EFFECT OF 'BRUSH YOUR TEETH' SONG ON DENTAL AND ORAL HEALTH OF DOWN SYNDROME CHILDREN

To examine the association of family factors on oral health behaviors of children and compare them between permanent residents and migrant children. A total of 3015 children in grades 4, 5, and 6 from 16 elementary schools and their parents in Beijing and Guangzhou, China, were selected through multistage stratified cluster random sampling. Questionnaires constructed for this study were self-completed by children and parents to collect information on children's oral health behaviors (COHB), parents' modeling behaviors (PMB), parents' direct controlling behaviors (PDCB), parents' indirect controlling behaviors (PICB), parents' oral health knowledge and attitudes (POHKA), and children's oral health knowledge and attitudes (COHKA). Correlation analysis and path analysis were used to explore the correlation between COHB and PMB, as well as the effects of family factors [socioeconomic status (SES), PMB, PDCB, PICB, and POHKA on COHB]. Considering all participants, the rates of behavioral similarities of parents and children were 63.8-86.1%, all showing statistical significance. For family factors included, PMB, SES, PICB, and POHKA demonstrated positive relationships with COHB with standardized coefficients of 0.200, 0.122, 0.040, and 0.059 in residents and 0.160, 0.121, 0.090, and 0.041 in migrants, respectively. Family SES was associated with COHB directly and indirectly to a similar degree. In migrants, the relationship between COHKA and COHB was greater than that between PMB and COHB. COHB scores were higher in younger children. In residents, the relationship between PMB and COHB was greater than that between COHKA and COHB. COHB scores were slightly higher in older children indirectly influenced by increases in COHKA. Parents' behaviors shared relatively high similarities with COHB and family factors were associated with COHB greatly. The relationship between PMB and COHB was less than that between COHKA and COHB in migrants. The association between family factors and COHB in disadvantaged populations should be considered when designing children's health education programs.

Children's oral health has been a significant public health issue. This study examined the impact of parental health beliefs and behaviors on preschoolers' oral health behaviors (OHBs) and identified key predictors to guide future interventions. Conducted among 2,393 parents from 46 kindergartens in Minhang District, Shanghai, China, a cross-sectional study collected data via an online questionnaire covering demographics, children's and parental OHBs, parental oral health knowledge, and health beliefs based on the Health Belief Model (HBM). Exploratory factor analysis and hierarchical multiple regression were employed to analyze HBM items and examine relationships between these factors and children's OHBs. The results revealed that the model explained 44.4% of the variance in children's OHBs. Significant predictors included child's age, grade level, parental OHBs, parental oral health knowledge, perceived barriers, and cues to action. Parental OHBs were the strongest predictor, explaining 37.6% of the variance. The study highlights the importance of enhancing parental OHBs and knowledge, reducing perceived barriers, and increasing cues to action in interventions. Future interactive parent workshops in schools and communities should be implemented to strengthen children's oral care skill training, specifically targeting parental cognitive misconceptions while providing accessible oral health resources and conditions.

Parental oral health literacy (OHL) is a determinant of oral health behavior and oral health status of children. To delineate the pathways between parental OHL and oral health consequences in children and to validate the Turkish version of the Oral Health Literacy Assessment Task (TOHLAT-P). This cross-sectional study was conducted with 315 parent-child dyads. The TOHLAT-P was psychometrically evaluated. Item analysis was performed to determine the reliability of the TOHLAT-P. Construct validity was tested by comparing a commonly used instrument using Pearson's product-moment correlation coefficients. A path model was developed to evaluate associations between parental OHL and oral health consequences in children. The model consisted of five endogenous variables (parental oral health behaviors, children's oral health behaviors, children's dental anxiety, dental caries, and oral health-related quality of life [OHRQoL]) and one exogenous variable (parental OHL). A path analysis was used to test the compatibility of the conceptual model, with a statistical significance of p < .001. There was a statistically significant association between parental oral health behaviors and children's oral health behaviors, and between dental caries and OHRQoL. The variable most directly affected by parental OHL was parental oral health behaviors, whereas the variable most indirectly affected by parental OHL was children's oral health behaviors. The path analysis revealed significant associations between parental and children's oral health behaviors, and between dental caries and OHRQoL. Understanding these pathways is necessary to establish strategies to improve children's oral health. The TOHLAT-P will be useful for future assessments of Turkish children.

Oral health behaviours of children are formulated from a very young age. Formation of those behaviours among very young children is dependent on their mothers/caregivers who may themselves require support from the health profession or laypersons. The study aimed to investigate if early life visits for check-up and dental advice and perceived support improved oral health behaviours as practiced by mothers of toddlers aged 24–30 months old. Data from a population-base birth cohort study in South Australia was used. The study recruited and followed mothers of newborn children from birth to age 24–30 months. Parental questionnaires collected information about socioeconomic factors, dental visiting patterns, and oral health behaviours as practiced by the mothers for their child. Self-reported putting a child to bed with a bottle and brushing a child’s teeth were the outcome variables. The two main exposures of this study were (1) early visiting for a dental advice, and (2) layperson support that a mother received in the first two years of having the child. Data were analysed progressively from bivariate to multivariable regression models. A total of 1183 mother/child dyads had complete data. The retained sample was representative of the population. Approximately 36% of mothers put their child to bed with a bottle and 26% of mothers did not brush their child’s teeth the night before. Around 29% of children had a visit for dental check-up and 80% of mothers reported having lay support. There were gradients in the outcome variables by socioeconomic factors and the main exposures. Multivariable regression models reported that having no dental visit for advice and having no lay support were associated with 1.30 and 1.21 imes higher rates of putting a child to bed with a bottle, respectively. Having no dental visit for advice was associated with a 1.37-times higher rate of not brushing a child’s teeth, controlling for other factors. This population-based birth cohort study confirmed importance of early life dental visit for check-up and support for mothers of young children in establishing oral health behaviours of young children.

Dental caries is considered a major health problem among schoolchildren in Lao People’s Democratic Republic (Lao PDR). According to Health Belief Model (HBM)-based research, children’s oral health behavior can be determined by their guardians’ beliefs. This study aimed to describe children’s oral health behavior and its association with childhood dental caries, as well as to assess associations between children’s tooth-brushing behavior and guardians’ beliefs in an urban area of Lao PDR, using HBM. Data were collected from ten primary schools in the Sisattanak district, the Vientiane capital, between 2013 and 2014. Ten dentists with the help of dental hygienists and schoolteachers conducted dental health check-ups at the schools that diagnosed dental caries based on visual inspection. They also conducted a questionnaire-based survey with the schoolchildren’s guardians to collect data including socio-economic and demographic information, their children’s oral health behavior, and guardians’ beliefs derived from HBM, including perceived susceptibility to and perceived severity of child dental caries, perceived benefit of and perceived barrier to child’s tooth brushing, and self-efficacy in making their children brush their teeth twice daily. A mixed-effects logistic regression model assessed the association between dental caries and children’s oral health behavior and between children’s tooth-brushing behavior and guardians’ beliefs. Data from 1161 of 1304 (89.0%) children registered at the schools were used. The prevalence of dental caries was 82%. Children who brushed their teeth ≥ twice/day were significantly less likely to have dental caries than those brushing once or seldom (OR: 0.64, 95% CI: 0.45 to 0.91). The number of children who brushed twice daily also significantly increased with the increased level of guardians’ self-efficacy (OR: 2.14, 95% CI: 1.91 to 2.41). In conclusion, childhood dental caries was associated with daily tooth brushing. Children’s tooth-brushing behavior was associated with guardians’ self-efficacy in making their children brush twice daily.

The aim of this study was to examine the simultaneous interrelationships between parents' oral health behaviour and the oral health status of their school children. Subjects comprised 296 pairs of parents (mother or father) and their children at an elementary school in Hiroshima. The child's dental examination was performed using the World Health Organization (WHO) caries diagnostic criteria for decayed teeth (DT) and filled teeth (FT). The Oral Rating Index for Children (ORI-C) was used for the child's gingival health examination. Hiroshima University Dental Behavioural Inventory (HU-DBI) was used for the assessment of the parents' oral health behaviour. A parent-child behavioural model was tested by the linear structural relations (LISREL) programme. There was a significant correlation between DT and ORI-C (r = - 0.168; P < 0.01). Correlation was found between ORI-C and oral health behaviour in children (OHB-C) (r = 0.182; P < 0.01). OHB-C was significantly associated with the HU-DBI (r = 0.251; P < 0.001). The hypothesized model after some revisions was found to be consistent with the data (chi(2) = 1.3, d.f. = 6, P = 0.97; Goodness of Fit Index = 0.999). Parents' oral health behaviour affected their children's oral health behaviour (P < 0.001). Children's oral health behaviour affected their DT through its effect on gingival health level. Parents' oral health behaviour also had a significant direct effect on their children's DT (P < 0.05). Children's grade affected both DT and their oral health behaviour. Parents' oral health behaviour could influence their children's gingival health and dental caries directly and/or indirectly through its effect on children's oral health behaviour.

The NICPIP trial evaluated the costs and effects of a caries prevention intervention delivered to 2- to 3-year-old children attending dental practices in Northern Ireland. This supplementary study explored the oral health behaviours of children and their parents to help understand the reasons for the trial's findings. A mixed methods study that included a questionnaire completed by all parents (n=1058) at the time they brought their child for the NICPIP final clinical assessment. The questionnaire collected data on frequency of toothbrushing and sugar consumption. Questionnaire data were analysed by trial group and caries status. Parents of trial participants (n=42) were invited to take part in telephone interviews. Parents were purposively sampled according to trial group and whether or not their child developed caries. The interviews explored how and why oral health behaviours happened. Interview data were audio-recorded, transcribed verbatim and analysed thematically. The questionnaire data indicated that toothbrushing and between-meal sugar snacking were common in the majority of children. The children of parents who automatically reminded their child to brush their teeth were more likely to remain caries-free (Odds Ratio 1.24; 95% CI 1.08, 1.41; P=.002). Frequency of sweet drink consumption was associated with the child developing caries (Odds Ratio 0.88; 95% CI 0.79, 0.98; P=.021). The interview data showed that parents had positive attitudes towards brushing both in terms of perceived importance and expected outcomes. Attitudes towards sugar snacking were more complex, with parents reporting difficulties in controlling this behaviour. Sugar was described as being something that was "ever present" in children's lives. Toothbrushing was widely adopted from a young age, but between-meal sugar consumption was highly prevalent. The results suggest that effective family-level and population-level interventions are needed to reduce sugar consumption if substantial improvements in caries prevention are to be achieved.

Intellectual disability is a child who suffers from intellectual ability below average and tends to have retardation in intelligence, physical, emotional, and social. They are not independent enough in keeping their own health especially oral hygiene, it can affect their oral health behavior. Education that is one of external factors influences health behavior. Education and knowledge influence each other so that people are expected to have high education in order to be knowledgeable especially in terms of maintaining health. The purpose of this study was to analyze the correlation between education level and oral health behavior of children suffering from intellectual disability. This research was an observational analytic research with cross sectional approach. The subjects of this study were a number of children of SDLB, SMPLB and SMALB in SLB Sidoarjo, with total sampling as many as 115 students. The subjects were asked to fill out a questionnaire of knowledge and attitude how to brush teeth and performed the action as well. The collected data were analyzed by using spearman correlation test. The result of this research showed that correlation coefficient for education level with knowledge, attitude and behavior was &gt; 0,05, so there was no relation between those variables. Meanwhile, the result of correlation coefficient of education with action was &lt; 0.05, so there was correlation between those two. The conclusion of this research is there is no correlation between the level of education and oral health behavior of intellectual disability children in SLB Sidoarjo.&#x0D; Keywords: Mental retarded, dental health behavior, education level&#x0D;

Parental Social Support and Preschoolers' Oral Health Behaviours: The Mediating Role of Parental Stress and Self-Efficacy.

The covid-19 pandemic is hitting the world including Indonesia. Work from home (WFH) is one of the Indonesian goverment's policy to prevent the spread of covid-19. The mothers knowledge, attitude, and practice regarding oral health are the important indicator that reflect their children's oral health behaviour. Objective: to analyse the relationship of mother's knowledge and practice to the children's oral health behaviour during WFH in the covid-19 era. Method: This is a cross-sectional study used the purposive sampling techniques. Thirty respondents were selected by the following criterias: women; have children aged 12 months until 12 years; work outside the home as employees; and willing to participated in this study. Respondents were instructed to fill the self-administered questionnaire through the Google Form application. Data of the mother's knowledge, practice and the children's behaviour were collected, then analysed by computerizing system. Results: Good knowledge and positive practice about oral health was represented by each 73,3% respondents. Approximately 76,7% of the children had satisfaction behaviour and only 23,3% had unsatisfaction of oral health behaviour. The study shows a statistical significant relationship of mothers’ knowledge level (p=0,003) and mother's practices (p=0,044) to their children's behavior toward oral health care. Conclusion: There is a significant relationship between mother's knowledge and practices to the children's oral health behaviour. Good knowledge and positive attitude of mothers determined the satisfaction of children's behaviour in the oral health care, especially int the covid-19 era.

The covid-19 pandemic is hitting the world including Indonesia. Work from home (WFH) is one of the Indonesian goverment's policy to prevent the spread of covid-19. The mother’s knowledge, attitude, and practice regarding oral health are the important indicator that reflect their children's oral health behaviour. Objective: to analyse the relationship of mother's knowledge and practice to the children's oral health behaviour during WFH in the covid-19 era. Method: This is a cross-sectional study used the purposive sampling techniques. Thirty respondents were selected by the following criterias: women; have children aged 12 months until 12 years; work outside the home as employees; and willing to participated in this study. Respondents were instructed to fill the self-administered questionnaire through the Google Form application. Data of the mother's knowledge, practice and the children's behaviour were collected, then analysed by computerizing system. Results: Good knowledge and positive practice about oral health was represented by each 73,3% respondents. Approximately 76,7% of the children had satisfaction behaviour and only 23,3% had unsatisfaction of oral health behaviour. The study shows a statistical significant relationship of mothers’ knowledge level (p=0,003) and mother's practices (p=0,044) to their children's behavior toward oral health care. Conclusion: There is a significant relationship between mother's knowledge and practices to the children's oral health behaviour. Good knowledge and positive attitude of mothers determined the satisfaction of children's behaviour in the oral health care, especially int the covid-19 era.

To test the extent to which parents' judgements about their children's oral health behaviour conform to the principles of a specific theory of cognitive decision making - Range-frequency Theory. Experimental study with an opportunity sample of 121 parents of young children (3-6 years old) living in areas of relative deprivation in South Wales. Parents were allocated to four different experimental groups, and each completed a pen-and-paper exercise, which involved being presented with (and rating) how often other parents brushed their children's teeth. The brushing frequencies presented varied between the groups, directly test the rank and range principle of Range-frequency Theory. Parents' ratings of other toothbrushing frequencies were predicted by the range and rank principle of Range-frequency Theory. A comparison between Group 1 and Group 2 showed that parents' ratings of similar brushing frequencies were affected by their relative rank among other brushing frequencies presented. A comparison between Group 3 and Group 4 showed that parents in a group who were presented with a very high brushing frequency (21 times a week) rated all other brushing frequencies as relatively less healthy than the comparison group. The principles of Range-frequency Theory predicted parents' judgement about children's oral health behaviour - specifically toothbrushing frequency. These findings provide a theoretical framework on which to develop future oral health education and interventions aimed at promoting twice-daily toothbrushing to parents of young children.

Early childhood caries (ECC) is a common oral disease among young Korean children. The purpose of this study was to examine the relationship of ECC with preschool children's oral health behavior and caregivers' oral health in Ulsan, Korea. In 2006, cross-sectional survey of 1214 children under 6 years old and their care givers were surveyed. Two dentists examined according to the WHO criteria. Outcome variable was ECC, and explanatory variables were preschool children's oral health behavior and caregivers' oral health. The chi-square test and multiple log-binomial regression models were performed. The prevalence of simple ECC was 47.5% and that of severe ECC was 34.8%. In bivariate analysis, ECC prevalence was increased according to children's age, caregiver's age, and type of housing. In multiple log-binomial regression models, preschool children's irregular oral checkup [prevalence ratio (PR): 1.7 for simple ECC and 1.8 for severe ECC] and frequent snack and soda drinking (PR: 1.2 for simple ECC, and 1.6 for severe ECC) were significant factors. This study demonstrates that the prevalence of ECC was high among Korean children. Early intervention programs for preschool children's oral health behavior should be developed based on the risk factors identified in this study.

BackgroundDirect and indirect associations have been identified among health literacy, health behavior, and health status. Thus, we aimed to investigate the influence of oral health literacy and behaviors in parents on their children's oral health status. Moreover, we aimed to analyze the mentioned mediating effects through oral health behavior management.MethodsOral health information of 1,102 preschool children aged 3 to 6 years was collected from five primary schools in Jinjiang District, Chengdu City, Sichuan Province, China. The decay-missing-filled teeth (DMFT) index and soft scale plaque index (PI) were used by professional dentists aided by school teachers to assess caries and periodontal health among the children. Simultaneously, we conducted a questionnaire-based survey among the parents to determine their oral health literacy and health behavior and their children's oral health behavior. The probit model, instrumental variables, and mediation effect model were used to evaluate the association of parents' oral health literacy and behavior with their children's oral health status.ResultsThe DFMT index was 1.58 among the children, with zero caries in 646 (58.6%) children. The PI was 0.68, with zero gum disease in 517 (46.9%). The univariate analysis suggested that the parents' health literacy and behavior were correlated with their children's oral health status (P < 0.01). Parents' oral health behavior significantly affected their children's oral health status. Simultaneously, a stronger correlation was observed upon using parents' health literacy as an instrumental variable to assess the endogeneity, indicating endogeneity problems. Parents' health-related behaviors exerted a mediating effect on children's oral health, with parents helping children brush their teeth demonstrating the strongest effect.ConclusionParents' oral health-related behaviors can affect their children's oral health status. We recommend enhancing parents' oral health literacy to improve children's oral health status.

Text messaging is useful for promoting numerous health-related behaviors. The Text2Floss Study examines the feasibility and utility of a 7-day text messaging intervention to improve oral health knowledge and behavior in mothers of young children. Mothers were recruited from a private practice and a community clinic. Of 156 mothers enrolled, 129 randomized into text (n = 60) and control groups (n = 69) completed the trial. Participants in the text group received text messages for 7 days, asking about flossing and presenting oral health information. Oral health behaviors and knowledge were surveyed pre- and post-intervention. At baseline, there were no differences between text and control group mothers in knowledge and behaviors (P > 0.10). Post-intervention, text group mothers flossed more (P = 0.01), had higher total (P = 0.0006) and specific (P < 0.05) knowledge, and tried to improve their child's oral health behaviors (P = 0.03) and decrease their soda and sugary snacks (P = 0.05) more than control mothers. Text messages were accepted and perceived as useful. Mothers receiving text messages improved their own oral health behaviors and knowledge as well as their behaviors regarding their children's oral health. Text messaging represents a viable method to improve oral health behaviors and knowledge. Its high acceptance may make it useful for preventing oral disease.