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The relationship of oral health literacy and self-efficacy with oral health status and dental neglect

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  • Lee, J.Y.
  • Divaris, K.
  • Baker, A.D.
  • Rozier, R.G.
  • Vann Jr., W.F.

Abstract

Objectives. We examined the associations of oral health literacy (OHL) with oral health status (OHS) and dental neglect (DN), and we explored whether selfefficacy mediated or modified these associations. Methods. We used interview data collected from 1280 female clients of the Special Supplemental Nutrition Program for Women, Infants and Children from 2007 to 2009 as part of the Carolina Oral Health Literacy Project. We measured OHL with a validated word recognition test (REALD-30), and we measured OHS with the self-reported National Health and Nutrition Examination Survey item. Analyses used descriptive, bivariate, and multivariate methods. Results. Less than one third of participants rated their OHS as very good or excellent. Higher OHL was associated with better OHS (for a 10-unit REALD increase: multivariate prevalence ratio=1.29; 95% confidence interval=1.08, 1.54). OHL was not correlated with DN, but self-efficacy showed a strong negative correlation with DN. Self-efficacy remained significantly associated with DN in a fully adjusted model that included OHL. Conclusions. Increased OHL was associated with better OHS but not with DN. Self-efficacy was a strong correlate of DN and may mediate the effects of literacy on OHS.

Suggested Citation

  • Lee, J.Y. & Divaris, K. & Baker, A.D. & Rozier, R.G. & Vann Jr., W.F., 2012. "The relationship of oral health literacy and self-efficacy with oral health status and dental neglect," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 923-929.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300291_4
    DOI: 10.2105/AJPH.2011.300291
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    Cited by:

    1. Emmett Henderson & Preeti Dalawari & Jennifer Fitzgerald & Leslie Hinyard, 2018. "Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population," IJERPH, MDPI, vol. 15(8), pages 1-10, August.
    2. Jessica Y Lee & Kimon Divaris & Darren A DeWalt & A Diane Baker & Ziya Gizlice & R Gary Rozier & William F Vann Jr, 2014. "Caregivers’ Health Literacy and Gaps in Children’s Medicaid Enrollment: Findings from the Carolina Oral Health Literacy Study," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-11, October.
    3. Se-Yeon Kim & Ji-Eun Kim & Han-Na Kim & Eun-Joo Jun & Jung-Ha Lee & Ji-Soo Kim & Jin-Bom Kim, 2018. "Association of Self-Perceived Oral Health and Function with Clinically Determined Oral Health Status among Adults Aged 35–54 Years: A Cross-Sectional Study," IJERPH, MDPI, vol. 15(8), pages 1-11, August.
    4. Linda Stein & Maud Bergdahl & Kjell Sverre Pettersen & Jan Bergdahl, 2018. "Effects of the Conceptual Model of Health Literacy as a Risk: A Randomised Controlled Trial in a Clinical Dental Context," IJERPH, MDPI, vol. 15(8), pages 1-11, August.
    5. Tsz Yung Wong & Yiu Cheung Tsang & Kim Wai Shadow Yeung & Wai Keung Leung, 2022. "Self-Reported Gum Bleeding, Perception, Knowledge, and Behavior in Working-Age Hong Kong Chinese—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    6. Laio da Costa Dutra & Larissa Chaves Morais de Lima & Érick Tássio Barbosa Neves & Monalisa Cesarino Gomes & Luíza Jordânia Serafim de Araújo & Franklin Delano Soares Forte & Saul Martins Paiva & Fern, 2019. "Adolescents with worse levels of oral health literacy have more cavitated carious lesions," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-11, November.

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