ArticleAmerican journal of public health2014
Caregivers who refuse preventive care for their children: the relationship between immunization and topical fluoride refusal.
Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The trial behind it
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Who cites it
24 citing papers in PubMed.
- Navigating fluoride hesitancy: mapping the evidence base for fluoride-free toothpaste alternatives.European journal of pediatrics · 2026Review
- Article
- Pro- and Antifluoride Use Messages on YouTube in Japan: Content Analysis.JMIR formative research · 2025Article
- A Comparison Between Parents with Different Attitudes Towards Topical Fluoride Application for Their Children: A Cross-Sectional Study.Oral health & preventive dentistry · 2025Article
- Topical fluoride hesitancy and opposition are significantly and positively associated: A cross-sectional study.PloS one · 2025Article
- A Qualitative Study on Dentists' Communication Approaches in Managing Fluoride-Hesitant Caregivers.JDR clinical and translational research · 2024Article
- A Mixed-Methods Study on Topical Fluoride Beliefs and Refusal Behaviors for Caregivers of Children with Special Health Care Needs.Maternal and child health journal · 2024Article
- A cross-sectional study of physicians on fluoride-related beliefs and practices, and experiences with fluoride-hesitant caregivers.PloS one · 2024Article
- Observational
- Topical fluoride hesitancy among caregivers: Development of a content-valid topical fluoride hesitancy identification item pool.Journal of public health dentistry · 2023Article
- Article
- Article
- Topical Fluoride Applications Related Posts Analysis on Twitter Using Natural Language Processing.Oral health & preventive dentistry · 2021Article
- Liberties, rights, public policies and water fluoridation.Revista de saude publica · 2020Article
- Age-related heterogeneity in dental caries and associated risk factors in individuals with cystic fibrosis ages 6-20 years: A pilot study.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2018Observational
- Caregivers' understanding of fluoride varnish: implications for future clinical strategies and research on preventive care decision making.Journal of public health dentistry · 2018Article
- Parents' attitudes towards topical fluoride and vaccines for children: Are these distinct or overlapping phenomena?Preventive medicine reports · 2018Article
- Parent Refusal of Topical Fluoride for Their Children: Clinical Strategies and Future Research Priorities to Improve Evidence-Based Pediatric Dental Practice.Dental clinics of North America · 2017Review
- Parental Refusal of Vitamin K and Neonatal Preventive Services: A Need for Surveillance.Maternal and child health journal · 2017Article
- SBIRT-Based Interventions to Improve Pediatric Oral Health Behaviors and Outcomes: Considerations for Future Behavioral SBIRT Interventions in Dentistry.Current oral health reports · 2016Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
objectivesThe aim of this study was to examine caregivers' refusal of preventive medical and dental care for children.
methodsPrevalence 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-item survey 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).
resultsThe prevalence of topical fluoride refusal was 4.9% according to dental records and 12.7% according to caregiver self-reports. The rate of immunization refusal was 27.4%. In the regression models, immunization refusal was significantly associated with topical fluoride refusal (dental record PRR = 1.61; 95% confidence interval [CI] = 1.32, 1.96; P < .001; caregiver self-report PRR = 6.20; 95% CI = 3.21, 11.98; P < .001). Caregivers younger than 35 years were significantly more likely than older caregivers to refuse both immunizations and topical fluoride (P < .05).
conclusionsCaregiver refusal of immunizations is associated with topical fluoride refusal. Future research should identify the behavioral and social factors related to caregiver refusal of preventive care with the goal of developing multidisciplinary strategies to help caregivers make optimal preventive care decisions for children.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.