248290 Oral Health Practices and Policies Among Family and Center-based Child Care Facilities

Monday, October 31, 2011

Juhee Kim, ScD , Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL
Jae Eun Shim, PhD , Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL
Jasmine Abdullh , Dept of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, Champaign, IL
OBJECTIVES: Almost 30% of US preschool children have dental caries and 75% of US children use regular child care. However, little information is available about caries prevention efforts in child care. We assessed the oral health related perceptions, practices, and policies of family-based child care providers (home care providers) and center-based child care providers (center providers).

METHOD: A self-administered survey was collected from child care providers who attended local child care training workshops in Illinois in 2009. Responses were obtained from 94 center providers and 88 home care providers. RESULTS: Only 42.2% of home and 21.1% of center facilities had written policy or guidelines about oral hygiene practices (p=0.0945), yet were similar on restricting unhealthy food/beverages (73.4% home and 72.7% center, p=0.9482). While 49.3% of home care providers provided bottle water, only 11.1% of center care providers did (p=0.0005). Less than half of the providers (45.9% home and 24.1% center, p=0.042) received oral health training during the last year; whereas 32.1% home and 25% center providers (p=0.4857) reported that the child care children brush their teeth with toothpaste after snacks or meals. Both groups expressed that the home environment has a stronger influence on oral health of children than the child care environment. CONCLUSIONS: Overall, home care providers reported having higher percentages of oral health practices and policies than did center providers. However, there is room for improvement in both settings. Further studies are needed to understand the barriers and facilitators of oral health promotion efforts in child care.

Learning Areas:
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. assess oral health related perceptions, practices, and policies among child care providers 2. compare the above measures between family-and center-based care providers.

Keywords: Child Care, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I conducted this survey study to understand the current practices and polices related to oral health among local child care providers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.