Determinants of Dental Referral Practices Among WIC Nutritionists in North Carolina

Shick, Elizabeth; Lee, Jessica Y.; Rozier, R. Gary

doi:10.1111/j.1752-7325.2005.tb03018.x

Cited by 14 publications

(26 citation statements)

References 14 publications

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“…The survey questions were derived from previously developed and tested questionnaires used in pediatric oral health research (Appendix 1) 23-25…”

Section: Methodsmentioning

confidence: 99%

“…After an examination of bivariate associations of independent variables and our four outcomes measures, regression models were developed to test the relationship of literacy on child health outcomes, while accounting for control variables. We considered four child health outcomes: (1) caregivers’ oral health knowledge as measured by an 11-item knowledge scale,23 a linear measure scored in the range of 1-11, (2) oral health behaviors as defined by Douglass and colleagues,24 (3) dental health status of the child as reported by the caregiver using a 5 point Likert-type scale measure using a question taken from the NHANES III survey,25 and (4) children's dental health status as measured by the severity index (none/mild/moderate versus severe).…”

Section: Methodsmentioning

confidence: 99%

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Impact of Caregiver Literacy on Children's Oral Health Outcomes

Miller¹,

Lee²,

et al. 2010

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Objective-To examine the relationship of primary caregivers' literacy with children's oral health outcomes.Design-We performed a cross-sectional study of children ages six and younger who presented for an initial dental appointment in the teaching clinics at the University of North Carolina at Chapel Hill School of Dentistry. Caregiver literacy was measured using the Rapid Estimate of Adult Literacy in Dentistry (REALD-30). The outcome measures included oral health knowledge, oral health behaviors, primary caregiver's reports of their child's oral health status, and the clinical oral health status of the child as determined by a clinical exam completed by trained, calibrated examiners.Results-Among the 106 caregiver/child dyads enrolled, 59% of the children were male, 52% were white, and 86% caregivers were the biological mothers. The bivariate results showed no significant relationships between literacy and oral health knowledge (p=0.16) and behaviors (p=0.24); however, there was an association between literacy and oral health status (p<0.05). The multivariate analysis controlled for race, and income; this analysis revealed a significant relationship between caregiver literacy scores and clinical oral health status as determined using a standardized clinical exam. Caregivers of children with mild to moderate treatment needs were more likely to have higher REALD-30 scores than those with severe treatment needs (OR=1.14; 95%CI 1.05:1.25, p=0.003).Conclusions-Caregiver literacy is significantly associated with children's dental disease status.Keywords oral health; health literacy; child health outcomes BACKGROUND AND SIGNIFICANCE

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“…The survey questions were derived from previously developed and tested questionnaires used in pediatric oral health research (Appendix 1) 23-25…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Impact of Caregiver Literacy on Children's Oral Health Outcomes

Miller¹,

Lee²,

et al. 2010

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“…25,26 We asked the women to answer “agree,” “disagree” or “don’t know” to knowledge-related statements such as “Fluoride helps prevent tooth decay” and “Tooth decay in baby teeth can cause infections that can spread to the face and other parts of the body.” We combined the response “don’t know” with incorrect responses when we compiled the composite knowledge score and conducted bivariate analyses. We derived a composite knowledge score from the sum of correct responses; the scores ranged from zero to six.…”

Section: Methodsmentioning

confidence: 99%

Oral health literacy and knowledge among patients who are pregnant for the first time

Hom¹,

Lee²,

Divaris³

et al. 2012

The Journal of the American Dental Association

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Background The authors conducted an observational cohort study to determine the levels of and examine the associations of oral health literacy (OHL) and oral health knowledge in low-income patients who were pregnant for the first time. Methods An analytic sample of 119 low-income patients who were pregnant for the first time completed a structured 30-minute, in-person interview conducted by two trained interviewers in seven counties in North Carolina. The authors measured OHL by means of a dental word recognition test and assessed oral health knowledge by administering a six-item knowledge survey. Results The authors found that OHL scores were distributed normally (mean [standard deviation], 16.4 [5.0]). The percentage of correct responses for each oral health knowledge item ranged from 45 to 98 percent. The results of bivariate analyses showed that there was a positive correlation between OHL and oral health knowledge (P < .01). Higher OHL levels were associated with correct responses to two of the knowledge items (P < .01). Conclusions OHL was low in the study sample. There was a significant association between OHL and oral health knowledge. Clinical Implications Low OHL levels and, thereby, low levels of oral health knowledge, might affect health outcomes for both the mother and child. Tailoring messages to appropriate OHL levels might improve knowledge.

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“…Portions of this paper are based on a presentation by Dr. Mathu-Muju at Head Start's Eighth National Research Conference, June [26][27][28]2006. Funding provided by a grant entitled "Development and Evaluation of a Medical Model for Early All models exclude the following variables from analyses: personal global health rating, knowledge of organizational recommendations for age of first dental visit, and continuing dental education with EHS because they are highly correlated with other variables in the model.…”

Section: Acknowledgmentsmentioning

confidence: 99%