IADR Abstract Archives

Early Childhood Caries Intervention among Indigenous Children in Australia

Objective: Rates of early childhood caries (ECC) among Indigenous children in Australia are high. Evidence suggests four ways in which ECC can be prevented: dental care provided to mother during pregnancy, application of fluoride varnish to child, motivational interviewing and anticipatory guidance. This presentation outlines a collaborative initiative that has adopted all four intervention strategies in a culturally-appropriate manner with the aim of reducing ECC among pre-school Indigenous children in South Australia.

Method: Recruitment of women pregnant with an Aboriginal child occurred throughout South Australia from Feb 2011 to May 2012. Recruitment was largely through hospitals, Aboriginal community-controlled health organisations and 22 other key stakeholder groups. Self-reported data were collected at baseline to evaluate self-rated oral health, self-efficacy and socio-demographic, psychosocial, social cognitive and risk factors. 

Result: Data from 446 women was obtained (age range 14 to 43 years); 224 were randomly allocated to the intervention group and 222 to the control group.  The sample was representative of the total population of pregnant Aboriginal woman in South Australia in the recruitment period. In an unadjusted model, those with low self-efficacy had 1.58 times the prevalence of rating their oral health as ‘fair’ or ‘poor’ (95% CI 1.26–1.98). In an adjusted model, which controlled for socio-demographic, psychosocial, social cognitive and behavioural risk factors, the prevalence of fair or poor oral health among those with low self-efficacy was attenuated by 15 percent (PR 1.35, 95% CI 1.03, 1.78).

Conclusion: Recruitment strategies yielded a representative sample of the target population. Randomisation allocated approximately equal numbers of participants to intervention and control groups. Low self-efficacy persisted as a risk indicator for poor self-rated oral health after adjusting for confounding among this vulnerable population.

Division: Australian/New Zealand Division Meeting
Meeting: 2014 Australian/New Zealand Division Meeting (Brisbane, Australia)
Location: Brisbane, Australia
Year: 2014
Final Presentation ID:
Abstract Category|Abstract Category(s): Scientific Groups
Authors
  • Jamieson, Lisa M.  ( University of Adelaide, Adelaide, , Australia )
  • Parker, Eleanor  ( University of Adelaide, Adelaide, N/A, Australia )
  • Roberts-thomson, Kaye  ( School of Dentistry, Adelaide, , Australia )
  • Lawrence, Herenia  ( University of Toronto, Toronto, ON, Canada )
  • Broughton, John  ( University of Otago, Dunedin, , New Zealand )
  • SESSION INFORMATION
    Behavioral, Epidemiologic and Health Services Research