Caregivers who refuse preventive care for their children: The relationship between immunization and topical fluoride refusal

D.L. Chi

American Journal of Public Health, 2014, vol. 104, issue 7, 1327-1333

Abstract: Objectives. The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children. Methods. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-itemsurvey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). Results. The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusalwas 27.4%. In the regressionmodels, immunization refusalwas significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P

Keywords: fluoride varnish, adult; age; article; caregiver; human; middle aged; prevalence; preventive health service; socioeconomics; statistics; treatment refusal; vaccination, Adult; Age Factors; Caregivers; Fluorides, Topical; Humans; Middle Aged; Prevalence; Preventive Health Services; Socioeconomic Factors; Treatment Refusal; Vaccination (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.301927_1

DOI: 10.2105/AJPH.2014.301927

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