Marandi Mobina, Babaei Azadeh, Momeni Zahra
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran.
Community Oral Health Department, School of Dentistry, Alborz University of Medical Sciences, Karaj, Iran.
BMC Oral Health. 2025 Apr 11;25(1):538. doi: 10.1186/s12903-025-05942-2.
This study aimed to assess the association of maternal oral health literacy (OHL) with dental caries status of 6-9-year-old children according to the Caries Assessment Spectrum and Treatment (CAST) index.
This cross-sectional study evaluated 223 mothers and their 6-9-year-old children who were selected by convenience sampling. The OHL of the mothers was evaluated by the Oral Health Literacy-Adults Questionnaire (OHL-AQ) while the dental caries status of the children was assessed by the CAST index. Data were analyzed by the independent t-test, linear and logistic regression, and Spearman and Pearson's correlation coefficients (alpha = 0.05).
Of 223 children, 51.6% were males. The mean age of the children was 7.25 ± 1.02 years. Mothers with a higher educational level (P = 0.01) and socioeconomic status (P = 0.02) had higher OHL. Optimal oral health behavior of the mothers was significantly associated with their higher OHL, and a lower rate of caries in their children (P < 0.05). The mean OHL score of the mothers was 12.42 ± 2.78, and their OHL had a significant inverse association with primary molar (P < 0.00) and permanent first molar (P = 0.01) caries in their children. Also, the rate of primary molar (P = 0.01 and P = 0.00, respectively) and permanent first molar (P = 0.02 and P < 0.00, respectively) caries was significantly lower in children of working mothers, and those with a higher educational level.
The maternal OHL was significantly associated with the dental caries status of 6-9-year-old children according to the CAST index.
本研究旨在根据龋病评估谱与治疗（CAST）指数，评估母亲的口腔健康素养（OHL）与6至9岁儿童龋病状况之间的关联。
本横断面研究通过便利抽样选取了223名母亲及其6至9岁的孩子。母亲的OHL通过成人口腔健康素养问卷（OHL-AQ）进行评估，而孩子的龋病状况则通过CAST指数进行评估。数据采用独立t检验、线性和逻辑回归以及Spearman和Pearson相关系数进行分析（α = 0.05）。
在223名儿童中，51.6%为男性。儿童的平均年龄为7.25 ± 1.02岁。教育水平较高（P = 0.01）和社会经济地位较高（P = 0.02）的母亲具有较高的OHL。母亲的最佳口腔健康行为与其较高的OHL以及孩子较低的龋病发生率显著相关（P < 0.05）。母亲的平均OHL得分为12.42 ± 2.78，其OHL与孩子的乳磨牙（P < 0.00）和恒第一磨牙（P = 0.01）龋病呈显著负相关。此外，在职母亲和教育水平较高的母亲的孩子中，乳磨牙（分别为P = 0.01和P = 0.00）和恒第一磨牙（分别为P = 0.02和P < 0.00）的龋病发生率显著较低。
根据CAST指数，母亲的OHL与6至9岁儿童的龋病状况显著相关。
