Ribeiro, C. (2019) Een onderzoek naar het kennisniveau, de ‘self-efficacy’ en de ‘locus of control’ met betrekking tot de mondgezondheid van kinderen van moeders met een Nederlandse afkomst en moeders met een migratieachtergrond. thesis, Dentistry.
Full text available on request.Abstract
The prevalence of caries among children in the Netherlands is unevenly distributed. Children with an immigrant background experience more caries than Dutch children. This connection is often attributed to socio-economic factors. However, when corrected to socio-economic factors, a difference remains between Dutch and non-Dutch children in caries experience. To date, no clear explanation has been found for this relation. Psychosocial caries predictors such as dental knowledge, locus of control and self-efficacy may play a role. The locus of control (LoC) indicates whether parents feel responsible for the oral health of their children. Self-efficacy (SE) is the confidence that parents have in themselves to achieve a set goal. This has led to the following research question: how does the dental knowledge, the SE and the LoC in relation to the oral health of children of mothers with a Dutch and non-Dutch background differ? And how does the dental knowledge, the SE and the LoC in relation to the oral health of children differ between mothers with the most common non-Dutch backgrounds? In this research these three variables were compared between Dutch and non-Dutch mothers. The Turkish, Moroccan, Surinamese and Eastern European mothers have been compared to each other as well since these are the most common migration background in the Netherlands. The aim of the research was to gain a better understanding of the unequal spread of caries and to gain more insight into the risk groups. Material & Method Questionnaires have been taken from mothers who came for a health check of their babies, aged 6-12 months, at four consulting agencies in The Hague. The dental knowledge, the SE, the LoC, the origin, the level of education and the age of the mother have been determined. The research population was split into Dutch and non-Dutch mothers. A distinction was made between Turkish, Moroccan, Surinamese and Eastern European culture among non-Dutch mothers. A knowledge score (KS), a LoC score and an SE score were calculated. The independent T test and Mann-Whitney U test have been used to compare these three parameters between Dutch and non-Dutch mothers. The Kruskal Wallis test has been used to analyze the parameters among Turkish, Moroccan, Surinamese and Eastern European groups. Linear regression analyses have been applied to check the results for confounding and / or effect modification due to differences in education level between Dutch and non-Dutch mothers. All statistics are performed in IBM SPSS 24. Results The research population consisted of 565 mothers of which 444 Dutch mothers (79%) and 121 non�Dutch mothers (21%). In the group of non-Dutch mothers, 9% were Surinamese, 16% Moroccan, 23% Turkish, 17% Eastern European and 31% had a different origin, grouped as "different". A significant difference was found in the KS and LoC score between Dutch and non-Dutch mothers (p <, 001). The difference in SE score between Dutch and non-Dutch mothers was not significant (p =, 21). The Turkish, Moroccan, Surinamese and Eastern European mothers showed no significant differences in KS, LoC score and SE score compared to each other. The level of education was no "confounder" in the relationship between origin, KS and LoC. The influence of origin on the SE score was dependent on the level of education. Conclusion In this study, non-Dutch mothers had a lower level of dental knowledge and felt less responsible for the development of caries in their children compared to Dutch mothers. However, the minimal difference in the LoC did not seem relevant. The mothers of Dutch and non-Dutch origin showed no differences in self-confidence with regard to influencing their child's brushing behavior. The Surinamese, Moroccan, Turkish and Eastern European mothers had the same amount of dental knowledge, LoC and SE.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Schuller, dr. A.A. and Verlinden, D.A. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Nov 2021 09:08 |
| Last Modified: | 24 Nov 2021 09:08 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2863 |
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