Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria

Abstract Background Little information is available on the relationship between mothers’ psychosocial profile and caries status, and less information is available on the oral health status and psychosocial status of mothers of young children in Africa. This study examined the association between the...

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Main Authors: Morenike Oluwatoyin Folayan, Maha El Tantawi, Ayodeji Oginni, Abiola Adeniyi, Michael Alade, Tracy L. Finlayson
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-020-01120-8
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spelling doaj-3ad5a8d78233484f925bdcf8f77711132020-11-25T02:03:36ZengBMCBMC Oral Health1472-68312020-05-0120111110.1186/s12903-020-01120-8Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban NigeriaMorenike Oluwatoyin Folayan0Maha El Tantawi1Ayodeji Oginni2Abiola Adeniyi3Michael Alade4Tracy L. Finlayson5Obafemi Awolowo UniversityFaculty of Dentistry, Alexandria UniversityInnovative AidLagos State University College of MedicineObafemi Awolowo University Teaching Hospitals’ ComplexSchool of Public Health, San Diego State UniversityAbstract Background Little information is available on the relationship between mothers’ psychosocial profile and caries status, and less information is available on the oral health status and psychosocial status of mothers of young children in Africa. This study examined the association between the psychosocial profile of mothers in Nigeria and their prevalence of caries. Methods The prevalence of caries and severe caries (DMFT > 3) in mothers with children 71 months old and younger recruited through a household survey in Ile-Ife, Nigeria, was estimated through clinical examination. The explanatory variables were maternal education, income, decision-making status, and psychosocial status (dental anxiety, general anxiety, depressive symptoms, parenting stress, executive dysfunction, sense of coherence, fatalism and social support). The risk indicators for maternal caries were analyzed with logistic regression. Results The prevalence of caries was 3.3%. Twenty (39.2%) of the 51 women with caries had DMFT > 3. Most study participants were 25–34 years old (59.3%), had secondary level education (63.1%), earned N18,000 ($49)-N30000 ($84) per month (42.9%), and can make autonomous decisions about their health care, household purchases, or visits to family/relatives (68.8%). Most women had normal general anxiety (79.9%), low dental anxiety (90.4%), and normal stress (76.4%) levels. Most also had high fatalism (56.6%), perceived moderate social support (81.6%), had normal depressive symptoms (75.9%), low executive dysfunction (55.9%), and high sense of coherence (53.8%). Mothers who had clinically significant levels of stress were twice more likely to have caries than were those whose level of stress was normal (AOR: 2.26; 95%CI: 1.04–4.89; P = 0.039). Also, mothers who had high fatalism were less likely to have caries than were those with low fatalism (AOR: 0.40; 95%CI: 0.21–0.75; P = 0.004). Conclusion High levels of parenting stress was a risk indicator for caries while high fatalism was protective from caries in mothers of children younger than 6-years. Maternal education, income and decision-making ability were not associated with maternal caries. Though the caries prevalence for women with young children was low, the prevalence of severe caries was high and this because of the possible negative effect on their health and wellbeing.http://link.springer.com/article/10.1186/s12903-020-01120-8CariesAnxietyDepressionParenting stressExecutive dysfunctionSense of coherence
collection DOAJ
language English
format Article
sources DOAJ
author Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Oginni
Abiola Adeniyi
Michael Alade
Tracy L. Finlayson
spellingShingle Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Oginni
Abiola Adeniyi
Michael Alade
Tracy L. Finlayson
Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
BMC Oral Health
Caries
Anxiety
Depression
Parenting stress
Executive dysfunction
Sense of coherence
author_facet Morenike Oluwatoyin Folayan
Maha El Tantawi
Ayodeji Oginni
Abiola Adeniyi
Michael Alade
Tracy L. Finlayson
author_sort Morenike Oluwatoyin Folayan
title Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
title_short Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
title_full Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
title_fullStr Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
title_full_unstemmed Psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban Nigeria
title_sort psychosocial, education, economic factors, decision-making ability, and caries status of mothers of children younger than 6 years in suburban nigeria
publisher BMC
series BMC Oral Health
issn 1472-6831
publishDate 2020-05-01
description Abstract Background Little information is available on the relationship between mothers’ psychosocial profile and caries status, and less information is available on the oral health status and psychosocial status of mothers of young children in Africa. This study examined the association between the psychosocial profile of mothers in Nigeria and their prevalence of caries. Methods The prevalence of caries and severe caries (DMFT > 3) in mothers with children 71 months old and younger recruited through a household survey in Ile-Ife, Nigeria, was estimated through clinical examination. The explanatory variables were maternal education, income, decision-making status, and psychosocial status (dental anxiety, general anxiety, depressive symptoms, parenting stress, executive dysfunction, sense of coherence, fatalism and social support). The risk indicators for maternal caries were analyzed with logistic regression. Results The prevalence of caries was 3.3%. Twenty (39.2%) of the 51 women with caries had DMFT > 3. Most study participants were 25–34 years old (59.3%), had secondary level education (63.1%), earned N18,000 ($49)-N30000 ($84) per month (42.9%), and can make autonomous decisions about their health care, household purchases, or visits to family/relatives (68.8%). Most women had normal general anxiety (79.9%), low dental anxiety (90.4%), and normal stress (76.4%) levels. Most also had high fatalism (56.6%), perceived moderate social support (81.6%), had normal depressive symptoms (75.9%), low executive dysfunction (55.9%), and high sense of coherence (53.8%). Mothers who had clinically significant levels of stress were twice more likely to have caries than were those whose level of stress was normal (AOR: 2.26; 95%CI: 1.04–4.89; P = 0.039). Also, mothers who had high fatalism were less likely to have caries than were those with low fatalism (AOR: 0.40; 95%CI: 0.21–0.75; P = 0.004). Conclusion High levels of parenting stress was a risk indicator for caries while high fatalism was protective from caries in mothers of children younger than 6-years. Maternal education, income and decision-making ability were not associated with maternal caries. Though the caries prevalence for women with young children was low, the prevalence of severe caries was high and this because of the possible negative effect on their health and wellbeing.
topic Caries
Anxiety
Depression
Parenting stress
Executive dysfunction
Sense of coherence
url http://link.springer.com/article/10.1186/s12903-020-01120-8
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