Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study
Sérigne Dieng aff001; Daouda Cisse aff003; Pierre Lombrail aff001; Sylvie Azogui-Lévy aff001
Působiště autorů: Educations and Health Practices Laboratory (LEPS EA 3412) Faculty of medicine, Paris 13 University, Bobigny, France aff001; Sanitary district of Koki, Louga, Sénégal aff002; Public Health Service, Department of Dentistry, Faculty of medicine, pharmacy and dentistry, University Cheik Anta Diop, Dakar, Sénégal aff003; Public Health Department, Faculty of medicine, Paris 13 University, Bobigny, France aff004; Dental Public Health Department, Paris Diderot University, Paris, France aff005
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
Context and objective
As elsewhere, disadvantaged children in Senegal are those most affected by dental diseases and difficulties in obtaining dental care. Studies conducted mainly in developed countries suggest that a low level of mothers’ OHL is correlated with poor oral health of their children. The objective of this study is to estimate the level of mothers’ OHL in Senegal and its relationto the dental health of their children.
This cross-sectional epidemiological survey took place among 315 children aged from 3 to 9 years old and their mothers. It estimated the children’s dental health status by clinical examination which used a disposable examination kit and a headlamp, took place at the child’s home, in the mother’s presence. Examiners interviewing the mothers administered the Oral Health Literacy-Adult Questionnaire to determine their OHL and questioned them further about their social characteristics and their children’s dental health behaviour. Logistic regression and correlations were used for the statistical analysis.
The OHL score ranges from 0 to 17; mothers’ mean score was 6.5 (±3.1) and 56.5% had a low score (below the median). The prevalence of dental caries in children was 64.8%. Mothers’ high OHL is associated with children caries free and low prevalence of dental caries. The logistic regression showed a significantly protective relation between children’s dental caries and mothers’ high OHL scores (mean score 12–17) (OR = 0.51, 95% CI: 0.29–0.88), high educational level (OR = 0.42, 95% CI: 0.23–0.76) and a high level of social contact (OR = 0.31, 95% CI: 0.15–0.63). The structural analysis showed that OHL was significantly correlated with both the mothers’ social position (r = 0.61 and P<0.001) and the children’s caries (r = -0.26 and P<0.001).
The OHL level of Senegalese mothers was significantly associated with their children’s dental caries. Improving mothers’ OHL might therefore help strengthen their capacities to promote oral health, thus helping to improve their children’s dental health and reduce inequalities.
Caries – Educational attainment – Child health – Children – Mothers – Oral health – Oral medicine – Parenting behavior
1. Varenne B, Fournet F, Cadot E, Msellati P, Ouedraogo HZ, Meyer PE, et al. Environnement familial et disparités de santé dentaire des enfants en milieu urbain au Burkina Faso. Rev Epidémiologie Santé Publique 2011;59(6):385‑92.
2. Petersen PE. Global policy for improvement of oral health in the 21st century—implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dent Oral Epidemiol 2009;37(1):1‑8. doi: 10.1111/j.1600-0528.2008.00448.x 19046331
3. Leye Benoist F, Bane K, Aidara A, Ndiaye D, Chouker Y, Kane AW. Prévalence de la carie dentaire chez les élèves de 12 ans de la région de Dakar Odonto-Stomatol. Trop Dent J 2014;(146):58‑64.
4. Cisse D, Diouf M, Faye D, Lo CMM, Sembene NM. Status of dental caries in the toddlers’ residences of the Dakar area, Senegal. Odonto-Stomatol Trop Dent J 2009;32(125):25‑31.
5. Martins MT, Sardenberg F, Abreu MH, Vale MP, Paiva SM, Pordeus IA. Factors associated with dental caries in Brazilian children: a multilevel approach. Community Dent Oral Epidemiol 2014;42(4):289‑99. doi: 10.1111/cdoe.12087 24354434
6. Olutola BG, Ayo-Yusuf OA. Socio-environmental factors associated with self-rated oral health in South Africa: a multilevel effects model. Int J Environ Res Public Health 2012;9(10):3465‑83. doi: 10.3390/ijerph9103465 23202757
7. Warren JJ, Blanchette D, Dawson DV, Marshall TA, Phipps KR, Starr D, et al. Factors associated with dental caries in a group of American Indian children at age 36 months. Community Dent Oral Epidemiol 2016;44(2):154‑61. doi: 10.1111/cdoe.12200 26544674
8. Vann WF, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res 2010;89(12):1395‑400. doi: 10.1177/0022034510379601 20924067
9. Shetty RM, Deoghare A, Rath S, Sarda R, Tamrakar A. Influence of mother′s oral health care knowledge on oral health status of their preschool child. S J Oral Sci 2016;3(1):12‑6.
10. Van den Branden S, Van den Broucke S, Leroy R, Declerck D, Hoppenbrouwers K. Effects of time and socio-economic status on the determinants of oral health-related behaviours of parents of preschool children. Eur J Oral Sci 2012;120(2):153‑60. doi: 10.1111/j.1600-0722.2012.00951.x 22409222
11. Fisher-Owens SA, Gansky SA, Platt LJ, Weintraub JA, Soobader M-J, Bramlett MD, et al. Influences on Children’s Oral Health: A Conceptual Model. Pediatrics2007;120(3):e510‑20. doi: 10.1542/peds.2006-3084 17766495
12. Duijster D, van Loveren C, Dusseldorp E, Verrips GHW. Modelling community, family, and individual determinants of childhood dental caries. Eur J Oral Sci2014;122(2):125‑33. doi: 10.1111/eos.12118 24524246
13. Kranz AM, Pahel BT, Rozier RG. Oral literacy demand of preventive dental visits in a pediatric medical office: a pilot study. Pediatr Dent 2013;35(2):E68–74. 23635973
14. Nutbeam D. The evolving concept of health literacy. Soc Sci Med 19822008;67(12):2072‑8. doi: 10.1016/j.socscimed.2008.09.050 18952344
15. American Dental Association. Health literacy in dentistry [Internet]. 2006. Disponible sur: https://www.ada.org/en/public-programs/health-literacy-in-dentistry
16. Horowitz AM, Kleinman DV. Oral health literacy: a pathway to reducing oral health disparities in Maryland: Oral health literacy: reducing disparities. J Public Health Dent 2012;72:S26‑30. doi: 10.1111/j.1752-7325.2012.00316.x 22433091
17. Divaris K, Lee JY, Baker AD, Vann WF. Caregivers’ oral health literacy and their young children’s oral health-related quality-of-life. Acta Odontol Scand 2012;70(5):390‑7. doi: 10.3109/00016357.2011.629627 22150574
18. Brega AG, Thomas JF, Henderson WG, Batliner TS, Quissell DO, Braun PA, et al. Association of parental health literacy with oral health of Navajo Nation preschoolers. Health Educ Res 2016;31(1):70‑81. doi: 10.1093/her/cyv055 26612050
19. Blizniuk A, Ueno M, Zaitsu T, Kawaguchi Y. Association of oral health literacy with oral health behaviour and oral health status in Belarus. Community Dent Health 2015;32(3):148‑52. 26513849
20. Lee JY, Rozier RG, Lee S-YD, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30—a brief communication. J Public Health Dent 2007;67(2):94‑8. doi: 10.1111/j.1752-7325.2007.00021.x 17557680
21. Gong DA, Lee JY, Rozier RG, Pahel BT, Richman JA, Vann WF. Development and testing of the Test of Functional Health Literacy in Dentistry (TOFHLiD). J Public Health Dent 2007;67(2):105‑12. doi: 10.1111/j.1752-7325.2007.00023.x 17557682
22. Macek MD, Haynes D, Wells W, Bauer-Leffler S, Cotten PA, Parker RM. Measuring conceptual health knowledge in the context of oral health literacy: preliminary results. J Public Health Dent 2010;70(3):197‑204. doi: 10.1111/j.1752-7325.2010.00165.x 20337901
23. Vichayanrat T, Sittipasoppon T, Rujiraphan T, Meeprasert N, Kaveepansakol P, Atamasirikun Y. Oral health literacy among mothers of preschool children Oral health literacy among mothers of pre-school children. M Dent J 2014;34(3):243‑52.
24. Naghibi Sistani MM, Montazeri A, Yazdani R, Murtomaa H. New oral health literacy instrument for public health: development and pilot testing. J InvestigClin Dent 2014;5(4):313‑21.
25. Nutbeam D. Healthliteracy as a population strategy for health promotion. JJHEP 2017; 25(3):210–222. Disponible: https://www.jstage.jst.go.jp/article/kenkokyoiku/25/3/25_210/_pdf
26. Watt RG, Sheiham A. Integrating the common risk factor approach into a social determinants framework. Community Dent Oral Epidemiol 2012;40(4):289‑96. doi: 10.1111/j.1600-0528.2012.00680.x 22429083
27. Broadbent JM, Thomson WM, Poulton R. Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res 2006;85(4):339‑43. doi: 10.1177/154405910608500411 16567555
28. WHO. Oral health surveys: basic methods - 5th edition. Généve,Suisse; 2013. 125 p.
29. Calvasina P, Lawrence HP, Hoffman-Goetz L, Norman CD. Brazilian immigrants’ oral health literacy and participation in oral health care in Canada. BMC Oral Health 2016;16:18. doi: 10.1186/s12903-016-0176-1 26875752
30. Bridges SM, Parthasarathy DS, Wong HM, Yiu CKY, Au TK, McGrath CPJ. The relationship between caregiver functional oral health literacy and child oral health status. Patient Educ Couns 2014;94(3):411‑6. doi: 10.1016/j.pec.2013.10.018 24308901
31. Veerasamy A, Kirk RC. Oral health literacy of parents of pre-schoolers in New Zealand. J Theory Pract Dent Public Health 2013;1(4):20‑9.
32. Edwards M, Wood F, Davies M, Edwards A. « Distributed health literacy »: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition. Health Expect Int J Public Particip Health Care Health Policy 2015;18(5):1180‑93.
33. Diagne M. Critique de la raison orale: les pratiques discursives en Afrique noire. Sénégal: Karthala; 2005. 604 p.
34. Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health 2012;102(5):923‑9. doi: 10.2105/AJPH.2011.300291 22021320
35. Vyas S, Nagarajappa S, Dasar PL, Mishra P. Linguistic adaptation and psychometric evaluation of original Oral Health Literacy-Adult Questionnaire (OHL-AQ). J Adv Med Educ Prof 2016;4(4):163‑9. 27795966
36. Benadof D, Hajishengallis E, Cole A, Vidal C. Oral literacy demand in the pediatric dental clinic: a pilot study. Int J Paediatr Dent 2017;27(5):326‑33. doi: 10.1111/ipd.12265 27610600
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