Parents' Oral Health Literacy and its Impact on their Children’s Dental Health Status

Authors

  • Mohammad Mehdi Naghibi Sistani Ph.D. of Community Oral Health, Assistant Professor, Oral Health Research Center, Department of Community Oral Health, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran

Keywords:

Caregiver, Oral health literacy, Oral health status, Child

Abstract

Introduction: Because parents play a key role in children’s dental health, the aim of this study was to determine the relationship between parents’ oral health literacy (OHL) and their children’s dental health status in Babol, Iran.

Methods: In this cross sectional study a total of 384 children aged 21 months to 84 months who attended the dental clinic of Babol University of Medical Sciences between September 2015 and February 2016 were examined. We measured dmft index only for primary dentition; during examination the accompanying parent completed the “Oral Health Literacy-Adults Questionnaire”. Comparing mean analysis, such as one-way analysis of variance (ANOVA), and an independent-samples t-test, served to compare children’s dental caries, missing, and dental fillings’ mean differences, between subgroups. In addition, the relationship between OHL, children’s dental caries, and dental fillings was assessed using multiple linear regression models while controlling for socioeconomic and demographic factors. All data were analyzed by SPSS version 22.

Results: Children’s mean age was 55.1 months (SD: 13.7), while 47% were girls. Mean children’s dental caries, missing, filling, and mean dmft index were 6.5, 0.4, 1.2, and 8.2 respectively. Parents with inadequate OHL had children with more dental caries (p=0.005), however this relation had no significance while controlling for background factors. Increasing children’s dental fillings was significantly related with families living in urban regions (p=0.01, 95% CI: 0.11 to 1.12), and parents with adequate OHL (p=0.02, 95% CI: 0.08 to 1.05).

Conclusion: Inadequate parents’ OHL was associated with children having high dental caries and less dental fillings. Therefore, providing interventions to improve parents' OHL would be valuable in children's dental health promotion programs, especially in countries with a developing oral health system.

 

References

Mouradian WE, Wehr E, Crall JJ. Disparities in children's oral health and access to dental care. JAMA.

; 284(20): 2625-31. doi: 10.1001/jama.284.20.2625. PMID: 11086371.

Mohebbi SZ, Virtanen JI, Murtomaa H, Vahid-Golpayegani M, Vehkalahti MM. Mothers as facilitators of

oral hygiene in early childhood. Int J Paediatr Dent. 2008; 18(1): 48-55. doi: 10.1111/j.1365- 263X.2007.00861.x. PMID: 18086026.

Miller E, Lee JY, DeWalt DA, Vann WF Jr. Impact of caregiver literacy on children's oral health outcomes.

Pediatrics. 2010; 126(1): 107-14. doi: 10.1542/peds.2009-2887. PMID: 20547644, PMCID: PMC2896459.

Saied-Moallemi Z, Virtanen JL, Tehranchi A, Murtomaa H. Disparities in oral health of children in Tehran,

Iran. Eur Arch Paediatr Dent. 2006; 7(4): 262-4. doi: 10.1007/BF03262563. PMID: 17164073.

Divaris K, Lee JY, Baker AD, Vann WF Jr. The relationship of oral health literacy with oral health-related

quality of life in a multi-racial sample of low-income female caregivers. Health Qual Life Outcomes. 2011;

: 108. doi: 10.1186/1477-7525-9-108. PMID: 22132898, PMCID: PMC3248838.

US Department of Health and Human Services, Healthy people 2010: oral health toolkit. Washington, DC:

U.S. Government Printing Office. 2000.

Naghibi Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Determinants of oral health: does

oral health literacy matter? ISRN Dent. 2013; 2013: 249591. doi: 10.1155/2013/249591. PMID: 23577262,

PMCID: PMC3610341.

Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral

health outcomes in early childhood. J Dent Res. 2010; 89(12): 1395-400. doi: 10.1177/0022034510379601.

PMID: 20924067, PMCID: PMC3123718.

Bridges SM, Parthasarathy DS, Wong HM, Yiu CK, Au TK, McGrath CP. The relationship between

caregiver functional oral health literacy and child oral health status. Patient Educ Couns. 2014; 94(3): 411- 6. doi: 10.1016/j.pec.2013.10.018. PMID: 24308901.

Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al.

Health literacy and the Influencing Factors: A study in five provinces of Iran. Int J Prev Med. 2012; 3(2):

-21. PMID: 22347608.

Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Oral health literacy and information

sources among adults in Tehran, Iran. Community Dent Health. 2013; 30(3): 178-82. PMID: 24151793.

Casamassimo PS, Fields HW, McTigue DJ, Nowak A. Pediatric Dentistry Infancy Through Adolessence.

Elsevier Saunders. 2013; 160-66.

Naghibi Sistani MM, Montazeri A, Yazdani R, Murtomaa H. New oral health literacy instrument for public

health: development and pilot testing. J Investig Clin Dent. 2014; 5(4): 313-21. doi: 10.1111/jicd.12042.

PMID: 23559571.

Kiadaliri AA, Hosseinpour R, Haghparast-Bidgoli H, Gerdtham UG. Pure and social disparities in

distribution of dentists: a cross-sectional province-based study in Iran. Int J Environ Res Public Health.

; 10(5): 1882-94. doi: 10.3390/ijerph10051882. PMID: 23648443, PMCID: PMC3709354.

Published

2022-03-07