Research Article
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Year 2025, Volume: 28 Issue: 1, 108 - 114, 28.03.2025

Akanksha Juneja , Panchali Batra , Amina Sultan , Sakshi Katyal

https://doi.org/10.7126/cumudj.1614208

Abstract

References

  • 1. Nielsen-Bohlman L, Panzer AM, Kindig DA, Committee on Health Literacy (2004). Health literacy: a prescription to end confusion. Washington, DC: National Academies Press.
  • 2. Ratzan SC, Parker RM. Introduction. In: Selden CR, Zorn M, Ratzan SC, Parker RM, editors. National Library of Medicine current bibliographies in medicine: health literacy NLM Publ. No. CBM 2000–1. Bethesda: National Institutes of Health; 2000. v-viii.
  • 3. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? J Health Commun. 2010; 15(Suppl 2): 9–19.
  • 4. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011; 155(2): 97–107.
  • 5. Junkes MC, Fraiz FC, Sardenberg F, Lee JY, Paiva SM, Ferreira FM. Validity and reliability of the Brazi- lian version of the Rapid Estimate of Adult Literacy in Dentistry: BREALD-30. PLoS One 2015;10(7): e0131600.
  • 6. Stowers ME, Lee JY, Majewski RF, Estrella MR, Taylor GW, Boynton JR. Oral health literacy: awareness and practices among pediatric dentists. Pediatr Dent 2013;35(5):430-434.
  • 7. Lee JY, Rozier RG, Lee SY, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30–A brief communication. J Public Health Dent 2007;67(2):94-98.
  • 8. Assunção CM, Losso EM, Andreatini R, de Menezes JN. The relationship between dental anxiety in children, adolescents and their parents at dental environment. J Indian Soc Pedod Prev Dent 2013; 31: 175-179.
  • 9. Zerrin Hatipo-glu and Damla Aks¸it-Bıc¸ak. Maternal anxiety, social status, and dental caries formation in children: a cross-sectional study. Journal of International Medical Research 2019; 47(12): 6206–6214.
  • 10. Samami M, Farrahi H, Alinia M. The relationship between dental anxiety and oral health literacy with oral health-related quality of life. BMC Oral Health. 2024 May 14;24(1):567. doi: 10.1186/s12903-024-04359-7. PMID: 38745147; PMCID: PMC11094898.
  • 11. Costa FDS, Azevedo MS, Ardenghi TM, Pinheiro RT, Demarco FF, Goettems ML. Do maternal depression and anxiety influence children’s oral health-related quality of life? Community Dent Oral Epidemiol 2017; 45: 398–406.
  • 12. Tomar B, Bhatia NK, Kumar P, et al. The psychiatric and dental interrelationship. Delhi Psychiatry J 2011; 14: 138–142.
  • 13. Shabnam Gulzar Khawja, Ruchi Arora, Altaf Hussain Shah, Amjad Hassan Wyne, Anshu Sharma. Maternal Dental Anxiety and its Effect on Caries Experience Among Children in Udaipur, India. Journal of Clinical and Diagnostic Research. 2015; 9(6): ZC42-ZC45.
  • 14. Togoo RA, Luqman M, Hammadi A, Al-Rabai NA, Ahmasani SM, Al-Qahtani BD. Caregivers’ knowledge, attitudes, and oral health practices for infants attending day-care centers in two cities in southern Saudi Arabia. Gulf Med J 2017; 6: 35–41.
  • 15. Saleem SM, Jan SS. Modified Kuppuswamy socioeconomic scale updated for the year 2019. Indian J Forensic Community Med. 2019 Jan;6(1):1-3.
  • 16. Viana Filho JMC, Clementino MA, Lima LCM, Garcia AFG, Carvalho MMP, Ferreira JMS. Anxiety of parents and children in dental care. RGO, Rev Gaúch Odontol. 2018; 66(4): 321-329.
  • 17. Humphris, G. M., Dyer, T. A., & Robinson, P. G. (2009). The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC oral health, 9, 1-8
  • 18. Marya CM, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in Faridabad, India. West Indian Medical Journal. 2012 Mar 1;61(2):187.
  • 19. https://www.england.nhs.uk/long-read/clinical-guide-for-dental-anxiety-management)
  • 20. Neverlien PO. Assessment of a single-item dental anxiety question. Acta Odontol Scand. 1990;48:365–369
  • 21. Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med.2004; 19:1228-1239.
  • 22. Andrus MR, Roth MT., Health literacy: a review. Pharmacotherapy.2002; 22:282-302.
  • 23. Sanders LM, Federico S, Klass P, Abrams MA, Dreyer B. Literacy and child health: a systematic review. Arch Pediatr Adolesc Med. 2009a; 163:131-140.
  • 24. DeWalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics 124(Suppl 3): 2009; 265-274.
  • 25. Khodadadi E, Niknahad A, Sistani MM, Motallebnejad M. Parents' Oral Health Literacy and its Impact on their Children's Dental Health Status. Electron Physician. 2016 Dec 25;8(12):3421-3425.
  • 26. Wehmeyer MM, Corwin CL, Guthmiller JM, Lee JY. The impact of oral health literacy on periodontal health status. J Public Health Dent. 2014 Winter;74(1):80-87.
  • 27. Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116:37-43.
  • 28. Narang R, Mittal L, Jha K. Caries experience and its relationship with parent's education, occupation and socio economic status of the family among 3–6 years old preschool children of Sri Ganganagar city, India. Open J Dent Oral Medicine. 2013;1(01):1–4.
  • 29. Chan SCL, Tsai JSJ, King NM. Feeding and oral hygiene habits of preschool children in Hong Kong and their caregiver's dental knowledge and attitudes. Int J Paediatr Dent. 2002;12:322–331.
  • 30. Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America's children. Acad Pediatr 2009; 9: 415–419.
  • 31. BaniHani A., Tahmassebi J., Zawaideh F. Maternal knowledge on early childhood caries and barriers to seek dental treatment in Jordan. European Archives of Paediatric Dentistry . 2021;22(3):433–439.]
  • 32. Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010 Dec;89(12):1395-1400.
  • 33. Tellez M, Kaur S. Caregivers’ satisfaction with pediatric dental care in a university clinical setting in North Philadelphia. J Dent Educ 2013;77(11):1515-1520.
  • 34. Sowmya, KR; Puranik, Manjunath P.; Aparna, KS1,. Association between Mother'S Behaviour, Oral Health Literacy and Children'S Oral Health Outcomes: A Cross-Sectional Study. Indian Journal of Dental Research 32(2):p 147-152, Apr–Jun 2021.
  • 35. Grisolia B, Santos A, Dhyppolito I, Buchanan H, Hill K, Oliveira B. Prevalence of dental anxiety in children and adolescents globally: a systematic review with meta-analyses. Int J Paediatr Dent. 2020;00:1–16.]
  • 36. Yakar B, Kaygusuz T, Pirincci E. Evaluation of Dental anxiety and fear in patients who admitted to the Faculty of Dentistry: which patients are more risky in terms of Dental anxiety. Ethiop J Health Sci. 2019;29(6):719–725.
  • 37. Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on the child’s dental caries experience. Caries Res. 2012;46:3–8.
  • 38. Khawja SG, Arora R, Shah AH, Wyne AH, Sharma A. Maternal dental anxiety and its effect on caries experience among children in Udaipur, India. J Clin Diagn Res. 2015;9:42–45.
  • 39. Taani DQ, El–QaderiSS, Abu Alhaija ES. Dental anxiety in children and its relationship to dental caries and gingival condition. Int J Dent Hyg. 2005;3:83–87.
  • 40. Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006;33:588–593.
  • 41. Goyal J, Menon I, Singh RP, Sharma A, Passi D, Bhagia P. Association between maternal dental anxiety and its effect on the oral health status of their child: An institutional cross sectional study. J Family Med Prim Care. 2019 Feb;8(2):535-538.
  • 42. Cagiran E, Sergin D, Deniz MN, Tanattı B, Emiroglu N, Alper I. Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res. 2014;42(2):572-580.
  • 43. Gustafsson A, Arnrup K, Broberg AG, Bodin L, Berggren U. Psychosocial concomitants to dental fear and behaviour management problems. Int J Paediatr Dent. 2007;17:449-459.
  • 44. Shin W, Braun T, Inglehart M, Habil P. Parents’ dental anxiety and oral health literacy: effects on parents’ and children’s oral health-related experiences. J Public Health Dent. 2014;74:195–201.
  • 45. Barasuol JC, da Silva Assunção LR, Fraiz FC, Menezes JVNB. Oral Health Literacy as a Predictor of Dental Anxiety in Parents of Children Undergoing Dental Treatment. J Dent Child (Chic). 2017 Sep 15;84(3):125-131.
  • 46. Grewal N, Kaur M. Status of oral health awareness in Indian children as compared to Western children: A thought provoking situation (a pilot study). J Indian Soc Pedod Prev Dent 2007;25:15-19.
  • 47. Green W, Kreuter M. Health Promotion Planning: An Educational and Ecological Approach. 3rd ed. Mountain View, CA: Mayfield Pub. Co.; 1999.]
  • 48. Bridges SM, Parthasarathy DS, Wongb HM, Yiu CKY, Au TK, Mcgrath CPJ. The relationship between caregiver functional oral health literacy and child oral health status. Patient Educ Couns 2014;94 (3):411-416.
  • 49. Bayirli AB, Kisakurek S. Evaluation of the Effect of Socioeconomic Status on Oral Hygiene Habits. Cumhuriyet Dental Journal 2024;27(3): 147–157.
  • 50. Dieng S, Cisse D, Lombrail P, AzoguiLe´vy S. Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study. PLoS ONE.2020; 15(1): e0226876.)

Relationship between Oral Health Literacy (OHL) and Dental Anxiety in Parents of Children with dental caries visiting Tertiary Health Care Centre

Year 2025, Volume: 28 Issue: 1, 108 - 114, 28.03.2025

Akanksha Juneja , Panchali Batra , Amina Sultan , Sakshi Katyal

https://doi.org/10.7126/cumudj.1614208

Abstract

Background: Mothers attitude towards oral dental health can significantly impact a child's oral health status. If a mother lacks oral health literacy (OHL), it may affect her behavior and lead to dental anxiety, potentially causing dental problems in the family, especially for young children. Aim: To determine the relationship between oral health literacy (OHL), socioeconomic status, dental anxiety in mothers of children with dental caries and dental caries status of mothers and children Materials and Methods: An observational, cross-sectional study was conducted involving a sample of 170 mother-child (3 to 12 years of age) dyads who visited the OPD of clinics of Pediatric Dentistry. The mothers’ dental anxiety and their observation of presence of dental anxiety in their children were assessed using the Modified Dental anxiety scale (MDAS) and dental anxiety question (DAQ), respectively. REALD-30 was used to assess parents' oral health literacy. Results: The mothers' mean REALD-30 and DMFT scores were 7.07±6.01 and 2.02±2.3, respectively. A statistically significant negative relationship was seen between REALD scores and dental anxiety among mothers of children. (r=-.142, p≤0.05). Statistically significant relationship was observed between dental anxiety of the mother and the child (r=0.304, p<0.01). Statistically Significant relationship was observed between socioeconomic status and oral health literacy of mothers and dmft of child. Conclusion: 16.8% of variability in oral health literacy of mothers could be predicted by SES; while 2.6% of variability in dental anxiety of mothers can be predicted by REALD scores of mother.

Keywords

Dental Anxiety Dental Caries dmft/DMFT Oral Health Literacy

References

  • 1. Nielsen-Bohlman L, Panzer AM, Kindig DA, Committee on Health Literacy (2004). Health literacy: a prescription to end confusion. Washington, DC: National Academies Press.
  • 2. Ratzan SC, Parker RM. Introduction. In: Selden CR, Zorn M, Ratzan SC, Parker RM, editors. National Library of Medicine current bibliographies in medicine: health literacy NLM Publ. No. CBM 2000–1. Bethesda: National Institutes of Health; 2000. v-viii.
  • 3. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? J Health Commun. 2010; 15(Suppl 2): 9–19.
  • 4. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011; 155(2): 97–107.
  • 5. Junkes MC, Fraiz FC, Sardenberg F, Lee JY, Paiva SM, Ferreira FM. Validity and reliability of the Brazi- lian version of the Rapid Estimate of Adult Literacy in Dentistry: BREALD-30. PLoS One 2015;10(7): e0131600.
  • 6. Stowers ME, Lee JY, Majewski RF, Estrella MR, Taylor GW, Boynton JR. Oral health literacy: awareness and practices among pediatric dentists. Pediatr Dent 2013;35(5):430-434.
  • 7. Lee JY, Rozier RG, Lee SY, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD-30–A brief communication. J Public Health Dent 2007;67(2):94-98.
  • 8. Assunção CM, Losso EM, Andreatini R, de Menezes JN. The relationship between dental anxiety in children, adolescents and their parents at dental environment. J Indian Soc Pedod Prev Dent 2013; 31: 175-179.
  • 9. Zerrin Hatipo-glu and Damla Aks¸it-Bıc¸ak. Maternal anxiety, social status, and dental caries formation in children: a cross-sectional study. Journal of International Medical Research 2019; 47(12): 6206–6214.
  • 10. Samami M, Farrahi H, Alinia M. The relationship between dental anxiety and oral health literacy with oral health-related quality of life. BMC Oral Health. 2024 May 14;24(1):567. doi: 10.1186/s12903-024-04359-7. PMID: 38745147; PMCID: PMC11094898.
  • 11. Costa FDS, Azevedo MS, Ardenghi TM, Pinheiro RT, Demarco FF, Goettems ML. Do maternal depression and anxiety influence children’s oral health-related quality of life? Community Dent Oral Epidemiol 2017; 45: 398–406.
  • 12. Tomar B, Bhatia NK, Kumar P, et al. The psychiatric and dental interrelationship. Delhi Psychiatry J 2011; 14: 138–142.
  • 13. Shabnam Gulzar Khawja, Ruchi Arora, Altaf Hussain Shah, Amjad Hassan Wyne, Anshu Sharma. Maternal Dental Anxiety and its Effect on Caries Experience Among Children in Udaipur, India. Journal of Clinical and Diagnostic Research. 2015; 9(6): ZC42-ZC45.
  • 14. Togoo RA, Luqman M, Hammadi A, Al-Rabai NA, Ahmasani SM, Al-Qahtani BD. Caregivers’ knowledge, attitudes, and oral health practices for infants attending day-care centers in two cities in southern Saudi Arabia. Gulf Med J 2017; 6: 35–41.
  • 15. Saleem SM, Jan SS. Modified Kuppuswamy socioeconomic scale updated for the year 2019. Indian J Forensic Community Med. 2019 Jan;6(1):1-3.
  • 16. Viana Filho JMC, Clementino MA, Lima LCM, Garcia AFG, Carvalho MMP, Ferreira JMS. Anxiety of parents and children in dental care. RGO, Rev Gaúch Odontol. 2018; 66(4): 321-329.
  • 17. Humphris, G. M., Dyer, T. A., & Robinson, P. G. (2009). The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC oral health, 9, 1-8
  • 18. Marya CM, Grover S, Jnaneshwar A, Pruthi N. Dental anxiety among patients visiting a dental institute in Faridabad, India. West Indian Medical Journal. 2012 Mar 1;61(2):187.
  • 19. https://www.england.nhs.uk/long-read/clinical-guide-for-dental-anxiety-management)
  • 20. Neverlien PO. Assessment of a single-item dental anxiety question. Acta Odontol Scand. 1990;48:365–369
  • 21. Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med.2004; 19:1228-1239.
  • 22. Andrus MR, Roth MT., Health literacy: a review. Pharmacotherapy.2002; 22:282-302.
  • 23. Sanders LM, Federico S, Klass P, Abrams MA, Dreyer B. Literacy and child health: a systematic review. Arch Pediatr Adolesc Med. 2009a; 163:131-140.
  • 24. DeWalt DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics 124(Suppl 3): 2009; 265-274.
  • 25. Khodadadi E, Niknahad A, Sistani MM, Motallebnejad M. Parents' Oral Health Literacy and its Impact on their Children's Dental Health Status. Electron Physician. 2016 Dec 25;8(12):3421-3425.
  • 26. Wehmeyer MM, Corwin CL, Guthmiller JM, Lee JY. The impact of oral health literacy on periodontal health status. J Public Health Dent. 2014 Winter;74(1):80-87.
  • 27. Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116:37-43.
  • 28. Narang R, Mittal L, Jha K. Caries experience and its relationship with parent's education, occupation and socio economic status of the family among 3–6 years old preschool children of Sri Ganganagar city, India. Open J Dent Oral Medicine. 2013;1(01):1–4.
  • 29. Chan SCL, Tsai JSJ, King NM. Feeding and oral hygiene habits of preschool children in Hong Kong and their caregiver's dental knowledge and attitudes. Int J Paediatr Dent. 2002;12:322–331.
  • 30. Edelstein BL, Chinn CH. Update on disparities in oral health and access to dental care for America's children. Acad Pediatr 2009; 9: 415–419.
  • 31. BaniHani A., Tahmassebi J., Zawaideh F. Maternal knowledge on early childhood caries and barriers to seek dental treatment in Jordan. European Archives of Paediatric Dentistry . 2021;22(3):433–439.]
  • 32. Vann WF Jr, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res. 2010 Dec;89(12):1395-1400.
  • 33. Tellez M, Kaur S. Caregivers’ satisfaction with pediatric dental care in a university clinical setting in North Philadelphia. J Dent Educ 2013;77(11):1515-1520.
  • 34. Sowmya, KR; Puranik, Manjunath P.; Aparna, KS1,. Association between Mother'S Behaviour, Oral Health Literacy and Children'S Oral Health Outcomes: A Cross-Sectional Study. Indian Journal of Dental Research 32(2):p 147-152, Apr–Jun 2021.
  • 35. Grisolia B, Santos A, Dhyppolito I, Buchanan H, Hill K, Oliveira B. Prevalence of dental anxiety in children and adolescents globally: a systematic review with meta-analyses. Int J Paediatr Dent. 2020;00:1–16.]
  • 36. Yakar B, Kaygusuz T, Pirincci E. Evaluation of Dental anxiety and fear in patients who admitted to the Faculty of Dentistry: which patients are more risky in terms of Dental anxiety. Ethiop J Health Sci. 2019;29(6):719–725.
  • 37. Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on the child’s dental caries experience. Caries Res. 2012;46:3–8.
  • 38. Khawja SG, Arora R, Shah AH, Wyne AH, Sharma A. Maternal dental anxiety and its effect on caries experience among children in Udaipur, India. J Clin Diagn Res. 2015;9:42–45.
  • 39. Taani DQ, El–QaderiSS, Abu Alhaija ES. Dental anxiety in children and its relationship to dental caries and gingival condition. Int J Dent Hyg. 2005;3:83–87.
  • 40. Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety--an epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil. 2006;33:588–593.
  • 41. Goyal J, Menon I, Singh RP, Sharma A, Passi D, Bhagia P. Association between maternal dental anxiety and its effect on the oral health status of their child: An institutional cross sectional study. J Family Med Prim Care. 2019 Feb;8(2):535-538.
  • 42. Cagiran E, Sergin D, Deniz MN, Tanattı B, Emiroglu N, Alper I. Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res. 2014;42(2):572-580.
  • 43. Gustafsson A, Arnrup K, Broberg AG, Bodin L, Berggren U. Psychosocial concomitants to dental fear and behaviour management problems. Int J Paediatr Dent. 2007;17:449-459.
  • 44. Shin W, Braun T, Inglehart M, Habil P. Parents’ dental anxiety and oral health literacy: effects on parents’ and children’s oral health-related experiences. J Public Health Dent. 2014;74:195–201.
  • 45. Barasuol JC, da Silva Assunção LR, Fraiz FC, Menezes JVNB. Oral Health Literacy as a Predictor of Dental Anxiety in Parents of Children Undergoing Dental Treatment. J Dent Child (Chic). 2017 Sep 15;84(3):125-131.
  • 46. Grewal N, Kaur M. Status of oral health awareness in Indian children as compared to Western children: A thought provoking situation (a pilot study). J Indian Soc Pedod Prev Dent 2007;25:15-19.
  • 47. Green W, Kreuter M. Health Promotion Planning: An Educational and Ecological Approach. 3rd ed. Mountain View, CA: Mayfield Pub. Co.; 1999.]
  • 48. Bridges SM, Parthasarathy DS, Wongb HM, Yiu CKY, Au TK, Mcgrath CPJ. The relationship between caregiver functional oral health literacy and child oral health status. Patient Educ Couns 2014;94 (3):411-416.
  • 49. Bayirli AB, Kisakurek S. Evaluation of the Effect of Socioeconomic Status on Oral Hygiene Habits. Cumhuriyet Dental Journal 2024;27(3): 147–157.
  • 50. Dieng S, Cisse D, Lombrail P, AzoguiLe´vy S. Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study. PLoS ONE.2020; 15(1): e0226876.)
There are 50 citations in total.

Details

Primary Language English
Subjects Paedodontics
Journal Section Original Research Articles
Authors

Akanksha Juneja 0000-0003-4127-1133

Panchali Batra 0009-0000-7936-6993

Amina Sultan 0000-0001-5245-4416

Sakshi Katyal 0000-0003-0396-2793

Publication Date March 28, 2025
Submission Date January 10, 2025
Acceptance Date March 13, 2025
Published in Issue Year 2025Volume: 28 Issue: 1

Cite

EndNote Juneja A, Batra P, Sultan A, Katyal S (March 1, 2025) Relationship between Oral Health Literacy (OHL) and Dental Anxiety in Parents of Children with dental caries visiting Tertiary Health Care Centre. Cumhuriyet Dental Journal 28 1 108–114.
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