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Published on: December 31, 2017
Vulnerability related to oral health in early childhood: a concept analysis
1School of Nursing and Dental Hygiene, University of Hawaii, Honolulu, Hawaii, USA. mattheus@hawaii.edu
Insights
Children
Area of Science:
- Oral health research
- Child development studies
- Public health policy
Background:
- Poor oral health affects children globally.
- Vulnerability is a key factor in poor pediatric oral health outcomes.
- The complex nature of vulnerability hinders understanding and intervention.
Purpose of the Study:
- To analyze the concept of vulnerability.
- To explore the relationship between vulnerability and oral health in early childhood.
Main Methods:
- A comprehensive literature review (2000-2009) across multiple disciplines.
- Rodgers' evolutionary concept analysis method was employed.
- A social-ecological model framed the analysis, considering family and community influences.
Main Results:
- Vulnerability in early childhood oral health is influenced by family and community factors.
- Key attributes include limited parental income, education, community services, and fluoride exposure.
- Exposure to negative parental behaviors and toxins, alongside limited protection, increases vulnerability.
Conclusions:
- Limited protection elevates children's vulnerability and risk of poor oral health.
- Nurses can mitigate vulnerability through parent education, community engagement, and policy advocacy.
- Understanding vulnerability is crucial for improving pediatric oral health outcomes.
Aim:
This article is a report of the analysis of the concept of vulnerability and its relationship to oral health in early childhood.
Background:
Poor oral health is a continued problem for children worldwide. Vulnerability increases the probability of poor oral health outcomes. The lack of clarity of the concept of vulnerability creates difficulty in understanding this multi-factoral condition.
Data Sources:
Data source included 34 articles covering the period 2000-2009 from a variety of disciplines, including nursing, dentistry, medicine and public health.
Methods:
The concept analysis was conducted using Rodgers' evolutionary method. The literature was analysed and a social ecology model was used to frame the discussion, recognizing family and community influences on children's oral health.
Results:
The context of oral health in early childhood contributes to the changes in the concept vulnerability. The attributes are closely related to family and community factors and identified as limited parental income, parental education, community-based services and fluoride; and exposure to poor parental habits, parental neglect and harmful toxins. The primary antecedent is identified as a form of limited protection from exposure to various circumstances.
Conclusion:
Children with limited protection have increased vulnerability and greater probability of poor health outcomes. Nurses who understand the concept of vulnerability related to oral health and can identify factors that create protection and are capable of decreasing vulnerability through parent education, community awareness and policy changes that support children and families.
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