BACKGROUND Interest in aqueous silver diamine fluoride (SDF) has been growing as a treatment for caries arrest. A cross-sectional study was conducted to identify factors associated with caregiver acceptance of SDF treatment for children presenting with caries at 8 Federally Qualified Health Centers. The study purpose was to examine associations between caregiver acceptance of SDF treatment for children with caries and (1) sociodemographic and acculturation characteristics of caregivers and (2) clinical assessments of the children by dentists. METHODS A caregiver survey collected information on: sociodemographic characteristics; acculturation characteristics, measured using the validated Short Acculturation Scale for Hispanics (SASH); perceived benefits and barriers of SDF treatment, including caregiver comfort; and perceived health-related knowledge. Chart reviews were conducted to assess: the medical / dental insurance of pediatric patients; cumulative caries experience, measured using decayed, missing, filled teeth total scores (dmft / DMFT); whether operating room treatment was needed; and a record of caregiver acceptance of SDF treatment (the outcome measure). Standard logistic regression models were developed for caregiver acceptance of SDF treatment for their children as the binary outcome of interest (yes / no) to calculate unadjusted odds ratios (OR) and adjusted ORs for covariates of interest. RESULTS Overall, 434 of 546 caregivers (79.5%) accepted SDF treatment for their children. A U-shaped relationship between caregiver odds of accepting SDF treatment and age group of pediatric patients was present, where caregivers were most likely to accept SDF treatment for their children who were either < 6 years or 9-14 years, and least likely to accept SDF treatment for children 6 to < 9 years. The relationship between acculturation and caregiver acceptance of SDF treatment depended upon whether or not caregivers were born in the United States: greater acculturation was associated with caregiver acceptance of SDF treatment among caregivers born in this country, and lower acculturation was associated with caregiver acceptance of SDF treatment among caregivers born elsewhere. CONCLUSIONS Caregiver acceptance of SDF treatment is high; child's age and caregiver comfort are associated with acceptance. Providers need to communicate the risks and benefits of evidence-based dental treatments to increasingly diverse caregiver and patient populations.

中文翻译：

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一项针对儿童龋齿的护理人员的适应和接受氟化二胺银治疗的调查。

背景技术人们对水性二胺氟化银（SDF）的兴趣不断增长，以治疗龋齿。进行了一项横断面研究，以确定与照顾者接受SDF治疗的8个具有联邦资格的健康中心的患龋儿童相关的因素。该研究的目的是检查照顾者接受龋齿儿童的SDF治疗与（1）照顾者的社会人口统计学和适应性特征与（2）牙医对儿童的临床评估之间的关联。方法照顾者调查收集了以下方面的信息：社会人口统计学特征；适应能力特征，使用经过验证的西班牙裔短期适应能力量表（SASH）进行测量；感觉到的自卫队治疗的好处和障碍，包括照顾者的舒适度；以及与健康相关的知识。进行图表审查以评估：小儿患者的医疗/牙科保险；累积龋齿经验，使用龋坏，缺失，实心牙齿总分（dmft / DMFT）进行衡量；是否需要手术室治疗；以及照料者接受SDF治疗的记录（结果评估）。开发了标准的逻辑回归模型，以照顾他们的孩子接受SDF治疗作为关注的二元结果（是/否），以计算未调整的优势比（OR）和相关协变量的调整后的OR。结果总体上，在546名护理人员中，有434名（79.5％）接受了SDF治疗。接受SDF治疗的照顾者几率与小儿患者年龄组之间呈U型关系，照顾者最有可能为小于6岁或9-14岁的孩子接受SDF治疗，而最不可能为6到<9岁的孩子接受SDF治疗。适应与接受SDF的照顾者之间的关系取决于美国是否出生了照顾者：在这个国家出生的照顾者中，更大的适应与照顾者对SDF的接受程度有关，较低的适应与接受SDF的照顾者有关。出生在其他地方的看护者之间的治疗。结论照顾者对SDF治疗的接受程度很高。孩子的年龄和照顾者的舒适度与接受程度有关。提供者需要与越来越多的护理人员和患者群体交流基于证据的牙科治疗的风险和益处。