ArticleBMJ open2022
Association of oral health knowledge, self-efficacy and behaviours with oral health-related quality of life in Chinese primary school children: a cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 10 citations in OpenAlex.
- Association of Parental Oral Health Knowledge and Self-Efficacy with Early Childhood Caries and Oral Health Quality of Life in Texas Schoolchildren.International journal of environmental research and public health · 2025Trial
- Self-Efficacy, Psychological State, Oral Health Behaviour, and Oral Health-Related Quality of Life in Chinese Patients With Periodontal Disease.International dental journal · 2026Article
- Perceived enjoyment from virtual experience to real-world care: how Chinese digital games containing TCM culture influence players' TCM treatment intention.Frontiers in public health · 2026Article
- Oral Health-Related Quality of Life and Depression in Patients with Schizophrenia: The Mediating Roles of Oral Health Literacy and Oral Health-Related Self-Efficacy in a Cross-Sectional Structural Equation Analysis.Neuropsychiatric disease and treatment · 2026Article
- Long-Term Impact of Childhood Dental Attendance on Perceived Adult Oral Health: The British Cohort Study.Journal of public health dentistry · 2025Article
- Self-efficacy and healthy lifestyle behaviors as mediators between COVID-19 care knowledge and health status.Scientific reports · 2024Article
- The Effect of Parents' Nutrition Literacy on Children's Oral-Health-Related Quality of Life.International journal of environmental research and public health · 2024Article
- The influence factors on pit and fissure sealing behavior of 12-year-old children: a cross-sectional study in Zhejiang, China.BMC pediatrics · 2024Article
- Translation and validation into Spanish of the oral health self-efficacy scale in Chilean older adults.BMC oral health · 2024Article
- A case-control study on oral health knowledge and dental behavior among individuals with developmental delays in Jordan: caregiver perspective.Frontiers in dental medicine · 2024Article
- Variables associated with oral health-related self-efficacy - results of a cross-sectional study.BMC oral health · 2023Article
- Social support, oral health knowledge, attitudes, practice, self-efficacy and oral health-related quality of life in Chinese college students.Scientific reports · 2023Article
- Impact of Dental Status on Oral Health-related Quality of Life in Children with Missing or Multiple Teeth in Saudi Arabia: A Cross-sectional Analysis.Journal of International Society of Preventive & Community DentistryArticle
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAchieving good oral health-related quality of life (OHRQOL) is of particular concern in children. The inter-relations among oral health knowledge, self-efficacy, behaviours and OHRQOL in children groups remain unclear. This study aimed to explore the inter-relations between these oral health behaviour-related factors and OHRQOL in primary school children.
methodsIn this cross-sectional study, 651 children in grades 2 and 3 were recruited in October 2020 from two primary schools in Minhang District, Shanghai, China. Data were collected through self-reported questionnaires, consisting of demographic characteristics, oral health knowledge, self-efficacy, oral health behaviours and OHRQOL. Pearson's correlation analyses were used to analyse the relationship between study variables. Structural equation models were used to test the inter-relations between OHRQOL and oral health behaviour-related factors.
resultsFour hypothetical structural equation models were tested and one of them was selected as the most appropriate model, which explained 15.0% of the variance in OHRQOL. This selected model showed that oral health behaviours were directly related to OHRQOL. Oral health knowledge was indirectly associated with OHRQOL through both self-efficacy and oral health behaviours. Self-efficacy was directly associated with OHRQOL or was indirectly associated with OHRQOL through oral health behaviours.
conclusionThis study revealed a pathway of association between children's oral health knowledge and their OHRQOL, in which children's oral health self-efficacy and behaviours had indirect effects. This provides a basis for understanding the mechanism of oral health promotion interventions to improve children's OHRQOL and helps to identify direct or indirect intervention targets.
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