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Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children

Bibliographic Data

ID15477751
AuthorsAngela G Brega (0000-0002-7319-4892, Colorado School of Public Health, corresponding author), Rachel L Johnson (0000-0003-3002-5412, Colorado School of Public Health), Luohua Jiang (0000-0002-2281-7260, University of California, Irvine), Anne R Wilson (0000-0002-7810-9968, University of Colorado Anschutz Medical Campus), Anne Wilson (0000-0001-7954-6038, University of Colorado Anschutz Medical Campus), Sarah J Schmiege (0000-0003-0729-6556, Colorado School of Public Health), Judith Albino (0000-0003-2890-9227, Colorado School of Public Health)
Year2021
Volume18
Issue11
Pages5633-5633
Publication date2021-05-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18115633
PMID34070347
OpenAlexW3164976556
LanguageEN
References cited40

In cross-sectional studies, parental health literacy (HL) is associated with children's oral health. It is unclear, however, whether HL influences pediatric outcomes. We examined the relationship of HL with change over time in parental oral health knowledge, beliefs, and behaviors, as well as pediatric oral health outcomes. We used longitudinal data from a study designed to reduce dental decay in American Indian children ( N = 579). At baseline and annually for three years, parents answered questions assessing HL; oral health knowledge, beliefs, and behaviors; and pediatric oral health status. The number of decayed, missing, and filled tooth surfaces (dmfs) was computed based on annual dental evaluations. Linear mixed models showed that HL was significantly associated with all constructs, except dmfs, at their reference time points and persistently across the three-year study period. HL predicted change over time in only one variable, parents' belief that children's oral health is determined by chance or luck. HL is strongly associated with oral health knowledge, beliefs, behaviors, and status prospectively but is not a key driver of change over time in these oral health constructs

Developmental psychology · Family medicine · Health care · Health literacy · Literacy · Longitudinal study · Oral health · Demography · Dental Health and Care Utilization · Health Literacy and Information Accessibility · Medicine · Pediatric health and respiratory diseases · Psychology

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