Determinants and promotion of oral hygiene behaviour in the Caribbean and Nepal

Int Dent J. 2011 Oct;61(5):267-73. doi: 10.1111/j.1875-595X.2011.00071.x.


The purpose of this study was to identify predictors of oral hygiene behaviour (OHB) based on the Theory of Planned Behaviour (TPB) among dental care seekers in two cultural different regions: the Caribbean (Aruba/Bonaire) and Nepal. In addition, measures of oral health knowledge (OHK) and the expected social outcomes of having healthy teeth (ESO) were investigated. The main effects of the predictors as well as their interactions with region (Caribbean vs. Nepal) were examined. The interaction term contributed significantly to the amount of explained variance. In the Caribbean, OHB was determined by Attitude and Social Norms, and in Nepal by Perceived Behaviour Control and ESO. On the basis of these findings, quite different oral health care interventions are called for in developing and underdeveloped countries.

MeSH terms

  • Adult
  • Analysis of Variance
  • Cross-Cultural Comparison*
  • Dental Care / statistics & numerical data
  • Female
  • Health Behavior / ethnology*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Internal-External Control
  • Linear Models
  • Male
  • Oral Hygiene / methods*
  • Oral Hygiene / psychology*
  • Oral Hygiene / statistics & numerical data
  • Patient Acceptance of Health Care
  • Social Values / ethnology
  • Surveys and Questionnaires
  • West Indies