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Abstract：
BACKGROUND: Using Silver Diamine Fluoride (SDF) may be an effective public health approach for managing dental caries in children. Parental acceptance of SDF has rarely been investigated in low-income and middle-income countries (LMICs). The aim of this study was to evaluate parental acceptance of SDF to manage dental caries in children aged 2-12 in Iran and Tajikistan.
METHODS: This cross-sectional study was conducted in the Kurdistan province of Iran and Khatlon region of Tajikistan, 2022-2023. Parents watched a video about SDF and its weaknesses and strengths as compared to conventional approaches before completing the questionnaire. We also reported Prevalence Ratios with 95% confidence intervals for the relationship between parental acceptance and associated demographic factors as well as dental attitude and experience.
RESULTS: Participants were 245 and 160 parents in Iran and Tajikistan, respectively. In both countries, a majority (Iran: 61.6%, Tajikistan: 77.9%) accepted SDF over conventional treatments for all primary teeth. The majority also accepted SDF only for posterior permanent teeth (Iran: 73.5%, Tajikistan: 78.7%). Black discoloration was the main reason for rejecting SDF. Overall, demographic factors and dental experience and attitude were not significantly associated with SDF acceptance.
CONCLUSIONS: SDF was widely accepted by Iranian and Tajik parents. Establishing parental acceptance of SDF is an important step toward its application in LMICs where inexpensive solutions are needed.
METHODS: This cross-sectional study was conducted in the Kurdistan province of Iran and Khatlon region of Tajikistan, 2022-2023. Parents watched a video about SDF and its weaknesses and strengths as compared to conventional approaches before completing the questionnaire. We also reported Prevalence Ratios with 95% confidence intervals for the relationship between parental acceptance and associated demographic factors as well as dental attitude and experience.
RESULTS: Participants were 245 and 160 parents in Iran and Tajikistan, respectively. In both countries, a majority (Iran: 61.6%, Tajikistan: 77.9%) accepted SDF over conventional treatments for all primary teeth. The majority also accepted SDF only for posterior permanent teeth (Iran: 73.5%, Tajikistan: 78.7%). Black discoloration was the main reason for rejecting SDF. Overall, demographic factors and dental experience and attitude were not significantly associated with SDF acceptance.
CONCLUSIONS: SDF was widely accepted by Iranian and Tajik parents. Establishing parental acceptance of SDF is an important step toward its application in LMICs where inexpensive solutions are needed.
摘要：
背景：使用氟化银二胺（SDF）可能是管理儿童龋齿的有效公共卫生方法。在低收入和中等收入国家（LMICs），很少调查父母对SDF的接受程度。这项研究的目的是评估父母对SDF的接受程度，以管理伊朗和塔吉克斯坦2-12岁儿童的龋齿。
方法：这项横断面研究是在伊朗库尔德斯坦省和塔吉克斯坦哈特隆地区进行的，2022-2023年。父母在完成问卷之前观看了有关SDF及其与传统方法相比的弱点和优势的视频。我们还报告了父母接受与相关人口统计学因素以及牙科态度和经验之间关系的患病率比率，其置信区间为95％。
结果：参与者分别是伊朗和塔吉克斯坦的245和160名父母，分别。在这两个国家,多数（伊朗：61.6%，塔吉克斯坦：77.9％）对所有乳牙的常规治疗均接受SDF。大多数人还仅接受后恒牙的SDF（伊朗：73.5％，塔吉克斯坦:78.7%)。黑色变色是拒绝SDF的主要原因。总的来说,人口统计学因素、牙科经验和态度与SDF接受度无显著相关.
结论：SDF被伊朗和塔吉克父母广泛接受。建立父母对SDF的接受是其在需要廉价解决方案的LMICs中应用的重要一步。
方法：这项横断面研究是在伊朗库尔德斯坦省和塔吉克斯坦哈特隆地区进行的，2022-2023年。父母在完成问卷之前观看了有关SDF及其与传统方法相比的弱点和优势的视频。我们还报告了父母接受与相关人口统计学因素以及牙科态度和经验之间关系的患病率比率，其置信区间为95％。
结果：参与者分别是伊朗和塔吉克斯坦的245和160名父母，分别。在这两个国家,多数（伊朗：61.6%，塔吉克斯坦：77.9％）对所有乳牙的常规治疗均接受SDF。大多数人还仅接受后恒牙的SDF（伊朗：73.5％，塔吉克斯坦:78.7%)。黑色变色是拒绝SDF的主要原因。总的来说,人口统计学因素、牙科经验和态度与SDF接受度无显著相关.
结论：SDF被伊朗和塔吉克父母广泛接受。建立父母对SDF的接受是其在需要廉价解决方案的LMICs中应用的重要一步。
