Prevention of cariogenic feeding behaviours is one
approach to preventing ECC. Regrettably, educating
parents about this risk factor has had minimal success.
Johnsen63 reported that 78% of parents of children with
ECC had attempted to substitute water for a cariogenic
liquid (e.g., apple juice, formula) in the bedtime nursing
bottle; this observation strongly suggests that these parents
were aware of the feeding practices associated with ECC. In
a survey of parents of 169 Inuit children with ECC, 54%
of the parents knew that naptime and bedtime bottle feedings
may be associated with ECC.6 Likewise, 25 of 38
Mexican-American parents whose children had ECC were
aware of the feeding behaviours associated with ECC.2
However, given the high prevalence of ECC in certain
groups, it appears that information and knowledge do not
always translate into appropriate parenting practices. Thus,
the parents of children with ECC are frequently aware of
the dietary practices associated with the development of the
disease, but they may not implement changes in feeding
behaviours.
Prevention of cariogenic feeding behaviours is oneapproach to preventing ECC. Regrettably, educatingparents about this risk factor has had minimal success.Johnsen63 reported that 78% of parents of children withECC had attempted to substitute water for a cariogenicliquid (e.g., apple juice, formula) in the bedtime nursingbottle; this observation strongly suggests that these parentswere aware of the feeding practices associated with ECC. Ina survey of parents of 169 Inuit children with ECC, 54%of the parents knew that naptime and bedtime bottle feedingsmay be associated with ECC.6 Likewise, 25 of 38Mexican-American parents whose children had ECC wereaware of the feeding behaviours associated with ECC.2However, given the high prevalence of ECC in certaingroups, it appears that information and knowledge do notalways translate into appropriate parenting practices. Thus,the parents of children with ECC are frequently aware ofthe dietary practices associated with the development of thedisease, but they may not implement changes in feedingbehaviours.
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