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Article: Behavioral pathways explaining oral health disparity in children

TitleBehavioral pathways explaining oral health disparity in children
Authors
Issue Date2010
PublisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925
Citation
Journal Of Dental Research, 2010, v. 89 n. 9, p. 985-990 How to Cite?
AbstractPolicymakers understanding of and ability to reduce health disparities are pivotal for health promotion worldwide. This study aimed to verify the behavioral pathways leading to oral health disparities. Oral examinations were conducted for 1782 randomly selected preschoolers (3-6 yrs), and 1576 (88.4%) participants were followed up after 12 months. Parents were surveyed on their knowledge (K), attitude (A), and practices (P) regarding their childrens oral health homecare (infant feeding, diet, and oral hygiene) and dental attendance. Structural equation modeling substantiated the links between specific KAs and corresponding practices, while generic KA did not affect practices. KAP pathways partly explained the ethnic and socioeconomic disparities in oral health. Deprivation had a direct effect (not mediated by KA) on dental attendance, but not on oral health homecare. Ethnicity directly influenced oral health homecare practices, but not dental attendance. These behavioral pathways, furthering our understanding of health disparity, may have practical implications for health promotion and policy-making. © International & American Associations for Dental Research.
Persistent Identifierhttp://hdl.handle.net/10722/136768
ISSN
2015 Impact Factor: 4.602
2015 SCImago Journal Rankings: 1.714
ISI Accession Number ID
Funding AgencyGrant Number
Singapore Ministry of EducationR222-000-021-112
R222-000-022-112
Funding Information:

We appreciate the assistance of the kindergarten staffs, the financial support of the Singapore Ministry of Education Academic Research Fund (R222-000-021-112 and R222-000-022-112), and the involvement of Dr. Robert Yee in refining the manuscript.

References

 

DC FieldValueLanguage
dc.contributor.authorGao, XLen_HK
dc.contributor.authorHsu, CYSen_HK
dc.contributor.authorXu, YCen_HK
dc.contributor.authorLoh, Ten_HK
dc.contributor.authorKoh, Den_HK
dc.contributor.authorHwarng, HBen_HK
dc.date.accessioned2011-07-29T02:11:38Z-
dc.date.available2011-07-29T02:11:38Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Dental Research, 2010, v. 89 n. 9, p. 985-990en_HK
dc.identifier.issn0022-0345en_HK
dc.identifier.urihttp://hdl.handle.net/10722/136768-
dc.description.abstractPolicymakers understanding of and ability to reduce health disparities are pivotal for health promotion worldwide. This study aimed to verify the behavioral pathways leading to oral health disparities. Oral examinations were conducted for 1782 randomly selected preschoolers (3-6 yrs), and 1576 (88.4%) participants were followed up after 12 months. Parents were surveyed on their knowledge (K), attitude (A), and practices (P) regarding their childrens oral health homecare (infant feeding, diet, and oral hygiene) and dental attendance. Structural equation modeling substantiated the links between specific KAs and corresponding practices, while generic KA did not affect practices. KAP pathways partly explained the ethnic and socioeconomic disparities in oral health. Deprivation had a direct effect (not mediated by KA) on dental attendance, but not on oral health homecare. Ethnicity directly influenced oral health homecare practices, but not dental attendance. These behavioral pathways, furthering our understanding of health disparity, may have practical implications for health promotion and policy-making. © International & American Associations for Dental Research.en_HK
dc.languageengen_US
dc.publisherSage Publications, Inc.. The Journal's web site is located at http://www.sagepub.com/journalsProdDesc.nav?prodId=Journal201925en_HK
dc.relation.ispartofJournal of Dental Researchen_HK
dc.subject.meshChilden_HK
dc.subject.meshChild, Preschoolen_HK
dc.subject.meshChina - ethnologyen_HK
dc.subject.meshDental Caries - epidemiology - ethnology - psychologyen_HK
dc.subject.meshDiet, Cariogenicen_HK
dc.subject.meshEducational Statusen_HK
dc.subject.meshEthnic Groupsen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Behavior - ethnologyen_HK
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_HK
dc.subject.meshHealth Status Disparitiesen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshIndia - ethnologyen_HK
dc.subject.meshLeast-Squares Analysisen_HK
dc.subject.meshMalaysia - ethnologyen_HK
dc.subject.meshMaleen_HK
dc.subject.meshOral Hygiene - utilizationen_HK
dc.subject.meshParents - psychologyen_HK
dc.subject.meshPrincipal Component Analysisen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshQuestionnairesen_HK
dc.subject.meshSingapore - epidemiologyen_HK
dc.subject.meshSocioeconomic Factorsen_HK
dc.subject.meshToothbrushing - utilizationen_HK
dc.titleBehavioral pathways explaining oral health disparity in childrenen_HK
dc.typeArticleen_HK
dc.identifier.emailGao, XL:gaoxl@hkucc.hku.hken_HK
dc.identifier.authorityGao, XL=rp01509en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1177/0022034510372896en_HK
dc.identifier.pmid20554887-
dc.identifier.scopuseid_2-s2.0-77956027830en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956027830&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume89en_HK
dc.identifier.issue9en_HK
dc.identifier.spage985en_HK
dc.identifier.epage990en_HK
dc.identifier.eissn1544-0591-
dc.identifier.isiWOS:000281081500018-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridGao, XL=36102275600en_HK
dc.identifier.scopusauthoridHsu, CYS=7404946106en_HK
dc.identifier.scopusauthoridXu, YC=36155898100en_HK
dc.identifier.scopusauthoridLoh, T=36849141600en_HK
dc.identifier.scopusauthoridKoh, D=7103039121en_HK
dc.identifier.scopusauthoridHwarng, HB=6701396143en_HK

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