Association between exposure to adverse childhood experiences and adequate toothbrushing in children under 5 years in Peru: secondary analysis of a national survey in 2021
DOI:
https://doi.org/10.59594/iicqp.2024.v2n2.96Keywords:
Punishment, Intimate Partner Violence, Toothbrushing, ChildAbstract
Specific childhood experiences, such as physical punishment and domestic violence, can impact children's dental health, potentially leading to the development of stomatological diseases and psychological stress. This study aimed to evaluate the association between physical punishment and exposure to domestic violence with adequate toothbrushing in Peruvian children under 5 years, using secondary data from the 2021 Demographic and Family Health survey. The association was assessed using generalized linear models of the family Poisson and link log function. The results were presented as prevalence ratios (PR). The prevalence of adequate toothbrushing was 22.8 %. Children of mothers who reported having been victims of domestic violence without their children witnessing it had a 20 % lower prevalence of adequate toothbrushing compared to those whose mothers did not report being victims of domestic violence (PR = 0.80; 95 % CI = 0.71 to 0.91; p < 0.001). Similarly, a 17 % higher prevalence of adequate toothbrushing was observed in children who received spanking as physical punishment from their parents compared to those who did not (PR = 1.17; 95 % CI = 1.05 to 1.31; p = 0.006). These findings suggest the need to consider domestic violence as a potential factor related to inadequate toothbrushing in children.
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