title: Oral healthcare of preschool children in Trinidad: a qualitative study of parents and caregivers.
abstract: BACKGROUND
  Little is known about oral health in early childhood in the West Indies or the views and experiences of caregivers about preventive oral care and dental attendance The aims of this study were to explore and understand parents and caregivers' experience of oral healthcare for their preschool aged children and how, within their own social context, this may have shaped their oral health attitudes and behaviours. These data can be used to inform oral health promotion strategies for this age group.
  
  
  METHODS
  After ethical approval, a qualitative study was undertaken using a focus group approach with a purposive sample of parents and caregivers of preschool children in central Trinidad.Group discussions were initiated by use of a topic guide. Audio recording and field notes from the three focus groups, with a total of 18 participants, were transcribed and analysed using a thematic approach.
  
  
  RESULTS
  Despite some ambivalence toward the importance of the primary teeth, the role of fluoride and confusion about when to take a child for their first dental visit, most participants understood the need to ensure good oral hygiene and dietary habits for their child. Problems expressed included, overcoming their own negative experiences of dentistry, which along with finding affordable and suitable dental clinics, affected their attitude to taking their child for a dental visit. There was difficulty in establishing good brushing routines and controlling sweet snacking in the face of many other responsibilities at home. Lack of availability of paediatric dental services locally and information on oral health care were also highlighted. Many expressed a need for more contact with dental professionals in non-clinic settings, for oral health care advice and guidance.
  
  
  CONCLUSIONS
  Parents and caregivers in this qualitative study showed generally positive attitudes towards oral health but appear to have encountered several barriers and challenges to achieving ideal preventive care for their child, with respect to healthy diet, good oral hygiene and dental attendance. Oral health promotion should include effective dissemination of oral health information, more practical health advice and greater access to dental care for families with preschool children.
authors.affiliation: Community Dentistry, Faculty of Medical Sciences, The University of the West Indies, Port of Spain, Trinidad and Tobago. rsnaidu937@gmail.com
authors.forename: Rahul
authors.initials: R
authors.lastname: Naidu
authors.forename: June
authors.initials: J
authors.lastname: Nunn
authors.forename: Maarit
authors.initials: M
authors.lastname: Forde
mesh_terms: D000328:Adult; D001903:Bottle Feeding / Q000009:adverse effects; D017028:Caregivers / Q000523:psychology; D002662:Child Health Services; D002675:Child, Preschool; D016854:Dental Anxiety; D019140:Dental Care for Children / Q000523:psychology* / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000209:etiology / Q000517:prevention & control; D003752:Dental Health Services; D005247:Feeding Behavior; D005260:Female; D005459:Fluorides; D017144:Focus Groups; D006267:Health Education, Dental; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene / Q000523:psychology; D010290:Parents / Q000523:psychology*; D036301:Qualitative Research; D012923:Social Class; D014094:Tooth, Deciduous; D014300:Trinidad and Tobago; D055815:Young Adult
chemical_list: D005459:Fluorides