title: Vulnerability related to oral health in early childhood: a concept analysis.
abstract: OBJECTIVE
  This article is a report of the analysis of the concept of vulnerability and its relationship to oral health in early childhood.
  
  
  BACKGROUND
  Poor oral health is a continued problem for children worldwide. Vulnerability increases the probability of poor oral health outcomes. The lack of clarity of the concept of vulnerability creates difficulty in understanding this multi-factoral condition.
  
  
  METHODS
  Data source included 34 articles covering the period 2000-2009 from a variety of disciplines, including nursing, dentistry, medicine and public health.
  
  
  METHODS
  The concept analysis was conducted using Rodgers' evolutionary method. The literature was analysed and a social ecology model was used to frame the discussion, recognizing family and community influences on children's oral health.
  
  
  RESULTS
  The context of oral health in early childhood contributes to the changes in the concept vulnerability. The attributes are closely related to family and community factors and identified as limited parental income, parental education, community-based services and fluoride; and exposure to poor parental habits, parental neglect and harmful toxins. The primary antecedent is identified as a form of limited protection from exposure to various circumstances.
  
  
  CONCLUSIONS
  Children with limited protection have increased vulnerability and greater probability of poor health outcomes. Nurses who understand the concept of vulnerability related to oral health and can identify factors that create protection and are capable of decreasing vulnerability through parent education, community awareness and policy changes that support children and families.
authors.affiliation: School of Nursing and Dental Hygiene, University of Hawaii, Honolulu, Hawaii, USA. mattheus@hawaii.edu
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Mattheus
mesh_terms: D000328:Adult; D002675:Child, Preschool; D019140:Dental Care for Children; D003731:Dental Caries / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D005457:Fluoridation; D015438:Health Behavior; D006267:Health Education, Dental; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D007223:Infant; D008297:Male; D015399:Nursing Research; D009909:Oral Health; D009910:Oral Hygiene; D010290:Parents / Q000193:education; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D012931:Social Environment; D012959:Socioeconomic Factors