ArticleInternational journal of public health2026
Oral Hygiene Behavior Among Asylum Seekers and Refugees Using Health Beliefs Model: A Cross-Sectional Study.
Article in International journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study examined oral hygiene behavior (OHB) and Health Belief Model-based (HBM) determinants among asylum seekers and refugees (ASR). Methods: Cross-sectional survey data from 300 Arabic-speaking ASRs in Switzerland were analyzed for associations of two OHB outcomes (Adequate: toothbrushing twice a day; interdental cleaning at least each other day) with HBM-based explanatory variables. Mixed logistic regression models were used, adjusting for age, sex, education, and household. Results: Inadequate-OHB was common (toothbrushing: 47%; interdental cleaning: 65%). ASRs reporting higher self-efficacy under stress, more likely reported adequate-OHB (toothbrushing: odds ratio (95% confidence interval) 2.93 (0.68,12.70); interdental cleaning: 3.10 (2.28,4.22). Barriers (anticipating pain or breakage, lack of time, limited knowledge) were associated with reduced likelihood of adequate-OHB (interdental cleaning: don't know how: 0.76 (0.61, 0.95)). Benefits were associated with adequate interdental cleaning (making mouth feel better: 1.61 (1.14, 2.27); saving money later: 1.36 (1.01; 1.82)). The likelihood of adequate toothbrushing increased with autonomy (control of decisions on one's dental health: 1.40 (0.91, 2.17)). Conclusion: Self-efficacy, autonomy, barriers and benefits may be key OHB determinants among ASRs, but need testing in intervention studies.
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