Purpose: The purpose of this study was to examine Mexican American immigrant caregivers' beliefs and motivations surrounding the first dental visit for their young children (median age=5-years-old). Methods: Qualitative interviews were conducted among a convenience sample of 48 lowincome, Mexican American mothers about their young children's oral health. Transcripts were independently read, coded, and thematically analyzed. Results: Half (51%) of first dental visits were for parent-initiated reasons, including: for pain or visible dental problems; for parent's proactive desire to get a checkup; or to avoid future dental problems. The other half was initiated by external prompts, especially pediatrician recommendations and school requirements. Once a child went to the dentist for his/her first visit, 94% continued with regular checkups. The mean age for a first dental visit was 3-years-old. Three parents reported cases in which dentists discouraged visits for symptomatic children before they were 3-years-old. Conclusions: The low-income, urban Mexican American parents interviewed take their children to their first dental visit when they are approximately 3-years-old, much later than the recommended 1-year-old first visit for this at-risk population. Physicians are well positioned to play an important role in prompting first dental visits.

Health care disparities Preschool Oral health Parent Mexican Americans child

doctor patient relation Physician-Patient Relations psychological aspect poverty motivation human Self Report Dental Care for Children dental procedure interview United States Humans Hispanic California Interviews as Topic preschool child Child, Preschool tooth pain dental caries Mothers Health Knowledge, Attitudes, Practice Article Toothache mother attitude to health Health Services Accessibility Mexican Americans health care delivery