Parental oral health literacy and its relationship with their children's oral health

Doctoral Dissertation uoadl:2940211 90 Read counter

Unit:
Department of Dentistry
Βιβλιοθήκη Οδοντιατρικής
Deposit date:
2021-03-31
Year:
2021
Author:
Taoufik Konstantina
Dissertation committee:
Πολυχρονοπούλου Αργυρώ, Καθηγήτρια, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Καββαδία Αικατερίνη, Αναπληρώτρια Καθηγήτρια, Department of Pediatric Dentistry, School of Dentistry, University of Louisville, Kentucky, KY, United States
Κωλέτση-Κουνάρη Χαριτίνη, Αναπληρώτρια Καθηγήτρια, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Βασταρδή Ελένη, Αναπληρώτρια Καθηγήτρια, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Γκιζάνη Σωτηρία, Αναπληρώτρια Καθηγήτρια, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Παπαϊωάννου Βασίλειος, Αναπληρωτής Καθηγητής, Τμήμα Οδοντιατρικής, Σχολή Επιστημών Υγείας, ΕΚΠΑ
Διβάρης Κίμων, Καθηγητής, Division of Pediatric and Public Health, Adams School of Dentistry & Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, United States
Original Title:
Ο οδοντιατρικός αλφαβητισμός των γονέων και η σχέση του με τη στοματική υγεία των παιδιών τους
Languages:
Greek
Translated title:
Parental oral health literacy and its relationship with their children's oral health
Summary:
Objectives: The aim of this study was to investigate the relationship of parental oral health literacy with child’s oral health. The study’s objectives were the following: a) to develop and test a new Greek language oral health literacy measurement instrument (GROHL); b) to develop and psychometrically evaluate a new Greek language version of ECOHIS (Gr-ECOHIS); c) to investigate the relationship of parental oral health literacy with child’s oral health.
Methods and materials: The participants were recruited from two private dental offices in Athens. For the development of the GROHL, data derived from 282 adult patients, while for the development of the Gr-ECOHIS instrument and for the investigation of the effect of oral health literacy on children’s oral health 200 pairs of mothers-children were initially approached. For the test-retest reliability of the developing instruments, two independent samples of 20 persons were used. All data were collected by using a structured interview, which included items regarding socio-demographic characteristics, health status and behaviors, oral health knowledge, oral health related quality of life and the GROHL instrument, which included the reading and recognition of 44 words and choosing the correct explanatory word only for the correctly read /recognized words. For the mothers, additional questions existed about parameters related to child’s oral health and the items of the Gr-ECOHIS. Children’s oral health status was evaluated via clinical examinations and parental reports.
Analytical approach: Statistical analysis included commonly used descriptive measures, while during investigation of correlations, several analytic methods were used like regression, analysis of variance, spearman correlation. The reliability and the validity of the two developing instruments were also examined, while for the GROHL item response theory was also used.
Results: For the GR-OHL instrument, twenty items were retained in the final index (alpha=0.83; average ICC=0.95), after excluding words with no or insufficient invariance, low item-test correlation, and non-significant contribution and the mean value was 11.5. The GROHL score was positively correlated with favorable oral hygiene behaviors and dental attendance, as well as with functional health literacy screening, dental knowledge, and educational level. For the Gr-ECOHIS, the mean score was 3.4, Cronbach’s alpha was 0.85 and ICC was 0.97, resulting in a reliable and valid instrument. The Gr-ECOHIS also had good discriminant and predictive validity, as it showed a strong correlation with dental caries (Spearman’s rho=0.62, p<0.0005), dental treatment needs (p<0.0005), and parental child’s oral health status report(p<0.0005). Gr-ECOHIS was also positively associated with dental knowledge, health literacy and parental oral health-related quality of life. Regarding the relationship of parental oral health literacy and child’s oral health status, the mean oral health literacy score was 11.3. Significant relationship between oral health literacy and oral health knowledge was revealed (p<0.00005), as also with the educational level of the mothers (0.0004), with toothbrushing frequency (p=0.021), consumption frequency of juices (p=0.020), and parental child’s reported oral health p=0.025), but no important associations were found with the clinical indexes used, neither with oral health related quality of life.
Conclusion: The two developed instruments demonstrated good psychometric properties, are easy to use and can be used for outcomes research in clinical and public health settings in Greece. The examination of the relationship of parental oral health literacy and child’s oral health revealed several parameters that have significant influence, while where no associations were found, further testing is required in samples who do not seek dental care and populations with worse clinical determined oral health status.
Main subject category:
Health Sciences
Keywords:
Oral health literacy, Children's oral health, Children's oral health related quality of life
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
499
Number of pages:
167
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