers 
      were most likely to accept SDF treatment for their children who were either 
      < 6 years or 9-14 years, and least likely to accept SDF treatment for children 6 
      to < 9 years. The relationship between acculturation and caregiver acceptance of 
      SDF treatment depended upon whether or not caregivers were born in the United 
      States: greater acculturation was associated with caregiver acceptance of SDF 
      treatment among caregivers born in this country, and lower acculturation was 
      associated with caregiver acceptance of SDF treatment among caregivers born 
      elsewhere. CONCLUSIONS: Caregiver acceptance of SDF treatment is high; child's 
      age and caregiver comfort are associated with acceptance. Providers need to 
      communicate the risks and benefits of evidence-based dental treatments to 
      increasingly diverse caregiver and patient populations.
FAU - Kumar, Anjali
AU  - Kumar A
AD  - NYU Langone Dental Medicine, 5800 Third Avenue, Brooklyn, NY, 11220, USA. 
      Anjali.Kumar@nyulangone.org.
FAU - Cernigliaro, Dana
AU  - Cernigliaro D
AD  - NYU Langone Dental Medicine, 5800 Third Avenue, Brooklyn, NY, 11220, USA.
FAU - Northridge, Mary E
AU  - Northridge ME
AD  - NYU Langone Dental Medicine, 5800 Third Avenue, Brooklyn, NY, 11220, USA.
FAU - Wu, Yinxiang
AU  - Wu Y
AD  - Division of Biostatistics, Department of Population Health, 650 First Avenue, New 
      York, NY, 10016, USA.
FAU - Troxel, Andrea B
AU  - Troxel AB
AD  - Division of Biostatistics, Department of Population Health, 650 First Avenue, New 
      York, NY, 10016, USA.
FAU - Cunha-Cruz, Joana
AU  - Cunha-Cruz J
AD  - University of Washington, Box 357475, Seattle, WA, 98195, USA.
FAU - Balzer, Jay
AU  - Balzer J
AD  - NYU Langone Dental Medicine, 5800 Third Avenue, Brooklyn, NY, 11220, USA.
FAU - Okuji, David M
AU  - Okuji DM
AD  - NYU Langone Dental Medicine, 5800 Third Avenue, Brooklyn, NY, 11220, USA.
LA  - eng
PT  - Journal Article
DEP - 20191024
PL  - England
TA  - BMC Oral Health
JT  - BMC oral health
JID - 101088684
RN  - 0 (Fluorides, Topical)
RN  - 0 (Quaternary Ammonium Compounds)
RN  - 0 (Silver Compounds)
RN  - DDU19UEV1Y (silver diamine fluoride)
SB  - IM
MH  - *Acculturation
MH  - Adult
MH  - Caregivers/*psychology
MH  - Child
MH  - Community Health Centers
MH  - Cross-Sectional Studies
MH  - Dental Caries/*therapy
MH  - Female
MH  - Fluorides, Topical/therapeutic use
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Male
MH  - Oral Health
MH  - *Parental Consent
MH  - *Pediatric Dentistry
MH  - Quaternary Ammonium Compounds/*therapeutic use
MH  - Silver Compounds/*therapeutic use
MH  - Surveys and Questionnaires
PMC - PMC6814040
OTO - NOTNLM
OT  - Community health centers
OT  - Health equity
OT  - Oral health
OT  - Parental consent
OT  - Pediatric dentists
OT  - Social acceptance
COIS- The authors declare that they have no competing interests.
EDAT- 2019/10/28 06:00
MHDA- 2020/02/07 06:00
PMCR- 2019/10/24
CRDT- 2019/10/26 06:00
PHST- 2018/12/21 00:00 [received]
PHST- 2019/09/20 00:00 [accepted]
PHST- 2019/10/26 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/02/07 06:00 [medline]
PHST- 2019/10/24 00:00 [pmc-release]
AID - 10.1186/s12903-019-0915-1 [pii]
AID - 915 [pii]
AID - 10.1186/s12903-019-0915-1 [doi]
PST - epublish
SO  - BMC Oral Health. 2019 Oct 24;19(1):228. doi: 10.1186/s12903-019-0915-1.