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Predicting Flossing through the Application of the Multi-Theory Model (MTM) of Health Behavior Change among Minority Adolescents in the United States

Author

Listed:
  • Manoj Sharma

    (Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA)

  • Kavita Batra

    (Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USA
    Office of Research, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USA
    These authors contributed equally to this work.)

  • Ching-Chen Chen

    (Department of Counselor Education, School Psychology, and Human Services, College of Education, University of Nevada, Las Vegas, NV 89154, USA
    These authors contributed equally to this work.)

  • Chia-Liang Dai

    (Department of Teaching and Learning, College of Education, University of Nevada, Las Vegas, NV 89154, USA
    These authors contributed equally to this work.)

  • Ravi Batra

    (Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
    Department of Information Technology, Coforge Ltd., Atlanta, GA 30338, USA)

  • David P. Cappelli

    (School of Dental Medicine, University of Nevada, Las Vegas, NV 89102, USA)

Abstract

Adolescents from minority groups are particularly susceptible to poor oral hygiene behaviors, including lack of daily flossing. This cross-sectional study aimed to conduct an exploratory behavioral research to identify evidence-based (theory-based) approaches to promote flossing behavior among African American/Black and Latinx/Hispanic (minority) adolescents. A 39-item psychometrically valid web-based questionnaire was used to collect responses from a nationwide sample of minority adolescents aged 10–17 years residing in the United States. The data were analyzed using bivariate and multivariate statistical methods. Of 520 minority adolescents (260 African American/Black and 260 Latinx/Hispanic adolescents), the proportion of flossing was nearly equally split in the sample. A significantly higher proportion of minority adolescents who were flossing had access to floss as opposed to those who were not flossing (86.8% vs. 69.8%, p < 0.001). A significantly higher proportion of minority adolescents who were not flossing did not visit the dentist over the past year as opposed to those who floss (25.2% vs. 14.7%, p < 0.001). Among the participants who were not flossing, gender, grade level, instruction in school regarding flossing, and multi-theory model (MTM) of health behavior change constructs were the significant predictors ( p < 0.001) of initiating and sustaining flossing. The findings of this study will serve as baseline data for developing and evaluating effective evidence-based interventions using the MTM.

Suggested Citation

  • Manoj Sharma & Kavita Batra & Ching-Chen Chen & Chia-Liang Dai & Ravi Batra & David P. Cappelli, 2022. "Predicting Flossing through the Application of the Multi-Theory Model (MTM) of Health Behavior Change among Minority Adolescents in the United States," IJERPH, MDPI, vol. 19(22), pages 1-19, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15106-:d:974485
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    References listed on IDEAS

    as
    1. Manoj Sharma & Erin Largo-Wight & Amar Kanekar & Hana Kusumoto & Stephanie Hooper & Vinayak K. Nahar, 2020. "Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain Intentional Outdoor Nature Contact Behavior among College Students," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Manoj Sharma & Kavita Batra & Ravi Batra & Chia-Liang Dai & Traci Hayes & Melinda J. Ickes & Tejinder Pal Singh, 2022. "Assessing the Testability of the Multi-Theory Model (MTM) in Predicting Vaping Quitting Behavior among Young Adults in the United States: A Cross-Sectional Survey," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    Full references (including those not matched with items on IDEAS)

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