Role of Dental Nutrition Knowledge and Socioecological Factors in Dental Caries in Low-Income Women

2021 ◽  
pp. 109019812110041
Author(s):  
Prageet K. Sachdev ◽  
Jeanne Freeland-Graves ◽  
Nalini Ranjit ◽  
Mahsa Babaei

Dental caries is a chronic oral condition that disproportionately affects low-income women. The aim of this research was to investigate relationships between dental nutrition knowledge, socioecological factors, and prevalence of dental caries in low-income women. This quantitative cross-sectional study involved 220 women who were recruited from Central Texas. Participants completed demographics, the Dental Nutrition Knowledge Competency Scale, United States Adult Food Security Survey Module, and the Multidimensional Home Environment Scale. Two dentists measured dental caries via the Decayed, Missing, Filled Teeth Index. Regression models were conducted to test the effects of dental nutrition knowledge and Multidimensional Home Environment Scale factors on dental caries. Finally, mediation analysis explored relationships between dental nutrition knowledge and dental caries, adjusting for Multidimensional Home Environment Scale scores. Results showed that dental nutrition knowledge and Multidimensional Home Environment Scale score were significantly associated with dental caries. Subscales of self-efficacy for eating healthy, oral hygiene practices, emotional eating, availability of unhealthy foods at home, and social support were related to dental caries. The relationship between dental nutrition knowledge and caries was mediated by Multidimensional Home Environment Scale scores. This research emphasizes the role of dental nutrition knowledge and socio-ecological factors on prevalence of dental caries. Public health interventions to reduce dental caries should involve strategies that increase dental nutrition knowledge and encourage behavior change in low-income populations.

2019 ◽  
Vol 23 (4) ◽  
pp. 691-700 ◽  
Author(s):  
Prageet K Sachdev ◽  
Jeanne Freeland-Graves ◽  
Mahsa Babaei

AbstractObjective:To develop and validate a Dental Nutrition Knowledge Competency Scale to assess dental health-related nutrition knowledge of low-income women.Design:This is a cross-sectional study. A literature search for foods/dietary practices related to dental caries was conducted and the items were incorporated into an initial questionnaire. A panel of ten nutrition experts evaluated it for its content, readability and relevance, and a focus group of six low-income women determined its readability and comprehension. Then the questionnaire was administered to 150 low-income women. Construct validity was evaluated by item difficulty, item discrimination and factor analysis. Internal consistency reliability was tested via Cronbach’s α. In a sub-sample of forty women, test–retest reliability was established. Paired-sample t tests were conducted to examine differences between test scores at the two time points, 2 weeks apart.Settings:Community centres in low-income housing in Central Texas, USA.Participants:A total of 150 low-income women, aged 18–50 years; annual household income <250 % of the federal poverty level.Results:Item difficulty and discrimination analysis resulted in elimination of eight questions. Factor analysis identified twenty-four items that loaded on three factors related to knowledge. These included foods/dietary practices that affect dental caries, added sugars in foods and on food labels, and recommended frequency of oral hygiene practices. The subscales and the completed scale exhibited good internal consistency (mean 0·7 (sd 0·97)) and test–retest reliability (mean 0·8 (sd 0·013)).Conclusions:The Dental Nutrition Knowledge Competency Scale is a validated and reliable instrument to assess nutrition knowledge related to dental health in low-income women.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Prageet Sachdev ◽  
Jeanne Freeland-Graves ◽  
Mahsa Babaei

Abstract Objectives To develop and validate a Dental Nutrition Knowledge Competency Scale to assess dental health-related nutrition knowledge of low-income women. Methods A literature search for dietary practices/factors related to dental caries was conducted and the generated items were incorporated into an initial questionnaire. A panel of 10 nutrition experts evaluated it for its content, readability, relevance and bias, then a focus group of six low-income women determined its readability and comprehension. The questionnaire was administered to a total of 150 low-income women, ages 18–50 years, from Central Texas. Construct validity was evaluated by item difficulty, item discrimination and factor analysis. Internal consistency reliability was determined via calculation of Cronbach's alpha. Test-retest reliability was established via bivariate correlations between total scores at two time points for a subsample of 40 women. Paired sample t-tests were conducted to examine for differences between test scores at the two time points, 2 weeks apart. Results Item difficulty and discrimination analysis resulted in elimination of eight questions; factor analysis then found 24 items that loaded on three different factors. These included knowledge of: foods/factors that affect dental caries, added sugars in foods and on food labels and recommended frequency of oral hygiene practices. The subscales and the completed scale exhibited good internal consistency (0.7 ± 0.014) and test-retest reliability (0.8 ± 0.015). Conclusions The Dental Nutrition Knowledge Competency Scale is a validated and reliable instrument to assess nutrition knowledge related to dental health in low-income women. Funding Sources The Bess Heflin Centennial Professorship.


Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 223
Author(s):  
Wajiha Anzar ◽  
Ambrina Qureshi ◽  
Ashar Afaq ◽  
Hiba F. Kattan ◽  
Basil Almutairi ◽  
...  

Aim: This study aimed to investigate an association between dental caries status and anthropometric measures in primary school children. Methods and Materials: An analytical cross-sectional study (n = 376) was conducted among primary school children (age range = 6–9 years) registered in private schools. Non-clinical data was gathered from parents of participating children through a self-administered structured questionnaire as well as from the children through an interviewer-administered questionnaire. Clinical data included the examination of dental caries using dmft/DMFT index and anthropometric measures including calculated z-scores of height-for-age (HAZ), weight-for-age (WAZ), BMI-for-age (BAZ), and physical examination. Inferential statistics included Kruskal Wallis and linear regression for univariate and multivariate analysis respectively. Results: The proportion of dental caries in primary and secondary dentition was 67.6% and 8.2% respectively. A significant association was observed between dental caries status and HAZ, WAZ, and BAZ (p < 0.001). An inverse relation was found between low, medium, and high dental caries categories and anthropometric measures. Conclusions: In the primary dentition, dental caries were significantly and inversely related to weight-for-age, height-for-age, and BMI-for-age. Hence, it can be concluded that among the low-income population dental caries is associated with lower anthropometric outcomes in children and therefore caries management should be considered an approach impacting overall health and quality of life.


2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.


2002 ◽  
Vol 72 (1) ◽  
pp. 39-49 ◽  
Author(s):  
Ellen L. Bassuk ◽  
Kristin D. Mickelson ◽  
Heidi D. Bissell ◽  
Jennifer N. Perloff

2020 ◽  
Vol 2 (1) ◽  
pp. 162-171
Author(s):  
Masyitah Masyitah ◽  
Ida Yustina ◽  
Etti Sudaryati

The aims on the study is to find out driving factors in prvenstion of dental caries in children. This type of research is an observational analytic study with a cross sectional approach. The result of this study it can be concluded that there is an influence of the driving factors which include: there is an influence of the role of parents on the prevention of dental caries in children with a value of p = 0.001 and there is an influence of the role of the teacher on the prevention of dental caries in children in elementary school Pantai Labu District with a value of p = 0.001. The dominant factor influencing the prevention of dental caries in children in elementary school in Pantai Labu District is the role of parents with a value of p = 0.001 (Exp B 8.825).


2012 ◽  
Vol 1 (1) ◽  
Author(s):  
S Indriana ◽  
Laksmi Widajanti

ABSTRACT Background: The role of fish as nutrients source is very important because fish contains nutrients that to be required the body. Many markets in the city that prepare daily consumption should not become barrier for serving fish dish in family menu. Moreover Semarang city is harbour city; the fish is easy to be accessed in Semarang. But until this time role of fish in consumption of traditional food is rare because apart of population less recognize the advantage of fish. The objective of this study is to analize the relationship between income, mother's nutrition knowledge and fish stock at household level. Method: This cross sectional study was conducted to 75 mothers who be educated minimal the end of high school in Jagalan house of village-head, district of Center Semarang, Semarang city, taken by systematic random sampling. Data analyzing with Spearman correlation test. Result: Income/capita/month from mother/household ranged between Rp 99.000,00 until Rp 937.000,00. Stage of income/capita/month that more than equal with Regional Minimum Commision is 16%, less than Regional Minimum Commision is 84%. Score of mother's nutrition knowledge ranged between 50,0 until 100,0 with rate was 83,5. For category of good nutrition knowledge, the percentage is 66,7%, enough category 30,7% and less category 2,7%. For fish stock in household ranged between 0-1 times/day. For category of less stock as much as 29,3%, enough category 53,3% and good category 17,3%. Correlation coefficient for income/capita/month was 0,284 (ρ value 0,014). For mother's nutrition knowledge, correlation coefficient was 0,466 (ρ value 0,000). Conclusion: The higher mother’s Income/capita/month and nutrition knowledge, the higher fish stock in household. Keyword: Income, nutrition knowledge, mother, fish stock, household. ABSTRAK Latar Belakang: Peranan ikan sebagai bahan penyedia gizi sangatlah penting karena ikan mengandung zat-zat gizi yang sangat dibutuhkan tubuh. Banyaknya pasar di Kota Semarang yang menyediakan kebutuhan sehari-hari, seharusnya sudah bukan merupakan halangan untuk penyajian hidangan ikan dalam menu keluarga. Apalagi Kota Semarang merupakan kota pelabuhan, ikan mudah didapatkan. Namun sampai saat ini peran ikan dalam konsumsi pangan tradisional masih kecil karena sebagian penduduk kurang mengenal manfaat ikan. Tujuan penelitian untuk menganalisis hubungan pendapatan, pengetahuan gizi ibu dengan ketersediaan ikan di tingkat rumah tangga. Metode: Penelitian menggunakan metode penelitian survei masyarakat, jenis penelitian analitik, pendekatan waktu cross sectional. Pelaksanaan penelitian bulan September-Oktober 2004. Analisis data dengan uji korelasi Spearman. Populasi adalah ibu yang berpendidikan minimal tamat SLTA di Kelurahan Jagalan, Kecamatan Semarang Tengah, Kota Semarang (305 orang) dengan sampel sebanyak 75 orang. Hasil: Pendapatan/kapita/bulan ibu/rumah tangga bervariasi dari Rp 99.000,00 - Rp 937.000,00. Tingkat pendapatan/kapita/bulan yang >UMR persentasenya 16%, yang <UMR 84%. Nilai pengetahuan gizi ibu tentang ikan berkisar antara 50,0-100,0 dengan nilai rata-rata 83,5. Untuk kategori pengetahuan gizi baik, persentasenya 66,7%, kategori cukup 30,7% dan kategori kurang 2,7%. Untuk ketersediaan ikan tingkat rumah tangga, berkisar antara 0-1 kali/hari. Untuk kategori ketersediaan kurang ada 29,3%, kategori cukup 53,3% dan kategori baik 17,3%. Hasil uji korelasi Spearman untuk pendapatan/kapita/bulan diperoleh nilai rs=0,284 (p=0,014). Untuk pengetahuan gizi ibu tentang ikan diperoleh nilai rs=0,466 (p=0,000). Simpulan: Semakin tinggi pendapatan/kapita/bulan dan pengetahuan gizi ibu tentang ikan akan makin tinggi ketersediaan ikan di rumah tangga Kata kunci: Pendapatan, pengetahuan gizi, ibu, ketersediaan ikan, rumah tanggaPermalink: http://ejournal.undip.ac.id/index.php/jgi/article/view/3240


2020 ◽  
Author(s):  
Folake Barakat Lawal ◽  
Gbemisola Aderemi Oke

Abstract Background The school is primed as an avenue for promoting health among adolescents. Conversely, the high unmet dental needs among school-going adolescents raises concern about the role of schools in this task. This study therefore assessed the role of schools in promoting positive oral health behaviour among adolescents through Capabilities, Opportunities, Motivation (COM-B) model in a Low-Income-Country.Methods Two thousand and ninety-seven students aged 12-18 years were recruited from 30 randomly selected Secondary Schools in a cross sectional study conducted in Ibadan, Nigeria. Data on Capabilities; Oral Health Knowledge (K), Attitude (A), Practices (P) and Motivation of the students as well as oral health promotional (OHP) activities (Opportunities) in the schools were assessed through a questionnaire. A checklist was used to assess availability of OHP materials and the schools’ tuck shops for sale of healthy food (Opportunities). Data were analyzed with STATA version 14.Results The mean KAP score was 43.8 (± 11.4)%. Oral health education was the only activity reported and this was in 8 (26.7%) schools; only 331 (15.8%) students had been educated about their oral health. There were no oral health promotional materials in the schools. About half 1161 (55.4%) were motivated to participate in school oral health program. All the tucks shops had cariogenic foods and drinks for sale. Students who had better KAP scores - Capabilities (OR = 1.2, 95%CI = 1.0-1.5, p = 0.018) or had been educated about oral health - Opportunities (OR = 1.5, 95%CI = 1.2-2.0, p < 0.001) were better motivated about their oral health.Conclusion The schools surveyed played very little or no role to support positive oral health behavior of adolescents. There were no OHP materials in the schools. Students who had superior oral health KAP (capabilities) or had been exposed to oral health education (opportunities) were better motivated about their oral health.


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