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Int J Environ Res Public Health. 2019 Aug 14;16(16). pii: E2905. doi: 10.3390/ijerph16162905.

Oral Care Experiences of Latino Parents/Caregivers with Children with Autism and with Typically Developing Children.

Author information

1
USC Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy in the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA. lflorindezphd@gmail.com.
2
SOS Mentor, Los Angeles, CA 90089, USA.
3
Willamette Academy, Willamette University, Salem, OR 97301, USA.
4
USC Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy in the Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USA.
5
Keck School of Medicine, University of Southern California, Los Angeles, CA 90089, USA.
6
Division of Dentistry, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.

Abstract

As a result of various barriers, several pediatric populations are at risk for poor oral health, including children with disabilities and children from under-represented populations, such as Latinos. To this end, this study aimed to better understand the factors that affect the oral health experiences of 32 Latino parents/caregivers from 18 families (n = 8 with a typically developing child and n = 10 with a child with Autism). Using a qualitative descriptive methodology, each family was interviewed twice. Interviews were audio-recorded, transcribed verbatim, and coded thematically to identify the individual, social, systemic, and culturally rooted factors contributing to oral health disparities in the families. The three themes that arose were "Why would I want to start trouble?": Latino parents' dissatisfaction with dental treatments, costs, and fear of the dentist and health care providers because of their ethnic minority status as key factors inhibiting receipt of dental care; "We have to put our children first": prioritizing the oral care activities of their children over their own individual oral care needs; and "We always keep baking soda around": familial and cultural influences on oral care habits. Understanding the oral health beliefs and experiences of Latino parents and caregivers of children with and without autism is critical for developing targeted prevention and intervention programs and reducing oral health disparities.

KEYWORDS:

Latinos; autism spectrum disorder; children; culture; health disparities; oral care

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