ArticlePloS one2025
Development of new bilingual oral health behavior social support (OHBSS) scales in English and Spanish.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Psychometric analysis of the Oral Health Behavior Social Support Short Form scales (OHBSS-SF) among Mexican-American adults.Research square · 2026Article
- The mediating role of resilience in the relationship between perceived family social support and general life satisfaction.Frontiers in psychology · 2026Article
- Factors Associated With Oral Hygiene Practices Among Young Mexican-Identifying Southern Californians.Journal of public health dentistry · 2025Article
- Evaluation of the psychometric properties of the Oral Health Behavior Social Support (OHBSS) Scales in English and Spanish for Mexican-origin young adults.BMC oral health · 2025Article
- A Mixed Methods Comparison of Oral Hygiene Behaviors by Gender Among Mexican-Origin Young Adults in California.Oral (Basel, Switzerland) · 2025Article
- Using a Social Network Approach to Characterize Oral Health Behavior Social Support Among Mexican-Origin Young Adults.Journal of health communication · 2025Article
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14 authors.
Funding
Abstract
This paper describes the simultaneous co-development of Oral Health Behavior Social Support (OHBSS) scales in English and Spanish. OHBSS scales assess social support for toothbrushing, flossing, and dental care utilization, which are targets for interpersonal-level interventions to promote oral health among Hispanic/Latino adults. The focus was on Mexican-origin adults, who comprise the largest United States Hispanic/Latino subgroup and experience a high oral disease burden. All participants self-identified as Mexican-origin adults (ages 21-40 years old), living along the California-Arizona-Mexico border. Independent samples were recruited for each study partnering with Federally Qualified Health Centers. First, we conducted semi-structured interviews about social support for oral health behaviors in August to November 2018 (Study 1, N = 72). Interviews were audio recorded, transcribed (in original language, Spanish or English), and qualitative data were coded and analyzed in Dedoose following three topical codebooks; excerpts were used to co-create the large bilingual item data bank (OHBSSv1). The item bank was pre-tested via 39 cognitive interviews between December 2019 to March 2020, reviewed by an expert panel with several bilingual members, reduced to 107 Spanish/109 English items (OHBSSv2), then pilot tested in January to December 2021 (Study 2, N = 309). Pilot survey data were analyzed through Exploratory Factor Analysis and Horn's parallel analysis, overall and by language, to examine response patterns and inform item selection (OHBSSv3). The scales queried social support for toothbrushing, flossing, and dental care utilization across 39 items from three sources (family, health providers, others/friends), plus up to nine optional dental care-related items (Study 3, conducted April 2022 to February 2023, N = 502). Confirmatory Factor Analysis (CFA) assessed model fit, overall and by language (multiple group CFA). Final OHBSS scales include 37 items, plus seven optional items. Acceptable model fit for three-factor structures for each oral health behavior was found, providing evidence of the scales' construct validity. Cronbach's alphas and McDonald's omegas were tabulated; all were above 0.95, overall and by language, supporting scales' internal consistency.
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