TY - SER AU - Roguski, Michael AU - McBride-Henry, Karen TI - Insights into the oral health crisis amongst pre-schoolers in Aotearoa/New Zealand: a discourse analysis of parent/caregiver experiences PY - 2020/// PB - BMC KW - CAREGIVERS KW - CHILDREN KW - EARLY CHILDHOOD KW - HEALTH KW - INTERVENTION KW - ORAL HEALTH KW - PARENTS KW - QUALITATIVE RESEARCH KW - NEW ZEALAND N1 - BMC Oral Health, 2020, 20: 182 N2 - Background: The oral health of pre-schoolers is garnering international as a crisis as good oral health is a key precursor to positive health outcomes. Internationally, and within Aotearoa/New Zealand, responses been restricted to those based in a medical model and the commercialisation of oral health. Absent from existing commentary are the lived realities of parents/caregivers beliefs, attitudes and responsiveness, or lack of, to the oral health of pre-schoolers. Methods: The researcher undertook a discursive analysis of parents/caregivers narratives to understand the barriers to engaging in effective protective behaviours. The 15 focus groups were conducted in urban and rural locations across Aotearoa/New Zealand. Results: A discursive analysis revealed several pervasive discourses, including ‘second chance’ and ‘enjoyment’ discourses, and systems-related deficits that act as barriers to engaging in good oral healthcare practices. Conclusions: The analysis demonstrates the benefit of placing the lived experiences of parents/caregivers as central to the development of oral health interventions. There is a need to link oral health data with primary care data and to distribute accurate oral health information to support parents’/caregivers’ decision making. This research reveals several pervasive discourses and systems-related deficits that provide a fertile ground for future public health responsiveness. (Authors' abstract). Record #8550 UR - https://doi.org/10.1186/s12903-020-01173-9 ER -