Health Literacy and Parental Oral Health Knowledge, Beliefs, Behavior, and Status Among Parents of American Indian Newborns

Brega, Angela G.; Jiang, Luohua; Johnson, Rachel L.; Wilson, Anne; Schmiege, Sarah J.; Albino, Judith

doi:10.1007/s40615-019-00688-4

Cited by 20 publications

(31 citation statements)

References 74 publications

(95 reference statements)

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“…OHL has become an important factor of concern in regard to oral health [ 23 , 24 , 25 ]. The literature has shown high caries risk among children in association with low parental OHL [ 1 , 6 , 26 , 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Parents’ Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children

et al. 2020

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(1) Purpose: To assess the oral health literacy (OHL) of parents and its association with the caries experience of their preschool children attending the Hospital University Sains Malaysia (HUSM), Kota Bharu, Kelantan, Malaysia. (2) Materials and Methods: This is a descriptive cross-sectional study involving a systematic random sampling method, using a sample of 230 parent/preschool child dyads. Among 230 parents, 24 were males and 206 were females (mean age 31.43 ± 5.82); among 230 children, 92 were boys and 138 were girls (mean age 4.82 ± 1.04) attending the pedodontics clinic, HUSM, who participated and met the inclusion criteria. A structured, self-administered oral health literacy questionnaire including sociodemographic factors was used in this study. A child’s oral examination was performed to check the dmft (decayed, missing, filled teeth) status. Statistical analysis was done using descriptive and Spearman’s correlation analysis and multivariate regression analysis. (3) Results: The mean dmft score of children in relation to the OHL level of parents showed a significant difference (p < 0.00). The mean dmft score of children in relation to the OHL level of parents showed the following relationships: Inadequate (7.49 ± 4.10) followed by marginal (3.28 ± 2.67) and then adequate (0.55 ± 1.55). The incidence of caries amongst children in relation to parental employment was more associated with unemployed parents (6.11 ± 4.43) than with employed parents (2.79 ± 3.65). The caries experience amongst children in relation to education of their parents revealed a significant difference (p < 0.001), and the mean dmft score was high amongst preschool children with primary school qualified parents (10.7 ± 4.10) followed by high school (7.04 ± 3.68), vocational (5.81 ± 3.57), diploma (2.61 ± 2.81), and university (1.29 ± 2.27), respectively. The results revealed a valid significant difference (negative correlation, rs = −0.753 **) between the OHL of parents with the dmft score of their preschool children. The age and gender of parents was not significantly associated with OHL, whereas ethnicity (positive correlation, rs = 0.283 **), education (positive correlation, rs = 0.865 **), and employment (negative correlation, rs = −0.490 **) were found to be significant. Conclusion: We conclude that there is a significant association between the OHL of parents with the dmft score of their preschool children. The logistic regression showed that after adjustment for sociodemographic factors, parents’ gender (OR = 0.067, 95% CI: 0.012–0.360), parents’ employment status (OR = 3.247, 95% CI: 0.897–11.754), parents’ OHL score (OR = 0.042, 95% CI: 0.016–0.114), and child age (OR = 2.195, 95% CI: 1.249–3.857) were significantly associated with dental caries in children. Our study concluded that parents’ employment status, age, gender, OHL, and child’s age were significantly associated with the caries experience of their preschool children.

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Section: Discussionmentioning

confidence: 99%

Assessment of Parents’ Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children

et al. 2020

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“…The mean of the items was, therefore, highly skewed (skew across all time points = −1.65). Hence, rather than computing the mean score, we calculated the number of questions for which the highest score was selected, consistent with our prior research [ 5 ]. This overall self-efficacy score was less skewed than the mean (skew = −0.69) and had a possible range of 0–14, with larger numbers reflecting greater self-efficacy.…”

Section: Methodsmentioning

confidence: 99%

“…The literature suggests that parental HL is linked to pediatric oral health. Compared to parents with stronger HL, parents with more limited HL have more restricted knowledge of children’s oral health and of oral health practices that are recommended for parents of young children [ 2 , 3 , 4 , 5 ]. Likewise, there is evidence that parents with more limited HL are less likely to hold oral health beliefs that are conducive to optimal oral health behaviors [ 3 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Compared to parents with stronger HL, parents with more limited HL have more restricted knowledge of children’s oral health and of oral health practices that are recommended for parents of young children [ 2 , 3 , 4 , 5 ]. Likewise, there is evidence that parents with more limited HL are less likely to hold oral health beliefs that are conducive to optimal oral health behaviors [ 3 , 5 ]. Specifically, compared to higher-literate parents, those with more limited HL perceive pediatric oral health problems to be less severe, perceive more barriers to and fewer benefits of recommended parental oral health behaviors, feel less confident that they can successfully engage in these practices, and are more likely to believe that their children’s oral health is under the control of the dentist or is simply a matter of chance or luck [ 3 , 5 ] and less likely to believe that they themselves are in control of their children’s oral health [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Likewise, there is evidence that parents with more limited HL are less likely to hold oral health beliefs that are conducive to optimal oral health behaviors [ 3 , 5 ]. Specifically, compared to higher-literate parents, those with more limited HL perceive pediatric oral health problems to be less severe, perceive more barriers to and fewer benefits of recommended parental oral health behaviors, feel less confident that they can successfully engage in these practices, and are more likely to believe that their children’s oral health is under the control of the dentist or is simply a matter of chance or luck [ 3 , 5 ] and less likely to believe that they themselves are in control of their children’s oral health [ 3 ]. Perhaps as a result, parents with limited HL are less likely to follow recommended parental oral health practices (e.g., brushing child’s teeth with fluoride toothpaste) [ 3 ] and more likely to engage in behaviors that are harmful to pediatric oral health (i.e., nighttime bottle feeding, no daily brushing of child’s teeth) [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children

Brega

Johnson

Jiang

et al. 2021

IJERPH

Self Cite

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In cross-sectional studies, parental health literacy (HL) is associated with children’s oral health. It is unclear, however, whether HL influences pediatric outcomes. We examined the relationship of HL with change over time in parental oral health knowledge, beliefs, and behaviors, as well as pediatric oral health outcomes. We used longitudinal data from a study designed to reduce dental decay in American Indian children (N = 579). At baseline and annually for three years, parents answered questions assessing HL; oral health knowledge, beliefs, and behaviors; and pediatric oral health status. The number of decayed, missing, and filled tooth surfaces (dmfs) was computed based on annual dental evaluations. Linear mixed models showed that HL was significantly associated with all constructs, except dmfs, at their reference time points and persistently across the three-year study period. HL predicted change over time in only one variable, parents’ belief that children’s oral health is determined by chance or luck. HL is strongly associated with oral health knowledge, beliefs, behaviors, and status prospectively but is not a key driver of change over time in these oral health constructs.

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Family-centred interventions for Indigenous early childhood well-being by primary healthcare services

Strobel

Chamberlain

Campbell

et al. 2022

Cochrane Database of Systematic Reviews

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Health Literacy and Parental Oral Health Knowledge, Beliefs, Behavior, and Status Among Parents of American Indian Newborns

Cited by 20 publications

References 74 publications

Assessment of Parents’ Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children

Assessment of Parents’ Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children

Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children

Family-centred interventions for Indigenous early childhood well-being by primary healthcare services

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