Exploring Mothers' Perspectives About Why Grandparents in Appalachia Give Their Grandchildren Cariogenic Foods and Beverages: A Qualitative Study.

Child Female Humans Grandparents Dental Caries / prevention & control Qualitative Research Beverages Mothers
Cariogenic Child Diet Grandparents Qualitative research Social determinants of health

Journal

Journal of the Academy of Nutrition and Dietetics
ISSN: 2212-2672
Titre abrégé: J Acad Nutr Diet
Pays: United States
ID NLM: 101573920

Informations de publication

Date de publication:
12 2022
Historique:
received: 01 07 2021
revised: 08 03 2022
accepted: 01 04 2022
pubmed: 9 4 2022
medline: 23 11 2022
entrez: 8 4 2022
Statut: ppublish

Résumé

Dental caries is the most common chronic childhood disease. Past studies revealed that grandparents provide their grandchildren with cariogenic foods and beverages (eg, those with free sugars and/or modified starches). Qualitative research can help identify what drives this phenomenon. Our aim was to examine mothers' explanations for why grandparents in north central and central Appalachia give their grandchildren cariogenic foods and beverages. A qualitative study on children's oral health in Pennsylvania and West Virginia from 2018 through 2020 was performed. In-person, semi-structured interviews were conducted. Qualitative data from interviews were recorded, transcribed, and then coded using NVivo. Data analysis for this study was performed using thematic analysis with iterative theme development. The participants were 126 mothers of children aged 3-5 years from West Virginia (n = 66) and Pittsburgh, PA (n = 60). Mothers' perspectives about why grandparents give their grandchildren cariogenic foods and beverages were analyzed. In the study sample, 85% of mothers (n = 107/126) named at least 1 of their children's grandparents as a member of their social network responsible for their children's oral health. From these interviews, 85% of mothers (n = 91/107) discussed that grandparents gave their grandchildren cariogenic foods and beverages. The mothers described the following 4 themes to explain why grandparents gave their grandchildren cariogenic foods and beverages: privilege of the grandparent role; responsibilities of the grandparent role; symbol of care and affection; and limited consideration or understanding of the detrimental impact. Grandparents play a role in giving their grandchildren cariogenic foods and beverages, which could potentially contribute to childhood caries. Research is needed to develop effective social interventions to help some grandparents understand the implications of a cariogenic diet on their grandchildren's oral health and/or decrease their provision of cariogenic foods and beverages.

Sections du résumé

BACKGROUND
Dental caries is the most common chronic childhood disease. Past studies revealed that grandparents provide their grandchildren with cariogenic foods and beverages (eg, those with free sugars and/or modified starches). Qualitative research can help identify what drives this phenomenon.
OBJECTIVE
Our aim was to examine mothers' explanations for why grandparents in north central and central Appalachia give their grandchildren cariogenic foods and beverages.
DESIGN
A qualitative study on children's oral health in Pennsylvania and West Virginia from 2018 through 2020 was performed. In-person, semi-structured interviews were conducted. Qualitative data from interviews were recorded, transcribed, and then coded using NVivo. Data analysis for this study was performed using thematic analysis with iterative theme development.
PARTICIPANTS/SETTING
The participants were 126 mothers of children aged 3-5 years from West Virginia (n = 66) and Pittsburgh, PA (n = 60).
MAIN OUTCOME MEASURES
Mothers' perspectives about why grandparents give their grandchildren cariogenic foods and beverages were analyzed.
RESULTS
In the study sample, 85% of mothers (n = 107/126) named at least 1 of their children's grandparents as a member of their social network responsible for their children's oral health. From these interviews, 85% of mothers (n = 91/107) discussed that grandparents gave their grandchildren cariogenic foods and beverages. The mothers described the following 4 themes to explain why grandparents gave their grandchildren cariogenic foods and beverages: privilege of the grandparent role; responsibilities of the grandparent role; symbol of care and affection; and limited consideration or understanding of the detrimental impact.
CONCLUSIONS
Grandparents play a role in giving their grandchildren cariogenic foods and beverages, which could potentially contribute to childhood caries. Research is needed to develop effective social interventions to help some grandparents understand the implications of a cariogenic diet on their grandchildren's oral health and/or decrease their provision of cariogenic foods and beverages.

Identifiants

DOI: 10.1016/j.jand.2022.04.001 PMID: 35395420 PMC: PMC9532469
pubmed: 35395420
pii: S2212-2672(22)00197-6
doi: 10.1016/j.jand.2022.04.001
pmc: PMC9532469
mid: NIHMS1796007
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

2288-2294

Subventions

Organisme : NIDCR NIH HHS
ID : L40 DE026308
Pays : United States
Organisme : NIDCR NIH HHS
ID : R01 DE014899
Pays : United States

Informations de copyright

Copyright © 2022 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

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Auteurs

Kevin C Lu (KC)

University of Pittsburgh, Pittsburgh, Pennsylvania; Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA.

Zelda T Dahl (ZT)

Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA; Center for Craniofacial and Dental Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Robert J Weyant (RJ)

Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Daniel W McNeil (DW)

Department of Psychology, Eberly College of Arts & Sciences, West Virginia University, Morgantown, West Virginia; Department of Dental Public Health and Professional Practice, School of Dentistry, West Virginia University, Morgantown, West Virginia; Center for Oral Health Research in Appalachia, Department of Dental Public Health and Professional Practice, School of Dentistry, West Virginia University, Morgantown, West Virginia.

Betsy Foxman (B)

Center for Molecular and Clinical Epidemiology of Infectious Disease, School of Public Health, University of Michigan, Ann Arbor, Michigan.

Mary L Marazita (ML)

Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA; Department of Oral and Craniofacial Sciences, Center for Craniofacial and Dental Genetics, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania; Clinical and Translational Science, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

Jacqueline M Burgette (JM)

Center for Oral Health Research in Appalachia, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA; Departments of Dental Public Health and Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: jacqueline@pitt.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Personnes › Grands-parents › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Déminéralisation dentaire › Caries dentaires › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Disciplines des sciences naturelles › Science › Recherche › Recherche empirique › Recherche qualitative › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Aliments et boissons › Boissons › Exploring Mothers' Perspectives About Why...
questionsmedicales.fr › Personnes › Parents › Mères › Exploring Mothers' Perspectives About Why...