ArticleCommunity dentistry and oral epidemiology2018
Parental psychosocial factors and childhood caries prevention: Data from an American Indian population.
Article in Community dentistry and oral epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Parental psychosocial factors and children's oral health-related quality of life: Data from a caries prevention study with phone-based support.BMC oral health · 2025Trial
- Trial
- Oral health literacy from a person-centered focus in the United States: a narrative review.BMC oral health · 2025Review
- Mediation Effect of Dental Caries in the Relationship between Parental Locus of Control and Oral Health-Related Quality of Life.Caries research · 2025Article
- Oral health of Dutch primary school children in relation to social and health aspects.Acta odontologica Scandinavica · 2024Article
- Relevance of Sociocultural Inequalities and Parents' Origins in Relation to the Oral Health of Preschoolers in Lanzarote, Spain.Healthcare (Basel, Switzerland) · 2023Article
- Development of Mothers' Health Literacy: Findings From the KUNO-Kids Study.Health literacy research and practice · 2023Article
- Aspirations and Worries: The Role of Parental Intrinsic Motivation in Establishing Oral Health Practices for Indigenous Children.International journal of environmental research and public health · 2021Article
- Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study.BMC oral health · 2020Article
- Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in American Indian Children.JDR clinical and translational research · 2018Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesThe objective of this study was to examine the association among psychological and social variables reported by American Indian parents/caregivers of preschool children and changes in their Oral Health Knowledge and Behaviors related to care of their children's teeth. We also investigated the relationship of these factors with progression of caries, as reflected by changes in their children's dmfs.
methodsThe data used for this study were collected at baseline in a clinical trial of an oral health promotion intervention comprising behavioural and clinical interventions for caries prevention delivered by tribal members on a large Southwestern American Indian reservation. Linear regression analyses were performed for changes (baseline to Year 1) in dmfs, Oral Health Knowledge and Oral Health Behavior scores, with baseline psychosocial measures, taken individually, as the independent variables.
resultsParents' attitudes and beliefs were associated with increases in their Oral Health Knowledge and Behavior and also with the progression of caries for their children. When all participants were considered together, increases in children's dmfs were smaller when the caregiver had higher Internal Oral Health Locus of Control (e = -1.33, P = .004), higher Health Literacy (e = -1.55, P < .01), and higher Financial Stability (e = -4.46, P = .03), and lower scores for the Barriers subscale (e = 1.57, P < .01) of the Health Belief Model. For parents in the Intervention group, higher scores on Locus of Control, reflecting beliefs that chance, or other people determine their children's oral health, were associated with larger increases in Oral Health Knowledge (e = 1.73, P = .04) and Behaviors (e = 4.00, P = .005).
conclusionsPrevention of early childhood caries in American Indian children has proved to be especially challenging. Some of the measures identified in this report may suggest promising directions to prevention through approaches that build on competencies and skills to be learned and used within a context more broadly focused on parenting and management of health and family challenges.
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