Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study
Abstract Background Early childhood caries (ECC) is a prevalent health problem that negatively affects both overall health and oral health–related quality of life (OHRQoL). This study investigated the association between health belief model (HBM) constructs and oral health behaviors, dental caries,...
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BMC
2024-12-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-05290-7 |
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| author | Shu-Mei Liu Yu-Meng Xin Feng Wang Pei-Chao Lin Hsiao-Ling Huang |
| author_facet | Shu-Mei Liu Yu-Meng Xin Feng Wang Pei-Chao Lin Hsiao-Ling Huang |
| author_sort | Shu-Mei Liu |
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| description | Abstract Background Early childhood caries (ECC) is a prevalent health problem that negatively affects both overall health and oral health–related quality of life (OHRQoL). This study investigated the association between health belief model (HBM) constructs and oral health behaviors, dental caries, and OHRQoL in preschool children in China. Methods A total of 1562 preschool children aged 3 to 6 years were recruited from six public kindergartens in Hangzhou, Zhejiang Province, by using stratified cluster sampling. A questionnaire was administered to parents to collect information on demographics, HBM constructs, oral health behaviors, dental caries, and OHRQoL. Regression models were used to examine relationships between HBM constructs and the outcomes. Results Parental perceived benefits [adjusted odds ratio (AOR) = 1.47 and 1.42], perceived barriers (AOR = 0.65 and 0.63), and oral health self-efficacy (AOR = 20.59 and 19.09) were associated with brushing teeth twice daily and brushing teeth with parental assistance. Perceived susceptibility (AOR = 6.62) and perceived severity (AOR = 0.49) were significantly associated with children’s ECC. Poorer oral health (β = 0.09), higher perceived susceptibility (β = 0.11), and greater perceived barriers (β = 0.30) were associated with lower OHRQoL. Brushing teeth twice daily (β = −0.19) and brushing teeth with parental assistance (β = −0.09) were associated with higher OHRQoL. Conclusions Parental HBM constructs were significantly associated with oral health behaviors, ECC, and OHRQoL in preschool children. These findings indicate the importance of incorporating parental HBM constructs into health education programs to promote positive oral health behaviors, reduce the prevalence of caries, and enhance OHRQoL in preschoolers. Trial registration Not applicable. |
| format | Article |
| id | doaj-art-259568985d5947b8b1f9b32f9495e8f8 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-259568985d5947b8b1f9b32f9495e8f82024-12-22T12:51:59ZengBMCBMC Oral Health1472-68312024-12-0124111210.1186/s12903-024-05290-7Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional studyShu-Mei Liu0Yu-Meng Xin1Feng Wang2Pei-Chao Lin3Hsiao-Ling Huang4Department of Preschool Education, Jing Hengyi College of Education, Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal UniversityDepartment of Preschool Education, Jing Hengyi College of Education, Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal UniversityDepartment of Health Policy and Management, School of Public Health, Hangzhou Normal UniversitySchool of Nursing, College of Nursing, Kaohsiung Medical UniversityDepartment of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical UniversityAbstract Background Early childhood caries (ECC) is a prevalent health problem that negatively affects both overall health and oral health–related quality of life (OHRQoL). This study investigated the association between health belief model (HBM) constructs and oral health behaviors, dental caries, and OHRQoL in preschool children in China. Methods A total of 1562 preschool children aged 3 to 6 years were recruited from six public kindergartens in Hangzhou, Zhejiang Province, by using stratified cluster sampling. A questionnaire was administered to parents to collect information on demographics, HBM constructs, oral health behaviors, dental caries, and OHRQoL. Regression models were used to examine relationships between HBM constructs and the outcomes. Results Parental perceived benefits [adjusted odds ratio (AOR) = 1.47 and 1.42], perceived barriers (AOR = 0.65 and 0.63), and oral health self-efficacy (AOR = 20.59 and 19.09) were associated with brushing teeth twice daily and brushing teeth with parental assistance. Perceived susceptibility (AOR = 6.62) and perceived severity (AOR = 0.49) were significantly associated with children’s ECC. Poorer oral health (β = 0.09), higher perceived susceptibility (β = 0.11), and greater perceived barriers (β = 0.30) were associated with lower OHRQoL. Brushing teeth twice daily (β = −0.19) and brushing teeth with parental assistance (β = −0.09) were associated with higher OHRQoL. Conclusions Parental HBM constructs were significantly associated with oral health behaviors, ECC, and OHRQoL in preschool children. These findings indicate the importance of incorporating parental HBM constructs into health education programs to promote positive oral health behaviors, reduce the prevalence of caries, and enhance OHRQoL in preschoolers. Trial registration Not applicable.https://doi.org/10.1186/s12903-024-05290-7Health belief modelOral health behaviorsEarly childhood cariesOral health related-quality of lifePreschool children |
| spellingShingle | Shu-Mei Liu Yu-Meng Xin Feng Wang Pei-Chao Lin Hsiao-Ling Huang Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study BMC Oral Health Health belief model Oral health behaviors Early childhood caries Oral health related-quality of life Preschool children |
| title | Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study |
| title_full | Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study |
| title_fullStr | Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study |
| title_full_unstemmed | Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study |
| title_short | Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study |
| title_sort | parental health belief model constructs associated with oral health behaviors dental caries and quality of life among preschool children in china a cross sectional study |
| topic | Health belief model Oral health behaviors Early childhood caries Oral health related-quality of life Preschool children |
| url | https://doi.org/10.1186/s12903-024-05290-7 |
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