Oral health behaviors, dental injuries and mouthguard awareness among a sample of Portuguese athletes: a cross sectional study.

Abstract Background There is evidence to show that immigrants have poorer oral health status than their local counterparts, and low-skilled migrant workers may also be more prone to poor oral health. This study aims to evaluate the oral health status and oral health behaviors of pregnant migrant workers compared to those of local pregnant women. Methods A hospital-based cross-sectional study was conducted in a public general hospital in Bangkok. Pregnant migrant workers who attended the antenatal clinic were randomly enrolled at their first antenatal booking; local pregnant women were also randomly included to form a comparison group. Oral health status of all eligible pregnant women was evaluated according to the World Health Organization (WHO) protocol, and their oral health behaviors were assessed using a structured questionnaire. Oral health status and behaviors of the two pregnant groups were compared using Chi-Square test, Student’s t test, Mann–Whitney U test, Fisher’s exact test and multiple logistic regression analysis. Results A total of 208 pregnant migrant workers and 210 local pregnant women were included. Pregnant migrant workers had significantly more dental disease than local pregnant women (DMFT mean (SD) = 5.8 (4.4) vs 4.8 (4.0), p = 0.014) with significant more dental decay (D mean (SD) = 5.5 (3.6) vs 3.8 (2.9), p < 0.001; adjusted OR 3.56 (95%CI 1.74–7.27)). Pregnant migrant workers suffered greater periodontal disease with mean (SD) CPI of 2.9 (0.6) vs 2.2 (0.5), p < 0.001. CPI = 3 or 4 occurred in 74.5% of migrants compared to only 22.4% of local pregnant women (adjusted OR 6.39: 95%CI 3.53–11.58). A significant greater percentage of pregnant migrants had a CPI of 4 (11.1% vs 0.5%). Pregnant migrant workers tended not to use fluoride toothpaste or dental floss and despite having 76.0% healthcare coverage, they made significantly fewer dental visits compared to local women; furthermore, the majority of them (74.5%) were under the misconception that dental treatment was prohibited during pregnancy. Conclusion Pregnant migrant workers experienced more dental caries and periodontal disease, had less access to oral health facilities, had less knowledge of healthy oral hygiene, and had poorer oral health practices than local pregnant women. Comprehensive oral health screening and treatment during antenatal visits, together with appropriate systematic antenatal health education, could play a crucial role in improving their oral health.

Download Full-text

The association between oral health literacy and oral health behaviors in North Korean defectors: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-08550-7 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Han-A Cho ◽

Ae-Jung Im ◽

Yu-Ri Sim ◽

Han-Byoel Jang ◽

Hee-Jung Lim

Keyword(s):

Oral Health ◽

Health Literacy ◽

Health Behaviors ◽

Cross Sectional Study ◽

Sectional Study ◽

Oral Health Literacy ◽

Cross Sectional ◽

Oral Health Behaviors ◽

North Korean Defectors

Download Full-text

A cross sectional study examining social desirability bias in caregiver reporting of children’s oral health behaviors

BMC Oral Health ◽

10.1186/1472-6831-13-24 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 22

Author(s):

Lauren A Sanzone ◽

Jessica Y Lee ◽

Kimon Divaris ◽

Darren A DeWalt ◽

A Diane Baker ◽

...

Keyword(s):

Oral Health ◽

Health Behaviors ◽

Social Desirability ◽

Cross Sectional Study ◽

Social Desirability Bias ◽

Sectional Study ◽

Cross Sectional ◽

Oral Health Behaviors ◽

Children’S Oral Health

Download Full-text

Modelling health belief predictors of oral health and dental anxiety among adolescents based on the Health Belief Model: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-020-09784-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Bilu Xiang ◽

Hai Ming Wong ◽

Antonio P. Perfecto ◽

Colman P. J. McGrath

Keyword(s):

Oral Health ◽

Health Behaviors ◽

Dental Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Oral Diseases ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Oral Health Behaviors ◽

Belief Model

Abstract Background A vicious cycle exists between dental anxiety, oral health behaviors and oral health status. Based on previous research, psychological factors of the Health Belief Model (HBM) are associated with oral health behaviors and oral health, and are likely involved in this cycle. However, little is known about the relationship between HBM factors and dental anxiety of adolescents. The purpose of this cross-sectional study was to investigate the relationship between health belief factors, oral health and dental anxiety based on the constructs of the HBM. Methods 1207 Grade 2 students from 12 secondary schools in Hong Kong were randomly selected and measured for the decayed, missing and filled permanent teeth (DMFT) index. Data for oral health behaviors, HBM constructs and dental anxiety were collected using questionnaires. The hierarchical entry of explanatory variables into logistic regression models estimating prevalence odds ratios (POR) were analyzed and 95% confidence intervals (95% CI) for DMFT and dental anxiety were generated. Path analysis was used to evaluate the appropriateness of the HBM as predictors for oral health behaviors, DMFT and dental anxiety. Results Based on the full model analysis, individuals with higher perceived susceptibility of oral diseases (POR: 1.33, 95% CI: 1.14–1.56) or girls or whose mother received higher education level were likelier to have a DMFT≥1, while those with higher perceived severity (POR: 1.31, 95%CI: 1.09–1.57), flossing weekly, DMFT≥1 or higher general anxiety level statistically increases the possibility of dental anxiety. The results from path analysis indicated that stronger perceived susceptibility, greater severity of oral diseases, less performing of oral health behaviors and a higher score of DMFT were directly related to increased dental anxiety level. Other HBM variables, such as perceived susceptibility, self-efficacy beliefs, cues to action and perceived barriers, might influence dental anxiety through oral health behaviors and caries status. Conclusions Clarifying the propositional structures of the HBM may help the future design of theory-based interventions in reducing dental anxiety and preventing dental caries.

Download Full-text

Modelling health belief predictors of oral health and dental anxiety among adolescents based on the Health Belief Model: a cross-sectional study

10.21203/rs.3.rs-31032/v2 ◽

2020 ◽

Author(s):

Bilu Xiang ◽

Hai Ming Wong ◽

Antonio P. Perfecto ◽

Colman P.J. McGrath

Keyword(s):

Oral Health ◽

Health Behaviors ◽

Dental Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Oral Diseases ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Oral Health Behaviors ◽

Belief Model

Abstract Background: A vicious cycle exists between dental anxiety, oral health behaviors and oral health status. Based on previous research, psychological factors of the Health Belief Model (HBM) are associated with oral health behaviors and oral health, and are likely involved in this cycle. However, little is known about the relationship between HBM factors and dental anxiety of adolescents. The purpose of this cross-sectional study was to investigate the relationship between health belief factors, oral health and dental anxiety based on the constructs of the HBM. Methods: 1207 Grade 2 students from 12 secondary schools in Hong Kong were randomly selected and measured for the decayed, missing and filled permanent teeth (DMFT) index. Data for oral health behaviors, HBM constructs and dental anxiety were collected using questionnaires. The hierarchical entry of explanatory variables into logistic regression models estimating prevalence odds ratios (POR) were analyzed and 95% confidence intervals (95% CI) for DMFT and dental anxiety were generated. Path analysis was used to evaluate the appropriateness of the HBM as predictors for oral health behaviors, DMFT and dental anxiety. Results: Based on the full model analysis, individuals with higher perceived susceptibility of oral diseases (POR: 1.33, 95% CI: 1.14-1.56) or girls or whose mother received higher education level were likelier to have a DMFT≥1, while those with higher perceived severity (POR: 1.31, 95%CI: 1.09-1.57), flossing weekly, DMFT≥1 or higher general anxiety level statistically increases the possibility of dental anxiety. The results from path analysis indicated that stronger perceived susceptibility, greater severity of oral diseases, less performing of oral health behaviors and a higher score of DMFT were directly related to increased dental anxiety level. Other HBM variables, such as perceived susceptibility, self-efficacy beliefs, cues to action and perceived barriers, might influence dental anxiety through oral health behaviors and caries status. Conclusions: Clarifying the propositional structures of the HBM may help the future design of theory-based interventions in reducing dental anxiety and preventing dental caries.

Download Full-text

Modelling Health Belief Predictors of Oral Health and Dental Anxiety Among Adolescents Based on the Health Belief Model: A Cross-Sectional Study

10.21203/rs.3.rs-31032/v1 ◽

2020 ◽

Author(s):

Bilu Xiang ◽

Hai Ming Wong ◽

Antonio P. Perfecto ◽

Colman P.J. McGrath

Keyword(s):

Oral Health ◽

Health Behaviors ◽

Dental Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Oral Diseases ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Oral Health Behaviors ◽

Belief Model

Abstract Background: A vicious cycle exists between dental anxiety, oral health behaviors and oral health status. Based on previous research, psychological factors of the Health Belief Model (HBM) are associated with oral health behaviors and oral health, and are likely involved in this cycle. However, little is known about the relationship between HBM factors and dental anxiety of adolescents. The purpose of this cross-sectional study was to investigate the relationship between health belief factors, oral health and dental anxiety based on the constructs of the HBM.Methods: 1207 Grade 2 students from 12 secondary schools in Hong Kong were randomly selected and measured for the decayed, missing and filled permanent teeth (DMFT) index. Data for oral health behaviors, HBM constructs and dental anxiety were collected using questionnaires. The hierarchical entry of explanatory variables into logistic regression models estimating prevalence odds ratios (POR) were analyzed and 95% confidence intervals (95% CI) for DMFT and dental anxiety were generated. Path analysis was used to evaluate the appropriateness of the HBM as predictors for oral health behaviors, DMFT and dental anxiety.Results: Based on the full model analysis, individuals with higher perceived susceptibility of oral diseases (POR: 1.33, 95% CI: 1.14-1.56) or girls or whose mother received higher education level were likelier to have a DMFT≥1, while those with higher perceived severity (POR: 1.31, 95%CI: 1.09-1.57), flossing weekly, DMFT≥1 or higher general anxiety level statistically increases the possibility of dental anxiety. The results from path analysis indicated that stronger perceived susceptibility, greater severity of oral diseases, less performing of oral health behaviors and a higher score of DMFT were directly related to increased dental anxiety level. Other HBM variables, such as perceived susceptibility, self-efficacy beliefs, cues to action and perceived barriers, might influence dental anxiety through oral health behaviors and caries status.Conclusions: Clarifying the propositional structures of the HBM can help the future design of cognitive-behavioral therapy in reducing dental anxiety and preventing dental caries.

Download Full-text

Modelling health belief predictors of oral health and dental anxiety among adolescents based on the Health Belief Model: a cross-sectional study

10.21203/rs.3.rs-31032/v3 ◽

2020 ◽

Author(s):

Bilu Xiang ◽

Hai Ming Wong ◽

Antonio P. Perfecto ◽

Colman P.J. McGrath

Keyword(s):

Oral Health ◽

Health Behaviors ◽

Dental Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Oral Diseases ◽

Cross Sectional ◽

Perceived Susceptibility ◽

Oral Health Behaviors ◽

Belief Model

Abstract Background: A vicious cycle exists between dental anxiety, oral health behaviors and oral health status. Based on previous research, psychological factors of the Health Belief Model (HBM) are associated with oral health behaviors and oral health, and are likely involved in this cycle. However, little is known about the relationship between HBM factors and dental anxiety of adolescents. The purpose of this cross-sectional study was to investigate the relationship between health belief factors, oral health and dental anxiety based on the constructs of the HBM.Methods: 1207 Grade 2 students from 12 secondary schools in Hong Kong were randomly selected and measured for the decayed, missing and filled permanent teeth (DMFT) index. Data for oral health behaviors, HBM constructs and dental anxiety were collected using questionnaires. The hierarchical entry of explanatory variables into logistic regression models estimating prevalence odds ratios (POR) were analyzed and 95% confidence intervals (95% CI) for DMFT and dental anxiety were generated. Path analysis was used to evaluate the appropriateness of the HBM as predictors for oral health behaviors, DMFT and dental anxiety.Results: Based on the full model analysis, individuals with higher perceived susceptibility of oral diseases (POR: 1.33, 95% CI: 1.14-1.56) or girls or whose mother received higher education level were likelier to have a DMFT≥1, while those with higher perceived severity (POR: 1.31, 95%CI: 1.09-1.57), flossing weekly, DMFT≥1 or higher general anxiety level statistically increases the possibility of dental anxiety. The results from path analysis indicated that stronger perceived susceptibility, greater severity of oral diseases, less performing of oral health behaviors and a higher score of DMFT were directly related to increased dental anxiety level. Other HBM variables, such as perceived susceptibility, self-efficacy beliefs, cues to action and perceived barriers, might influence dental anxiety through oral health behaviors and caries status.Conclusions: Clarifying the propositional structures of the HBM may help the future design of theory-based interventions in reducing dental anxiety and preventing dental caries.

Download Full-text