Cultural factors and children's oral health care: a qualitative study of carers of young children.
OBJECTIVE
This qualitative study sought to identify cultural beliefs, practices and experiences that influence access to preventive oral health care for young children from different racial and ethnic groups.


METHODS
Four to six focus groups in each of the African-American, Chinese, Latino and Filipino communities in San Francisco, California were included in the study. Participants were carers of children aged 1-5 years. The 22 groups (n = 177 participants) were stratified by carer's age and, except in the African-American community, by whether US or non-US born. Sessions were conducted in different languages as needed.


RESULTS
Lack of knowledge and beliefs about primary teeth created barriers to early preventive care in all groups. In Chinese groups more than others, health beliefs regarding disease causation and prevention influenced access to preventive dental care. In all groups, multiple family carers, especially elders, influenced access to preventive care. Dental fear, whether derived from prevailing community beliefs or personal negative dental experiences, greatly influenced attitudes regarding accessing preventive care.


CONCLUSIONS
There are both similarities and differences between racial/ethnic groups in how cultural beliefs and experiences influence young children's access to dental care and how it might be improved.
Department of Public Health, San Francisco, CA, USA. irene.hilton@sfdph.org
Irene V
IV
Hilton
Samantha
S
Stephen
Judith C
JC
Barker
Jane A
JA
Weintraub
D000328:Adult; D001741:Black or African American / Q000208:ethnology; D001213:Asian / Q000208:ethnology; D017028:Caregivers / Q000523:psychology*; D002675:Child, Preschool; D002681:China / Q000208:ethnology; D003431:Cross-Cultural Comparison; D016854:Dental Anxiety / Q000208:ethnology; D019140:Dental Care for Children / Q000523:psychology / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000517:prevention & control; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000208:ethnology; D006801:Humans; D007223:Infant; D008875:Middle Aged; D010679:Philippines / Q000208:ethnology; D036301:Qualitative Research; D012495:San Francisco; D014094:Tooth, Deciduous