ABSTRACT
@#Introduction: The objective of this study was to assess parental acceptance and factors that influenced their perceptions towards the use of dental therapists in providing treatment to children in private dental practice settings. Methods: A cross-sectional study was conducted on randomly selected parents of 11-year-old schoolchildren in Selangor using a self-administered structured questionnaire. The survey consisted of three sections: socio-demographic characteristics, dental service utilisation and parental acceptance towards dental therapists in providing seven types of preventive and operative dental procedures. Results: The response rate was 83.1%. Overall, most parents regarded dental therapists providing dental care to their children in private dental care settings as acceptable, particularly on preventive treatment, namely ‘seeking advice on oral hygiene care' (87.8%) and ‘applying topical fluoride' (83.2%). In the multivariate analysis, younger parents and those who had preferences over private sectors were most likely to accept at least four dental procedures to be rendered to their children by dental therapists. Overall, respondents who were younger (OR = 1.40, 95% CI = 1.62, 1.92), lived in urban locality (OR = 1.77, 95% CI = 1.28, 2.45) and had a recent dental visit (OR = 1.51; 95% CI = 1.10, 2.07) were more likely to have an overall positive perceptions towards dental therapists. Conclusion: Most parents regarded dental therapists providing care to their children in private dental settings as acceptable and this was associated with their age, place of residence and past dental experiences.
ABSTRACT
In March 2014, Brazil began its national HPV immunization campaign targeting girls ages 9-13 OBJECTIVE: Describe determinants of parental decisions to vaccinate their daughters against HPV METHODS: In this qualitative study, thirty semi-structured interviews were conducted at five health posts in São Paulo, Brazil. Interview questions explored parental opinions of disease prevention methods, vaccines in general, and the HPV vaccine. Interviews were analyzed using grounded theory RESULTS: Overall, parental knowledge about HPV and the vaccine was low, yet most eligible daughters had been vaccinated. Parents perceived the HPV vaccine to be normal, preventative, and protective. Parents viewed themselves as accountable for their children's health, and saw the vaccine as a parenting tool for indirect control. Trust in healthcare professionals and an awareness of the dangers of "nowadays" (uncertainties regarding disease and sexual behavior) were also important in vaccine decision-making. These factors held more explanatory power for decisions to vaccinate than parental knowledge levels. This was the first study to qualitatively examine the perception of publically provided HPV vaccination among parents with eligible daughters in Brazil. The findings help interpret the greater than 90% coverage for the first HPV vaccine dose in Brazil. The results indicate that attempts to understand, maintain, or modify vaccination rates require the consideration of context specific factors, which influence both parent perspectives and vaccination decisions CONCLUSION: HPV knowledge levels are not predictive of parental decisions to vaccinate daughters. Context specific factors from the sociocultural dimensions of parenting, sexuality, gender, and the healthcare system are more influential in vaccine decision-making...
Em Março de 2014 o Brasil lançou uma campanha nacional de vacinação contra o HPV para meninas de idades 9 a 13. : Descrever determinantes das decisões dos pais para vacinar as filhas contra HPV MÉTODO: neste estudo qualitativo foram realizadas trinta entrevistas semi-estruturadas em cinco UBSs em São Paulo. A entrevista examinou as opiniões dos pais sobre métodos de prevenção de doença, vacinas em geral e a vacina contra o HPV. As entrevistas foram analisados utilizando grounded theory RESULTADOS: no geral os pais demonstraram baixo conhecimento sobre HPV e a vacina contra o HPV. Apesar disso a maioria das meninas elegíveis foram vacinadas. Os pais consideraram a vacina contra o HPV normal, preventiva e protetora e se identificaram como os responsáveis pela saúde dos filhos e descreveram a vacina como uma forma indireta de controle dos pais. Confiança em profissionais de saúde e os perigos de "hoje em dia" (dúvidas em termos de doenças e relações sexuais) mostraram-se importantes nas decisões de vacinação. Estes fatores tiveram maior poder explicativo para as decisões de vacinação do que os níveis de conhecimento dos pais.Este foi o primeiro estudo que examinou qualitativamente o propósito da vacinação contra o HPV entre pais de meninas elegíveis no Brasil. Os resultados ajudam a interpretar a cobertura superior a 90% para a primeira dose da vacina contra o HPV no Brasil. Estes resultados indicam que esforços direcionados a entender ou modificar taxas de vacinação exigem a consideração destes fatores que são específicos ao contexto e direcionam perspectivas e decisões de vacinação CONCLUSÃO: conhecimento dos pais sobre HPV talvez não seja preditivo para a vacinação das filhas. Fatores específicos ao contexto sociocultural de parentalidade, sexualidade, gênero e o sistema de saúde influenciaram na decisão de vacinação...
Subject(s)
Humans , Male , Female , Adolescent , Adolescent , Adolescent Health , Decision Making , Sexually Transmitted Diseases/prevention & control , Papillomaviridae , Parenting , Vaccination , Cultural Characteristics , Health Systems , Perception , Qualitative Research , SexualityABSTRACT
Este estudo investigou a influência das percepções maritais e parentais negativas sobre os relacionamentos de conjugalidade dos participantes e se as mudanças nessas percepções causariam impacto nesses relacionamentos. Foram selecionados 604 clientes, submetidos à Terapia de Integração Pessoal (TIP), os quais responderam questionários de autoavaliação nas diferentes fases do procedimento terapêutico. Os resultados revelaram que na presença de dificuldade de relacionamento com a figura parental, os(as) filhos(as) caracterizam os pais com atributos negativos. Além disso, os participantes que relatam dificuldade no relacionamento conjugal também apresentam dificuldade de relacionamento com a figura parental, assim como percepções de dificuldades no relacionamento marital dos pais. Esses padrões diminuem ao longo do processo terapêutico, evidenciando possibilidades positivas da metodologia ADI/TIP em sua prática clínica.
This study investigated the influence of negative marital and parental perceptions upon the participant's conjugal relationships and evaluated whether changes in such perceptions would cause impact on these relationships. A sample of 604 individuals, submitted to Personal Integration Therapy (PIT), answered a self-assessment questionnaire in different stages of the therapeutic procedure. The results revealed that in the presence of a difficult relationship with the parental figure, the participants characterized their parents with negative attributes. Besides, participants with difficult marital relationships also had difficult relationships with the parental figure, as well as perceptions of difficulties in the marital relationship of their parents. These patterns fall along the therapeutic process, showing positive possibilities of the ADI/PIT methodology in their clinical practice.