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运用健康信念模型预测伊朗学生的口腔健康行为。

Predicting oral health behaviors among Iranian students by using health belief model.

作者信息

Goodarzi Azam, Heidarnia Alireza, Tavafian Sedigheh Sadat, Eslami Mohammad

机构信息

Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.

Department of Population Health, Family and Schools Office, Ministry of Health and Medical Education, Tehran, Iran.

出版信息

J Educ Health Promot. 2019 Jan 29;8:10. doi: 10.4103/jehp.jehp_10_18. eCollection 2019.

Abstract

INTRODUCTION

The aim of this study is assessing predictors to oral health behavior in Iranian students based on the health belief model.

MATERIALS AND METHODS

This cross-sectional study was conducted on 416 (applying the statistical estimation) of fifth-grade female students of Tehran in 2016. Random cluster sampling method was used to recruit students. The inclusion criteria were being grade five female student (aged 10-12 years), and studying in governmental schools, and having a signed consent from the child's parent or legal guardian. Logistic regression analysis was used to identify the variables that predict oral health behaviors.

RESULTS

Overall, 416 female students were entered into the study. Of these, only 55.3% of the students reported that they were brushing at least twice a day, 22.4% were using dental floss at least once a day, and 23.1% reported checking their teeth every 6 months. The results obtained from the logistic regression analysis indicated that perceived self-efficacy, was the significant predicting factor for brushing at least twice a day (odds ratio [OR] = 1.34, 95% confidence interval [CI] =1.06-1.69, = 0.012) and use of dental floss at least once a day (OR = 1.61, 95% CI = 1.14-2.27, = 0.007). Furthermore, mother's job predicted use of dental floss at least once a day by (OR = 1.83, 95% CI 1.07-3.10). Perceived benefits were the significant predicting factor for 6 months check (OR = 1.78, 95% CI = 1.14-2.77).

CONCLUSION

The current study provides evidence oral health can be promoted by increasing perceived self-efficacy and enhancing perceived benefits in female students.

摘要

引言

本研究旨在基于健康信念模型评估伊朗学生口腔健康行为的预测因素。

材料与方法

2016年,对德黑兰416名(采用统计估计)五年级女学生进行了这项横断面研究。采用随机整群抽样方法招募学生。纳入标准为五年级女学生(年龄10 - 12岁)、在公立学校就读且有孩子家长或法定监护人签署的同意书。采用逻辑回归分析来确定预测口腔健康行为的变量。

结果

总体而言,416名女学生参与了本研究。其中,只有55.3%的学生报告称他们每天至少刷牙两次,22.4%的学生每天至少使用一次牙线,23.1%的学生报告每6个月检查一次牙齿。逻辑回归分析结果表明,自我效能感是每天至少刷牙两次(优势比[OR]=1.34,95%置信区间[CI]=1.06 - 1.69,P = 0.012)和每天至少使用一次牙线(OR = 1.61,95% CI = 1.14 - 2.27,P = 0.007)的显著预测因素。此外,母亲的工作状态预测了每天至少使用一次牙线的情况(OR = 1.83,95% CI 1.07 - 3.10)。感知到的益处是每6个月进行牙齿检查的显著预测因素(OR = 1.78,95% CI = 1.14 - 2.77)。

结论

当前研究提供了证据表明,通过提高女学生的自我效能感和增强她们感知到的益处,可以促进口腔健康。

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