Relationship Between Food Insecurity, Maternal Psychological Status, and Child Dental Behavior: A Cross-Sectional Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 109
- Locations
- 1
- Primary Endpoint
- A six-point Venham Behavior Rating Scale to evaluate the child behavior during dental examination scale score from(0)the best outcome to (6) worst outcome
Study Overview
Brief Summary
identifying children with dental uncooperative behavior among those who suffered from food insecurity will enable to implement preventive strategies and early intervention. The aim of this study is to examine the relationship between food insecurity, maternal psychological status and child dental behavior.
Detailed Description
A well-trained investigator will collect data on maternal age (in years), the marital status, the educational levels of both parents and their employment status, pregnancy information, as well as family structure (whether children are living with both parents or not), number of siblings (none, one, two, or ≥three). Information on family monthly income and crowding index which is defined as the average number of people per room, excluding both the kitchen and bathrooms will be also obtained.
The level of household food insecurity will be determined using the validated Arabic version of the Household Food Insecurity Access Scale (HFIAS) which categorizes food insecurity into three levels (food secure, marginally food secure and food insecure) where the final score is given according to the sum of affirmative responses to the tool statements and the higher the score the more the level of food insecurity.
The validated Arabic version of the 14-item Perceived Stress Scale will be used to measure the self-reported level of stress among mothers of the enrolled children by assessing their feelings and thoughts during the last month. The level of child's dental behavior will be assessed during the initial oral examination before starting any dental treatment procedures using the six-point Venham behavior rating scale which ranges from total cooperation (0) to no cooperation
Study Design
- Study Type
- Observational
- Observational Model
- Other
- Time Perspective
- Cross Sectional
Eligibility Criteria
- Ages
- 36 Months to 13 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Healthy children (3-13 years old) having at least one tooth needs dental treatment
- •Accompanied by their mothers on their first dental visit
- •whose mothers signed an informed consent children were enrolled only if they had at least one carious tooth with ICDAS for coronal caries ranging from 3 to 5.
Exclusion Criteria
- •Children with the following criteria will be totally excluded from the study: Have any medical/neurological, communicative or developmental disorders as well as children with special healthcare needs.
Arms & Interventions
children in fully food secure households (G1)
preschool children live in a fully food secure household have at least a carious tooth that needs treatment under local anesthesia other than extraction without any previous dental treatment experience.
Intervention: Routine Dental Examination (Other)
children in marginally food secure households (G2)
preschool children live in a marginally food secure household have at least a carious tooth that needs treatment under local anesthesia other than extraction without any previous dental treatment experience.
Intervention: Routine Dental Examination (Other)
children in food insecure households (G3)
preschool children live in a food-insecure household have at least a carious tooth that needs treatment under local anesthesia other than extraction without any previous dental treatment experience.
Intervention: Routine Dental Examination (Other)
Outcomes
Primary Outcomes
A six-point Venham Behavior Rating Scale to evaluate the child behavior during dental examination scale score from(0)the best outcome to (6) worst outcome
Time Frame: 6 months
which ranges from total cooperation (0) to no cooperation(6)
questionnaire containing 2 scales Household Food Insecurity Access Scale( score food secure better outcome -severely food insecure the worst outcome) and 14-item Perceived Stress Scale (scores from 0 better outcome to 40 worst outcome)
Time Frame: 6 months
to measure the effect of the predictor variable and the potential mediators which are the household food insecurity and maternal psychological status respectively.
Secondary Outcomes
No secondary outcomes reported
Investigators
dina darwish
principle investigator
Ain Shams University