Pathways Through Which Health Literacy Is Linked to Parental Oral Health Behavior in an American Indian Tribe
| Autor: | Sarah J. Schmiege, Rachel L. Johnson, Judith Albino, Angela G. Brega, Anne Wilson, Luohua Jiang |
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| Rok vydání: | 2021 |
| Předmět: |
Dental decay
Parents Health Knowledge Attitudes Practice Health Behavior Health literacy Oral Health Oral health Basic Behavioral and Social Science Medical and Health Sciences law.invention Education 03 medical and health sciences American Indians or Alaska Natives 0302 clinical medicine Quality of life (healthcare) Randomized controlled trial law Clinical Research Behavioral and Social Science Tribe Humans 030212 general & internal medicine Path analysis Path analysis (statistics) Child General Psychology American Indian or Alaska Native Health beliefs Practice Health Knowledge Prevention Direct effects Psychology and Cognitive Sciences Regular Article 030206 dentistry Health Literacy Psychiatry and Mental health Cross-Sectional Studies Attitudes American Indian Quality of Life Public Health Psychology Pediatric oral health Clinical psychology |
| Zdroj: | Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, vol 55, iss 11 Ann Behav Med |
| Popis: | Background Health literacy (HL) is the “ability to find, understand, evaluate and put information to use to improve decision making and, ultimately, improve health and quality of life.” Parents with limited HL are less likely to follow recommended parental oral health behaviors. Purpose We tested a theoretical framework designed to clarify mechanisms through which HL may influence parental oral health behavior. The framework proposed that HL: (a) has a direct effect on parental oral health knowledge, beliefs (i.e. self-efficacy; perceived susceptibility, severity, benefits, barriers), and behavior; (b) influences beliefs indirectly through knowledge; and (c) influences behavior indirectly through knowledge and beliefs. Methods We analyzed cross-sectional data from a randomized controlled trial designed to reduce dental decay in American Indian children (N = 521). Parents completed survey questions assessing sociodemographic characteristics, HL, and parental oral health knowledge, beliefs, and behavior. Path analysis was used to test the framework. Results HL exerted significant direct effects on knowledge and beliefs but not behavior. HL had significant indirect effects on all beliefs through knowledge. Significant indirect effects of HL on behavior occurred through self-efficacy (estimate: 0.99, 95% CI: 0.42, 1.83, p = .005), perceived barriers (estimate: 0.73, 95% CI: 0.29, 1.43, p = .010), knowledge to self-efficacy (estimate: 0.57, 95% CI: .31, 0.98, p = .001), and knowledge to perceived barriers (estimate: 0.24, 95% CI: 0.09, 0.47, p = .012). Conclusions HL exerted an indirect effect on parental oral health behavior, with knowledge, self-efficacy, and perceived barriers being the primary constructs linking HL to behavior. |
| Databáze: | OpenAIRE |
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