{"title":"A cross-sectional study of mothers' oral health literacy on oral health status of children.","authors":"Aida Nourian, Leili Tapak, Fahimeh Daneshyar, Maryam Afshari","doi":"10.1177/0265539X251355305","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>In Iran, few studies have been conducted on children's oral and dental indices and the effect of mothers' oral health literacy on these indices. This study was conducted with the aim of determining the level of mothers' oral health literacy (OHL) in relation to the oral health status of children attending dental clinics, compared to comprehensive health services.</p><p><strong>Methods: </strong>In this cross-sectional study conducted in Iran, we examined the oral health of 436 children aged 3-12 and their mothers. The study utilized the WHO's pathway model and the Fisher-Owens framework to assess structural, intermediate, and direct factors influencing oral health. Data were collected through clinical examinations and interviews, focusing on demographics, oral health literacy (Adult Oral Health Literacy Questionnaire), and behaviors (Children's Oral Health Behavior Questionnaire).</p><p><strong>Results: </strong>The dental health assessment indicated moderate levels of decayed, missing, and filled teeth, affecting 42.6% of individuals in comprehensive health services and 45.7% in dental clinics. In both groups, children's oral health behavior improved with older siblings, age, and a smaller household size (p < 0.05). In dental clinics, higher maternal oral health literacy was linked to a lower incidence of dental issues (IRR = 0.73, p = 0.007). Children of mothers with higher education exhibited a lower incidence rate of dental problems compared to those with housewife mothers (IRR = 0.75, <i>p</i> = .001). Additionally, moderate oral health behavior in children correlated with a reduced incidence of dental issues compared to poor oral health behavior (IRR = 0.50, <i>p</i> = .001).</p><p><strong>Conclusions: </strong>The study's findings indicate that higher maternal oral health literacy is positively associated with improved oral health in children. This underscores the significance of educational initiatives designed to enhance mothers' understanding of oral health, ultimately contributing to better dental health outcomes for their children.</p>","PeriodicalId":10647,"journal":{"name":"Community dental health","volume":"42 3","pages":"54-63"},"PeriodicalIF":0.9000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community dental health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/0265539X251355305","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: In Iran, few studies have been conducted on children's oral and dental indices and the effect of mothers' oral health literacy on these indices. This study was conducted with the aim of determining the level of mothers' oral health literacy (OHL) in relation to the oral health status of children attending dental clinics, compared to comprehensive health services.
Methods: In this cross-sectional study conducted in Iran, we examined the oral health of 436 children aged 3-12 and their mothers. The study utilized the WHO's pathway model and the Fisher-Owens framework to assess structural, intermediate, and direct factors influencing oral health. Data were collected through clinical examinations and interviews, focusing on demographics, oral health literacy (Adult Oral Health Literacy Questionnaire), and behaviors (Children's Oral Health Behavior Questionnaire).
Results: The dental health assessment indicated moderate levels of decayed, missing, and filled teeth, affecting 42.6% of individuals in comprehensive health services and 45.7% in dental clinics. In both groups, children's oral health behavior improved with older siblings, age, and a smaller household size (p < 0.05). In dental clinics, higher maternal oral health literacy was linked to a lower incidence of dental issues (IRR = 0.73, p = 0.007). Children of mothers with higher education exhibited a lower incidence rate of dental problems compared to those with housewife mothers (IRR = 0.75, p = .001). Additionally, moderate oral health behavior in children correlated with a reduced incidence of dental issues compared to poor oral health behavior (IRR = 0.50, p = .001).
Conclusions: The study's findings indicate that higher maternal oral health literacy is positively associated with improved oral health in children. This underscores the significance of educational initiatives designed to enhance mothers' understanding of oral health, ultimately contributing to better dental health outcomes for their children.
期刊介绍:
The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society.
The discipline covers a wide range and includes such topics as:
-oral epidemiology-
oral health services research-
preventive dentistry - especially in relation to communities-
oral health education and promotion-
clinical research - with particular emphasis on the care of special groups-
behavioural sciences related to dentistry-
decision theory-
quality of life-
risk analysis-
ethics and oral health economics-
quality assessment.
The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.