Skip to main content

Advertisement

Log in

Sociodemographic and behavioural determinants of early childhood caries knowledge among expectant mothers in Kuwait

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Purpose

Early Childhood Caries (ECC) is a highly prevalent disease in Kuwait. It poses health, economic, and social implications affecting patients, their families and communities. ECC awareness campaigns targeting expectant mothers hold a promising potential as primary prevention tools. Understanding the baseline of ECC knowledge (ECC-K) is an important foundational step in planning such interventions. The aim of this study was to assess the level of ECC-K in a sample of expectant mothers, and to identify the sociodemographic and behavioural determinants of that knowledge.

Methods

A multiple-choice questionnaire was distributed to 430 expectant women from one maternity hospital in Kuwait. The questionnaire gathered information on the demographics, ECC-K, and the oral health behaviours of the participants. Bivariate analysis assessed the relationship between ECC-K scores and the different socio-demographic variables and oral health practices of the participants. A multiple linear regression model was developed to identify the predictors of ECC-K scores

Results

The response rate was 94% (n = 405). The mean ECC-K score was 6.4 [standard deviation (SD) = 2.5] out of a maximum score of 14. Age, education, number of children, frequency of dental visits, and flossing frequency were significantly associated with ECC-K levels (p < 0.05).

Conclusions

ECC-K among this cohort of expectant mothers was inadequate. Educational interventions are needed to foster better ECC preventive practices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alkhubaizi Q, Moule A, Al-Sane M, Sorkin JD. Oral health practices and knowledge among parents and hired caregivers. Eur Arch Paediatr Dent. 2018;19:403–10.

    Article  Google Scholar 

  • Al-Mutawa SA, Shyama M, Al-Duwairi Y, Soparkar P. Dental caries experience of Kuwaiti kindergarten schoolchildren. Commun Dent Health. 2010;27:213–7.

    Google Scholar 

  • Al-Sane M, Bourisly N, Almulla T, Andersson L. Laypeoples’ preferred sources of health information on the emergency management of tooth avulsion. Dent Traumatol. 2011;27:432–7.

    Article  Google Scholar 

  • American Academy of Pediatrics, Section on Pediatric Dentistry and Oral Health. Preventive oral health intervention for paediatricians. Pediatrics. 2008;122:1387–94.

    Article  Google Scholar 

  • Ashkanani F, Al-Sane M. Knowledge, attitudes and practices of caregivers in relation to oral health of preschool children. Med Princ Pract. 2013;22:167–72.

    Article  Google Scholar 

  • Baker SD, Quiñonez RB, Boggess K, Phillips C. Pregnant women’s infant oral health knowledge and beliefs: influence of having given birth and of having a child in the home. Matern Child Health J. 2016;20:1288–95.

    Article  Google Scholar 

  • Borrelli B, Tooley EM, Scott-Sheldon LA. Motivational interviewing for parent-child health interventions: a systematic review and meta-analysis. Pediatr Dent. 2015;37:254–65.

    PubMed  Google Scholar 

  • Casamassimo PS, Hammersmith K, Gross EL, Amini H. Infant oral health: an emerging dental public health measure. Dent Clin N Am. 2018;62:235–44.

    Article  Google Scholar 

  • International Association of Paediatric Dentistry (IAPD). Early Childhood Caries. IAPD Bangkok declaration. Int J Paediatr Dent. 2019;29:384–6.

    Article  Google Scholar 

  • ElKarmi R, Aljafari A, Eldali H, Hosey MT. Do expectant mothers know how early childhood caries can be prevented? A cross-sectional study. Eur Arch Paediatr Dent. 2019;20:595–601.

    Article  Google Scholar 

  • Flores MT, Al-Sane M, Andresson L. Information to the public, patients and emergency services on traumatic dental injuries. In: Andreasen OJ, Andreasen FM, Anderson L, editors. Textbook and color atlas of traumatic injuries to the teeth. Oxford: Wiley; 2019. p. 992–1008.

    Google Scholar 

  • Honkala S, Al-Ansari J. Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait. J Clin Periodontol. 2005;32:809–14.

    Article  Google Scholar 

  • Hooley M, Skouteris H, Boganin C, et al. Parental influence and the development of dental caries in children aged 0–6 years: a systematic review of the literature. J Dent. 2012;40:873–85.

    Article  Google Scholar 

  • Kaste LM, Sreenivasan D, Koerber A, et al. Pediatric oral health knowledge of African American and Hispanic of Mexican origin expectant mothers. Pediatr Dent. 2007;29:287–92.

    PubMed  Google Scholar 

  • Keirse MJ, Plutzer K. Women’s attitudes to and perceptions of oral health and dental care during pregnancy. J Perinat Med. 2010;38:3–8.

    Article  Google Scholar 

  • Kolstad C, Zavras A, Yoon RK. Cost-benefit analysis of the age one dental visit for the privately insured. Pediatr Dent. 2015;37:376–80.

    PubMed  Google Scholar 

  • McGoldrick N, Burns J, Muir M. Is there an association between prenatal oral healthcare and early childhood caries prevention? Evid Based Dent. 2019;20:64–5.

    Article  Google Scholar 

  • Meyer K, Geurtsen W, Günay H. An early oral health care program starting during pregnancy: results of a prospective clinical long-term study. Clin Oral Investig. 2010;14:257–64.

    Article  Google Scholar 

  • Phantumvanit P, Makino Y, Ogawa H, et al. WHO global consultation on public health intervention against early childhood caries. Commun Dent Oral Epidemiol. 2018;46:280–7.

    Article  Google Scholar 

  • Plutzer K, Spencer AJ. Efficacy of an oral health promotion intervention in the prevention of early childhood caries. Commun Dent Oral Epidemiol. 2008;36:335–46.

    Article  Google Scholar 

  • American Academy of Pediatric Dentistry (AAPD), Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies. Pediatr Dent.2016;38:52-4.

  • Riggs E, Kilpatrick N, Slack-Smith L, et al. Interventions with pregnant women, new mothers and other primary caregivers for preventing early childhood caries. Cochrane Database Syst Rev. 2019;2019:CD012155.

    Google Scholar 

  • Rothnie JJ, Walsh CA, Wang MJ, et al. An exploratory study of pregnant women’s knowledge of child oral health care in New Zealand. N Z Dent J. 2012;108:129–33.

    PubMed  Google Scholar 

  • Schroth RJ, Brothwell DJ, Moffatt ME. Caregiver knowledge and attitudes of preschool oral health and early childhood caries (ECC). Int J Circumpolar Health. 2007;66:153–67.

    Article  Google Scholar 

  • Seow KW. Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent. 2012;22:157–68.

    Article  Google Scholar 

  • Tinanoff N, Baez RJ, Diaz Guillory C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29:238–48.

    Article  Google Scholar 

  • Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010;89:1395–400.

    Article  Google Scholar 

  • Weintraub JA, Prakash P, Shain SG, et al. Mothers’ caries increases odds of children’s caries. J Dent Res. 2010;89:954–8.

    Article  Google Scholar 

  • Xiao J, Alkhers N, Kopycka-Kedzierawski DT, et al. Prenatal oral health care and early childhood caries prevention: a systematic review and meta-analysis. Caries Res. 2019;53:411–21.

    Article  Google Scholar 

Download references

Acknowledgements

This study was funded by a Grant from Kuwait University (ZD01/08). The authors of the study wish to thank Royal Hayat Hospital in Kuwait City, Kuwait, for permitting conducting the study at their out patient maternity clinics. Additionally, the authors would like to thank Dr. Maha Abdulsalam for her valuable contribution to the data collection in this study. 

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Al-Sane.

Ethics declarations

Funding

This study was funded by a grant from Kuwait University (ZD01/08).

Conflict of interest

The authors declare no conflicts of interest.

Ethical approval

This study was approved by the Ethical Clearance Committee, Health Science Center Kuwait University.

Consent to participate

Participants in the study provided a written consent for their participation.

Availability of data/material

Data available on request from the corresponding author.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Al-Sane, M., Koerber, A., Montero, M. et al. Sociodemographic and behavioural determinants of early childhood caries knowledge among expectant mothers in Kuwait. Eur Arch Paediatr Dent 22, 449–458 (2021). https://doi.org/10.1007/s40368-020-00579-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-020-00579-x

Keywords

Navigation