The oral health-related experiences, attitudes and behaviours of the carers of Aboriginal children of Groote Eylandt

Objectives: To explore the oral health related worlds of carers of Aboriginal children on Groote Eylandt. Design: Cross sectional qualitative research. Setting: Meeting places for Aboriginal adults. Sample: Purposive sample of carers and health care workers on Groote Eylandt. Method: Focus groups. Results: The data describe a population at high risk of poor general and oral health with frequent high levels of sugar consumption, limited oral hygiene, lack of fluoridated water, feelings of low self esteem and lack of personal control having lost their will and enthusiasm to take responsibility for themselves. They are concerned about the general and oral health of their communities and demonstrate a pride and enthusiasm in their language and traditions. Conclusions: With the social characteristics and the high caries experience of this Aboriginal population appropriate oral health promotion strategies might include: involving individuals in analysing their community health problems; the development of a healthy food policy; using messages and skills training, emphasising grooming, appearance and function, incorporating language and traditions to build self confidence, self esteem and personal control; fluoridation of water supplies; the dental team acting as advocates for the community.