Oral health literacy among female caregivers: impact on oral health outcomes in early childhood

J Dent Res. 2010 Dec;89(12):1395-400. doi: 10.1177/0022034510379601. Epub 2010 Oct 5.

Abstract

The aim of this study was to investigate the association of female caregivers' oral health literacy with their knowledge, behaviors, and the reported oral health status of their young children. Data on caregivers' literacy, knowledge, behaviors, and children's oral health status were used from structured interviews with 1158 caregiver/child dyads from a low-income population. Literacy was measured with REALD-30. Caregivers' and children's median ages were 25 yrs (range = 17-65) and 15 mos (range = 1-59), respectively. The mean literacy score was 15.8 (SD = 5.3; range = 1-30). Adjusted for age, education, and number of children, low literacy scores (< 13 REALD-30) were associated with decreased knowledge (OR = 1.86; 95% CI = 1.41, 2.45) and poorer reported oral health status (OR = 1.44; 95% CI = 1.02, 2.05). Lower caregiver literacy was associated with deleterious oral health behaviors, including nighttime bottle use and no daily brushing/cleaning. Caregiver oral health literacy has a multidimensional impact on reported oral health outcomes in infants and young children.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Attitude to Health
  • Black or African American / statistics & numerical data
  • Bottle Feeding / statistics & numerical data
  • Caregivers*
  • Child, Preschool
  • Dental Caries Susceptibility
  • Educational Status
  • Family Health*
  • Feeding Behavior
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Health Literacy*
  • Health Status
  • Humans
  • Indians, North American / statistics & numerical data
  • Infant
  • Middle Aged
  • North Carolina
  • Oral Health*
  • Poverty
  • Toothbrushing / statistics & numerical data
  • White People / statistics & numerical data
  • Young Adult