Is parental oral health literacy a predictor of children's oral health outcomes? Systematic review of the literature

Firmino, Ramon Targino; Ferreira, Fernanda Morais; Martins, Carolina Castro; Granville‐Garcia, Ana Flávia; Fraiz, Fabián Calixto; Paiva, Saul Martins

doi:10.1111/ipd.12378

Cited by 61 publications

(64 citation statements)

References 28 publications

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“…Similar findings have been obtained in studies focusing on adults . Moreover, a high level of OHL on the part of parents/guardians seems to have a preventive effect regarding the occurrence of dental caries in children . When studying adolescents, however, it is important to consider their own levels of OHL.…”

Section: Discussionsupporting

confidence: 80%

“…For the purposes of this paper, early adolescence is considered to be 12 years of age. Moreover, studies of this nature involving children have used the OHL of parents/guardians (proxy measure) . As early adolescence is a period in which individuals gain greater autonomy, it is important to consider the level of OHL among early adolescents and how it influences the development of dental caries.…”

Section: Introductionmentioning

confidence: 99%

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The impact of oral health literacy and family cohesion on dental caries in early adolescence

Neves

Dutra

Gomes

et al. 2020

Comm Dent Oral Epid

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Objectives The aim of this study was to evaluate the association between the prevalence of cavitated dental caries and oral health literacy (OHL), family characteristics and sociodemographic factors in early adolescence. Methods A cross‐sectional study was conducted with 740 twelve‐year‐old students. The students' guardians provided information on sociodemographic data, and the students provided information on family characteristics and OHL. Two trained dentists examined the participants for dental caries and administered the Brazilian version of the Rapid Estimate of Oral Health Literacy in Dentistry (BREALD‐30). Control variables were selected using a directed acyclic graph. Descriptive analysis was performed; this was followed by robust Poisson regression analysis for complex samples to evaluate the association between dental caries and socioeconomic and family predictors (α = 5%). Results The following variables were associated with a greater number of cavitated caries lesions: low level of education completed by the mother (RR = 1.58; 95% CI: 1.12‐2.24), less privileged social class (RR = 1.89; 95% CI: 1.28‐2.80), non‐White ethnicity (RR = 1.64; 95% CI: 1.0‐2.48), larger number of residents in the home (RR = 1.87; 95% CI: 1.25‐2.81), low level of OHL (RR = 2.02; 95% CI: 1.28‐3.18), and the ‘connected’ (RR = 4.72; 95% CI: 1.17‐18.90), ‘separated’ (RR = 4.09; 95% CI: 1.05‐15.86) and ‘disengaged’ (RR = 4.20; 95% CI: 1.09‐16.18) types of family cohesion. Conclusions A low level of oral health literacy, sociodemographic factors, and a low level of family cohesion are predictors of cavitated caries lesions in early adolescence.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

The impact of oral health literacy and family cohesion on dental caries in early adolescence

Neves

Dutra

Gomes

et al. 2020

Comm Dent Oral Epid

Self Cite

View full text Add to dashboard Cite

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“…The results of the MOHS-TC may partly explain these ndings. Studies have shown that children of parents with lower levels of health literacy exhibit fewer healthy behaviors [24] ; thus, parents' oral health literacy level in uences their children's oral health [25] . The older generation has been in uenced by traditional concepts, and their cognition on brushing, ossing, teeth cleaning and tooth extraction is not comprehensive enough [26].…”

Section: Discussionmentioning

confidence: 99%

Development and Application of a Multidimensional Oral Health Scale

Chiang

Lin

Chu

et al. 2020

Preprint

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Background: Based on existing measuring tools, we sought to develop a multidimensional oral health scale suitable for domestic use and evaluate its reliability and validity. The scale was applied to conduct an initial investigation of the oral health of college students. It is expected that groups with a high oral health risk can be identified early through large-scale and low-cost questionnaire screening in the future, which can also provide ideas for the development of relevant clinical research. Methods: The current questionnaire focuses on oral health and health care behaviors. It is multidimensional and incorporates concepts such as oral health literacy. Freshmen from two different university colleges were selected as the research objects, and the questionnaire was distributed electronically. LISREL 8.80 and SPSS 21.0 were used to analyze the validity and reliability of the oral healthy literacy scale, and descriptive analysis was also performed using SPSS 21.0. Results: The scores of the two scales of oral health literacy were at medium and high levels. The Cronbach's alpha values were 0.96 and 0.95, and both the GFI and AGFI reached 1. The percentages of people who did not brush their teeth or use dental floss were 78.8% and 79.3%, respectively. Only 16.2% knew that the Bass Method was the most important technique to ensure oral health, and only 15.1% knew that regular dental cleaning every six months could also ensure oral health.Conclusions: At present, college freshmen have not developed correct oral health care behaviors. Dental cleaning should be included in medical insurance reimbursement to encourage people to receive regular oral examinations and dental cleanings.

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“…The ability to obtain, process, and understand health information will help them to seek health care, if needed, and to participate in health promotion and disease prevention measures. It is also known that poor health literacy of parents is associated with a reduced understanding of preventive care information, lower access to preventive care services and quite often with undesirable health exposures and outcomes for children including poor nutrition, obesity, poor oral health, exposure to second-hand tobacco smoke, higher rates of injury, mistakes in the administration of drugs, or unnecessary visits to emergency departments [10,11]. The health literacy of parents, families, and other people in the social context of children is critical for their health and wellbeing and needs to be taken into consideration.…”

Section: Introductionmentioning

confidence: 99%

Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers

Buhr

Ewers

Tannen

2020

IJERPH

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Health literacy (HL) plays a key role in explaining health disparities. School nurses (SN) provide health related expertise within the school setting. A positive effect on the HL of children but also their teachers and parents has been suggested by some research, but gaps persist in the available information. As a pilot project, SN, which are not common in German schools, were placed in 28 public elementary and secondary schools in two German states. Children (11+ years, n = 2773), parents (n = 3978) and teachers (n = 420) participated in a 2017 baseline (T0) survey. Data collection was repeated in 2018 (T1). HL was measured using the Health Literacy for School-Aged Children scale (HLSAC) (children) and the European Health Literacy Short Scale (HLS-EU-Q16) (adults). Descriptive and multivariate data analyses were carried out. The HL of all groups increased between T0 and T1. Low child HL decreased from 17.9% to 14.9%. Problematic and inadequate HL dropped from 43.8% to 38.8% among parents and from 49.9% to 45.8% among teachers. Improvements were significant for children and parents but not for the teachers. Despite the relatively short intervention period and a relatively non-specific spectrum of interventions, there is some evidence that SN may contribute to strengthening HL within the school setting. The longer-term effects of SN on health literacy and child health should be further examined. For this, a clearer conceptualization of the scope of work of the SN in Germany including their educational interventions is imperative.

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Is parental oral health literacy a predictor of children's oral health outcomes? Systematic review of the literature

Abstract: Low parental OHL was associated with dental caries among their children. It is too soon to assume an association between OHL and the remaining outcomes.

Cited by 61 publications

References 28 publications

The impact of oral health literacy and family cohesion on dental caries in early adolescence

The impact of oral health literacy and family cohesion on dental caries in early adolescence

Development and Application of a Multidimensional Oral Health Scale

Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers

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Is parental oral health literacy a predictor of children's oral health outcomes? Systematic review of the literature

Abstract: Low parental OHL was associated with dental caries among their children. It is too soon to assume an association between OHL and the remaining outcomes.

Cited by 61 publications

References 28 publications

The impact of oral health literacy and family cohesion on dental caries in early adolescence

The impact of oral health literacy and family cohesion on dental caries in early adolescence

Development and Application of a Multidimensional&nbsp;Oral Health Scale

Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers

Contact Info

Product

Resources

About

Development and Application of a Multidimensional Oral Health Scale