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Title: Behavioral pathways explaining oral health disparity in children
Authors: Gao, X.-L.
Hsu, C.-Y.S. 
Xu, Y.C.
Loh, T.
Koh, D. 
Hwarng, H.B. 
Keywords: attitude
dental attendance
oral health disparity
Issue Date: 2010
Citation: Gao, X.-L., Hsu, C.-Y.S., Xu, Y.C., Loh, T., Koh, D., Hwarng, H.B. (2010). Behavioral pathways explaining oral health disparity in children. Journal of Dental Research 89 (9) : 985-990. ScholarBank@NUS Repository.
Abstract: Policymakers understanding of and ability to reduce health disparities are pivotal for health promotion worldwide. This study aimed to verify the behavioral pathways leading to oral health disparities. Oral examinations were conducted for 1782 randomly selected preschoolers (3-6 yrs), and 1576 (88.4%) participants were followed up after 12 months. Parents were surveyed on their knowledge (K), attitude (A), and practices (P) regarding their childrens oral health homecare (infant feeding, diet, and oral hygiene) and dental attendance. Structural equation modeling substantiated the links between specific KAs and corresponding practices, while generic KA did not affect practices. KAP pathways partly explained the ethnic and socioeconomic disparities in oral health. Deprivation had a direct effect (not mediated by KA) on dental attendance, but not on oral health homecare. Ethnicity directly influenced oral health homecare practices, but not dental attendance. These behavioral pathways, furthering our understanding of health disparity, may have practical implications for health promotion and policy-making. © International & American Associations for Dental Research.
Source Title: Journal of Dental Research
ISSN: 00220345
DOI: 10.1177/0022034510372896
Appears in Collections:Staff Publications

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