December 2021

Volume 38, Issue 4

Family Functioning and Dental Behaviours of Pre-school Children

Authors: Sarah Almutairi Sasha Scambler Eduardo Bernabe
doi: 10.1922/CDH_00037Almutairi06


Objectives: To examine the association of family functioning with child dental behaviours and to identify family functioning domains associated with those behaviours. Methods: Cross-sectional data from the East London Oral Health Inequalities (ELOHI) study were analysed in a subsample of 733 parent-child (3-4-years-olds) dyads. Family functioning was measured with the 60-item Family Assessment Device that yielded a general functioning score and six domain scores (roles, communication, problem solving, affective involvement, affective responsiveness, and behaviour control). Child dental behaviours were sugar intake, dental attendance and toothbrushing frequency. The association of family functioning with each dental behaviour was assessed in logistic regression models adjusted for confounders (parental sociodemographic and child demographic factors). Results: Unhealthy general functioning was associated with greater odds of reporting high child intake of sugars (OR: 1.78, 95%CI: 1.01-3.13) as well as lower odds of reporting frequent child brushing (OR: 0.76, 95%CI: 0.50-1.18) and a child visit for dental check-up in the past year (OR: 0.98; 95%CI: 0.62-1.53), after adjustment for confounders. Unhealthy functioning in roles, affective involvement and behaviour control were associated with high child sugar intake whereas unhealthy functioning in roles was inversely associated with frequent child toothbrushing. No family functioning domain was associated with child dental attendance pattern. Conclusions: Healthy family functioning was associated with more favourable child dental behaviours. How a family functions, particularly in terms of how they define roles and support each other emotionally, is likely to be relevant to child oral health. Keywords: children, family, dental caries, sugars, toothbrushing


Other articles in this issue

Article Pages Access
Editorial: The importance of studying communication processes in the dentist: patient interaction 222-223 Download
Editorial:Delivering Better Oral Health 2021 – What’s new and where next? 224-225 Download
Dental Public Health in Action: Experiences and Responses of Oral Health Care Professionals during the First Wave of the COVID-19 Pandemic in Malta 226-229 Download
Determinants of anterior tooth loss in Chilean adults: data from the Chilean National Health Survey 2016-2017. 230-234 Download
Family Functioning and Dental Behaviours of Pre-school Children 235-240 Download
Social inequality in tooth loss: separate and joint effects of household income and dental visits 241-245 Download
Periodontal Status as Mediator of the Association between Socioeconomic Status and Oral Health-Related Quality of Life in Pregnant Women 246-250 Download
Parental perception and acceptance of silver diamine fluoride treatment among Syrian refugees 251-255 Download
A utilisation profile of publicly financed oral examinations in the Republic of Ireland 256-260 Download
Twitter communication of the UK public on dental health and care during a COVID lockdown: “My kingdom for a dentist” 261-267 Download
Private practice dentists’ views of oral health injustice 268-274 Download
Effectiveness of school-based behavioural interventions to improve children’s oral health by reducing sugar intake and promoting oral hygiene: A rapid review of randomised controlled trials. 275-283 Download
Obituary: Ruth Freeman 1954 – 2021 284-284 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.