title: Oral health promotion in early childhood: age of joining preventive program and behavioral aspects.
abstract: OBJECTIVE
  To analyze the interference of age in the entrance into a public dental care program for infants as well as family behavioral aspects about tooth decay experience in children 0 to 4 years old.
  
  
  METHODS
  Cross-sectional study involving 465 children who were divided into 3 groups: infants whose mothers joined the program during pregnancy (n=50); infants enrolled in the program during the first year of life (n=230); and infants enrolled in the program between 13 and 18 months old (n=185). The χ(2) and Kruskal-Walis tests (95% confidence interval) were used to assess the relationship among variables.
  
  
  RESULTS
  There was an association between the age of entrance in the programs and dental caries (p<0.001). A lower prevalence was seen in infants whose mothers joined the program during pregnancy, and among those infants enrolled in the program during the first year of life. The same low prevalence occurred in relation to mothers' commitment to attend follow-up visits with their infants, cariogenic diet, nighttime oral care, duration of night feeding and parents' educational level (p<0.001). Unfavorable socioeconomic conditions (p>0.05) and daily oral care (p=0.214) were common variables in the groups with 99% of occurrence. Commitment to attend follow-up visits, nighttime oral care and parents' educational level (p>0.05) were considered protective factors for dental caries. Cariogenic diet and night feeding were determinant factors to the appearance of dental caries.
  
  
  CONCLUSIONS
  To promote children oral health it is essential to enroll children in oral health programs and adopt healthy habits as early as possible, besides the adherence of the child to their parents' advice.
authors.affiliation: Universidade Estadual Paulista ?Júlio de Mesquita Filho?, São José dos Campos, SP, Brazil.
authors.forename: Letícia Vargas Freire Martins
authors.initials: LV
authors.lastname: Lemos
authors.affiliation: Universidade Estadual Paulista ?Júlio de Mesquita Filho?, São José dos Campos, SP, Brazil.
authors.forename: Silvio Issáo
authors.initials: SI
authors.lastname: Myaki
authors.affiliation: Universidade Estadual de Londrina, Londrina, PR, Brazil.
authors.forename: Luiz Reynaldo de Figueiredo
authors.initials: LR
authors.lastname: Walter
authors.affiliation: Universidade Estadual Paulista ?Júlio de Mesquita Filho?, Araraquara, SP, Brazil.
authors.forename: Angela Cristina Cilense
authors.initials: AC
authors.lastname: Zuanon
mesh_terms: D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D019140:Dental Care for Children / Q000706:statistics & numerical data*; D003731:Dental Caries / Q000453:epidemiology* / Q000517:prevention & control*; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000706:statistics & numerical data; D009909:Oral Health / Q000706:statistics & numerical data*; D009910:Oral Hygiene / Q000706:statistics & numerical data; D011247:Pregnancy; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric
references.citation: Community Dent Oral Epidemiol. 2008 Aug;36(4):363-9
references.pmid: 19145723
references.citation: Caries Res. 2010;44(5):445-52
references.pmid: 20838043
references.citation: Community Dent Health. 2005 Jun;22(2):71-4
references.pmid: 15984131
references.citation: Braz Oral Res. 2010;24 Suppl 1:18-25
references.pmid: 20857071
references.citation: Pesqui Odontol Bras. 2001 Jul-Sep;15(3):201-7
references.pmid: 11705267
references.citation: Rev Panam Salud Publica. 2006 Jun;19(6):385-93
references.pmid: 16968593
references.citation: Einstein (Sao Paulo). 2011 Dec;9(4):503-7
references.pmid: 26761254
references.citation: Swed Dent J. 1985;9(5):201-6
references.pmid: 3866336
references.citation: Gen Dent. 2010 Nov-Dec;58(6):505-17; quiz 518-9
references.pmid: 21062720
references.citation: Community Dent Oral Epidemiol. 2008 Aug;36(4):335-46
references.pmid: 19145720
references.citation: Community Dent Oral Epidemiol. 1996 Oct;24(5):357-61
references.pmid: 8954224
references.citation: Br Dent J. 2000 Feb 26;188(4):201-5
references.pmid: 10740903
references.citation: Int J Paediatr Dent. 2010 Mar;20(2):125-31
references.pmid: 20384827