Cross-cultural adaptation of Caregiver oral health knowledge questionnaire and its association with oral health status among Vietnamese children and adolescents with Autism Spectrum Disorder.

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Public Health Research Pub Date : 2026-06-03 eCollection Date: 2026-04-01 DOI:10.1177/22799036261457517

Duc Long Duong, Dong A Tran Luu, Van Anh Le, Tien Dung Nguyen, Manh Tuan Vu, My Hanh Tran Thi, Bach Duong To Thi, Huong Linh Pham Le, Minh Hang Luong

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引用次数: 0

Abstract

Background: Children and adolescents with autism spectrum disorder (ASD) often face oral health challenges and depend heavily on caregivers for daily oral care. In Vietnam, evidence linking caregivers' oral health knowledge to children's oral health remains limited. Therefore, this study aimed to cross-culturally adapt and validate a caregiver oral health knowledge questionnaire for Vietnamese use and investigate its association with oral health status among children and adolescents with ASD.

Materials and methods: A questionnaire on caregivers' oral health knowledge was validated through a pilot study using Cronbach's alpha coefficient and exploratory factor analysis. A cross-sectional study included 170 children and adolescents with ASD and their caregivers. Participants received oral examinations assessing dmft/DMFT, and DI-S. Group differences were analyzed using nonparametric tests. Multivariable negative binomial regression models were applied for dmft and DMFT, and linear regression for DI-S. Significance was set at p < 0.05.

Results: The questionnaire demonstrated acceptable reliability (Cronbach's alpha = 0.73) and mainly unidimensional structure. Higher caregiver knowledge was significantly associated with better oral hygiene (p < 0.001), no association with dmft, and inconsistent associations with DMFT. Age was strongly associated with DMFT (p < 0.001). Household income was the only sociodemographic factor significantly associated with outcomes.

Conclusion: A caregiver oral health knowledge questionnaire underwent cross-cultural adaptation and validation for use in Vietnam. Greater caregiver oral health knowledge and higher income were associated with better oral hygiene in children and adolescents with ASD, highlighting the relevance of caregiver and socioeconomic factors in oral health research for this population.

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越南自闭症谱系障碍儿童和青少年照顾者口腔健康知识问卷的跨文化适应及其与口腔健康状况的关系

背景：患有自闭症谱系障碍（ASD）的儿童和青少年经常面临口腔健康挑战，并且在很大程度上依赖于照顾者的日常口腔护理。在越南，将护理人员的口腔卫生知识与儿童口腔健康联系起来的证据仍然有限。因此，本研究旨在跨文化调整和验证越南人使用的护理人员口腔健康知识问卷，并调查其与ASD儿童和青少年口腔健康状况的关系。材料与方法：采用Cronbach’s alpha系数和探索性因子分析对护理人员口腔健康知识问卷进行初步验证。一项横断面研究包括170名患有自闭症的儿童和青少年及其照顾者。参与者接受口腔检查，评估dmft/ dmft和DI-S。采用非参数检验分析组间差异。dmft和dmft采用多变量负二项回归模型，DI-S采用线性回归模型。p < 0.05为显著性。结果：问卷信度可接受（Cronbach’s alpha = 0.73），以单向度结构为主。更高的护理人员知识与更好的口腔卫生显著相关（p < 0.001），与dmft无关联，与dmft的关联不一致。年龄与DMFT密切相关（p < 0.001）。家庭收入是唯一与结果显著相关的社会人口因素。结论：一份护理人员口腔健康知识问卷在越南进行了跨文化适应和验证。照顾者口腔健康知识的提高和收入的增加与儿童和青少年ASD患者口腔卫生状况的改善相关，这突出了照顾者和社会经济因素在该人群口腔健康研究中的相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Public Health Research PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.70

自引率

4.30%

发文量

116

审稿时长

10 weeks

期刊介绍： The Journal of Public Health Research (JPHR) is an online Open Access, peer-reviewed journal in the field of public health science. The aim of the journal is to stimulate debate and dissemination of knowledge in the public health field in order to improve efficacy, effectiveness and efficiency of public health interventions to improve health outcomes of populations. This aim can only be achieved by adopting a global and multidisciplinary approach. The Journal of Public Health Research publishes contributions from both the “traditional'' disciplines of public health, including hygiene, epidemiology, health education, environmental health, occupational health, health policy, hospital management, health economics, law and ethics as well as from the area of new health care fields including social science, communication science, eHealth and mHealth philosophy, health technology assessment, genetics research implications, population-mental health, gender and disparity issues, global and migration-related themes. In support of this approach, JPHR strongly encourages the use of real multidisciplinary approaches and analyses in the manuscripts submitted to the journal. In addition to Original research, Systematic Review, Meta-analysis, Meta-synthesis and Perspectives and Debate articles, JPHR publishes newsworthy Brief Reports, Letters and Study Protocols related to public health and public health management activities.