Evidence map›Paper›PMID 32385848›Full record

ArticleJournal of racial and ethnic health disparities2020

Health Literacy and Parental Oral Health Knowledge, Beliefs, Behavior, and Status Among Parents of American Indian Newborns.

Angela G Brega, Luohua Jiang, Rachel L Johnson, Anne R Wilson, Sarah J Schmiege, Judith Albino

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pathways Through Which Health Literacy Is Linked to Parental Oral Health Behavior in an American Indian Tribe.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
    Trial
  3. Trial
  4. Assessment of Oral Health Literacy of Parents Regarding Their Children's Oral Health: A Cross-Sectional Study.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  5. Association of parental oral health literacy and child temperament with dental attendance in children with early childhood caries: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
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  19. Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Angela G BregaCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO, 80045, USA. angela.brega@cuanschutz.edu.ORCID 0000-0002-7319-4892
Luohua JiangDepartment of Epidemiology, School of Medicine, University of California Irvine, 205B Irvine Hall, Irvine, CA, 92697, USA.
Rachel L JohnsonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO, 80045, USA.
Anne R WilsonDepartment of Pediatric Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, 13123 East 16th Avenue, Aurora, CO, 80045, USA.
Sarah J SchmiegeDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO, 80045, USA.
Judith AlbinoCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO, 80045, USA.
Colorado School of Public Health · USUniversity of California, Irvine · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Statistics and Data Coordinating CenterU54DE019285 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAMOS-GOMEZ, FRANCISCO J. · 2008 to 2014
$24.9M
Statistical Core (formerly Statistics and Data Coordinating Center)U54DE019259 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI ALBINO, JUDITH E.N. · 2008 to 2016
$20.6M
Research Program and Administrative CenterU54DE019275 · NIDCR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GARCIA, RAUL I · 2008 to 2015
$17.1M
Relationship of Parental Health Literacy with Change Over Time in Oral Health Outcomes Among American Indian ChildrenR01DE027077 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI BREGA, ANGELA GWEN · 2018 to 2020
$898k
NIDCR NIH HHS R01 DE027077NIDCR NIH HHS U54 DE019259NIDCR NIH HHS U54 DE019275NIDCR NIH HHS U54 DE019285
6 · The paper itself

Abstract

objectiveTo examine the relationship between health literacy (HL) and parental oral health knowledge, beliefs, behavior, and self-reported oral health status (OHS) among parents of American Indian (AI) children.

methodsThis analysis used baseline data from a randomized controlled trial that tested an oral health intervention with parents of AI newborns. Participants were recruited in parent-child dyads (N = 579). Parents completed items assessing sociodemographic characteristics, HL, and parental oral health knowledge, beliefs, behavior, and self-reported OHS. We examined the correlation of HL with each oral health construct, controlling for parent age and income.

resultsOn average, parents felt quite confident in their HL skills, performed well on questions assessing parental oral health knowledge, and endorsed beliefs likely to encourage positive parental oral health behaviors (e.g., confidence that one can successfully engage in such behaviors). Parents with more limited HL had significantly less knowledge, perceived cavities to be less severe, perceived more barriers and fewer benefits to recommended oral health behaviors, were less confident they could engage in these behaviors, and were more likely to believe their children's oral health was under the control of the dentist or a matter of chance (P values < 0.001). Limited HL was not associated with behavior (P > 0.05) but was linked to worse self-reported OHS (P = 0.040).

conclusionsHL was associated with parental oral health knowledge, beliefs, and self-reported OHS. Oral health education interventions targeting AI families should facilitate development of knowledge and positive oral health beliefs among parents with more limited HL skills.

Indexed as

Child HealthHealth BehaviorHealth LiteracyOral HealthAdolescentAdultAmerican Indian or Alaska NativeAttitude to HealthChildChild, PreschoolDental CariesFemaleHealth Knowledge, Attitudes, PracticeHumansInfantInfant, NewbornAmerican IndiansDental cariesHealth behaviorHealth literacyPediatric

Identifiers

PMID32385848
PMCPMC8053009
OpenAlexW3023596466

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.