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Caregivers who refuse preventive care for their children: The relationship between immunization and topical fluoride refusal

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  • Chi, D.L.

Abstract

Objectives. The aim of this study was to examine caregivers' refusal of preventive medical and dental care for children. Methods. Prevalence rates of topical fluoride refusal based on dental records and caregiver self-reports were estimated for children treated in 3 dental clinics in Washington State. A 60-itemsurvey was administered to 1024 caregivers to evaluate the association between immunization and topical fluoride refusal. Modified Poisson regression models were used to estimate prevalence rate ratios (PRRs). Results. The prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusalwas 27.4%. In the regressionmodels, immunization refusalwas significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P

Suggested Citation

  • Chi, D.L., 2014. "Caregivers who refuse preventive care for their children: The relationship between immunization and topical fluoride refusal," American Journal of Public Health, American Public Health Association, vol. 104(7), pages 1327-1333.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301927_1
    DOI: 10.2105/AJPH.2014.301927
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