First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study
Abstract Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous po...
Published in: | International Journal for Equity in Health |
---|---|
Main Authors: | , , , , , , , , , |
Other Authors: | |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Springer Science and Business Media LLC
2021
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1186/s12939-021-01476-5 https://link.springer.com/content/pdf/10.1186/s12939-021-01476-5.pdf https://link.springer.com/article/10.1186/s12939-021-01476-5/fulltext.html |
id |
crspringernat:10.1186/s12939-021-01476-5 |
---|---|
record_format |
openpolar |
spelling |
crspringernat:10.1186/s12939-021-01476-5 2023-05-15T16:15:42+02:00 First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study Kyoon-Achan, Grace Schroth, Robert J. DeMaré, Daniella Sturym, Melina Edwards, Jeannette M. Sanguins, Julianne Campbell, Rhonda Chartrand, Frances Bertone, Mary Moffatt, Michael E. K. Canadian Institutes of Health Research 2021 http://dx.doi.org/10.1186/s12939-021-01476-5 https://link.springer.com/content/pdf/10.1186/s12939-021-01476-5.pdf https://link.springer.com/article/10.1186/s12939-021-01476-5/fulltext.html en eng Springer Science and Business Media LLC https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 CC-BY International Journal for Equity in Health volume 20, issue 1 ISSN 1475-9276 Public Health, Environmental and Occupational Health Health Policy journal-article 2021 crspringernat https://doi.org/10.1186/s12939-021-01476-5 2022-01-04T16:51:25Z Abstract Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous populations compared to the general population. ECC has been strongly associated with social determinants of health. Methods Focus groups and sharing circles were conducted with four First Nations and Metis communities in urban and rural communities in Manitoba. There were eight groups in total of purposively sampled participants ( n = 59). A grounded theory approach guided thematic analysis of audio recorded and transcribed data. Results Indigenous participants experienced challenges similar to those found in the general population, such as encouraging and motivating parents and caregivers to establish regular oral hygiene routines for their children. However other challenges reported, disproportionately affect Indigenous communities. These include poor access to dental care, specifically no dental offices within 1 h driving radius and not having transportation to get there. Not having evidence-based oral health information to support good oral hygiene practices, preventing parents from making the best choices of oral hygiene products and oral health behaviours for their children. Poverty and food insecurity resulting in poor nutritional choices and leading to ECC. For example, feeding children sugary foods and beverages because those are more readily avialble than healthy options. Confusing or difficult encounters with dental professionals, highlighted as a factor that can erode trust, reduce compliance and impact continued attendance at dental offices. Conclusion Closing existing early childhood oral health gaps for First Nations and Metis peoples and communities requires equity-oriented healthcare approaches to address specific problems and challenges faced by these populations. Family, community and systemic level interventions that directly implement community recommendations are needed. Article in Journal/Newspaper First Nations Metis Springer Nature (via Crossref) Canada International Journal for Equity in Health 20 1 |
institution |
Open Polar |
collection |
Springer Nature (via Crossref) |
op_collection_id |
crspringernat |
language |
English |
topic |
Public Health, Environmental and Occupational Health Health Policy |
spellingShingle |
Public Health, Environmental and Occupational Health Health Policy Kyoon-Achan, Grace Schroth, Robert J. DeMaré, Daniella Sturym, Melina Edwards, Jeannette M. Sanguins, Julianne Campbell, Rhonda Chartrand, Frances Bertone, Mary Moffatt, Michael E. K. First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
topic_facet |
Public Health, Environmental and Occupational Health Health Policy |
description |
Abstract Background Inequities in early childhood oral health are evident amongst Indigenous peoples and communities in Manitoba, Canada. Early childhood caries (ECC) is decay in primary dentition in children under 6 years of age. A severe form of the disease occurs at a higher rate in Indigenous populations compared to the general population. ECC has been strongly associated with social determinants of health. Methods Focus groups and sharing circles were conducted with four First Nations and Metis communities in urban and rural communities in Manitoba. There were eight groups in total of purposively sampled participants ( n = 59). A grounded theory approach guided thematic analysis of audio recorded and transcribed data. Results Indigenous participants experienced challenges similar to those found in the general population, such as encouraging and motivating parents and caregivers to establish regular oral hygiene routines for their children. However other challenges reported, disproportionately affect Indigenous communities. These include poor access to dental care, specifically no dental offices within 1 h driving radius and not having transportation to get there. Not having evidence-based oral health information to support good oral hygiene practices, preventing parents from making the best choices of oral hygiene products and oral health behaviours for their children. Poverty and food insecurity resulting in poor nutritional choices and leading to ECC. For example, feeding children sugary foods and beverages because those are more readily avialble than healthy options. Confusing or difficult encounters with dental professionals, highlighted as a factor that can erode trust, reduce compliance and impact continued attendance at dental offices. Conclusion Closing existing early childhood oral health gaps for First Nations and Metis peoples and communities requires equity-oriented healthcare approaches to address specific problems and challenges faced by these populations. Family, community and systemic level interventions that directly implement community recommendations are needed. |
author2 |
Canadian Institutes of Health Research |
format |
Article in Journal/Newspaper |
author |
Kyoon-Achan, Grace Schroth, Robert J. DeMaré, Daniella Sturym, Melina Edwards, Jeannette M. Sanguins, Julianne Campbell, Rhonda Chartrand, Frances Bertone, Mary Moffatt, Michael E. K. |
author_facet |
Kyoon-Achan, Grace Schroth, Robert J. DeMaré, Daniella Sturym, Melina Edwards, Jeannette M. Sanguins, Julianne Campbell, Rhonda Chartrand, Frances Bertone, Mary Moffatt, Michael E. K. |
author_sort |
Kyoon-Achan, Grace |
title |
First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
title_short |
First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
title_full |
First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
title_fullStr |
First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
title_full_unstemmed |
First Nations and Metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
title_sort |
first nations and metis peoples’ access and equity challenges with early childhood oral health: a qualitative study |
publisher |
Springer Science and Business Media LLC |
publishDate |
2021 |
url |
http://dx.doi.org/10.1186/s12939-021-01476-5 https://link.springer.com/content/pdf/10.1186/s12939-021-01476-5.pdf https://link.springer.com/article/10.1186/s12939-021-01476-5/fulltext.html |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations Metis |
genre_facet |
First Nations Metis |
op_source |
International Journal for Equity in Health volume 20, issue 1 ISSN 1475-9276 |
op_rights |
https://creativecommons.org/licenses/by/4.0 https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1186/s12939-021-01476-5 |
container_title |
International Journal for Equity in Health |
container_volume |
20 |
container_issue |
1 |
_version_ |
1766001465225117696 |