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Assessing health literacy and oral health: preliminary results of a multi-site investigation.
Macek, Mark D; Atchison, Kathryn A; Watson, Maria Rosa; Holtzman, Jennifer; Wells, William; Braun, Bonnie; Aldoory, Linda; Messadi, Diana; Gironda, Melanie; Haynes, Don; Parker, Ruth M; Chen, Haiyan; Coller, Susan; Richards, Jessica.
Afiliación
  • Macek MD; Department of Dental Public Health, School of Dentistry, University of Maryland, Baltimore, MD, USA.
  • Atchison KA; Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.
  • Watson MR; Primary Care Coalition of Montgomery County, MD, USA.
  • Holtzman J; Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.
  • Wells W; Schaefer Center for Public Policy, University of Baltimore, Baltimore, MD, USA.
  • Braun B; School of Public Health, University of Maryland, College Park, MD, USA.
  • Aldoory L; School of Public Health, University of Maryland, College Park, MD, USA.
  • Messadi D; Section of Oral Medicine & Orofacial Pain, School of Dentistry, University of California, Los Angeles, CA, USA.
  • Gironda M; Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
  • Haynes D; Schaefer Center for Public Policy, University of Baltimore, Baltimore, MD, USA.
  • Parker RM; Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
  • Chen H; Department of Dental Public Health, School of Dentistry, University of Maryland, Baltimore, MD, USA.
  • Coller S; Department of Dental Public Health, School of Dentistry, University of Maryland, Baltimore, MD, USA.
  • Richards J; Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, CA, USA.
J Public Health Dent ; 76(4): 303-313, 2016 09.
Article en En | MEDLINE | ID: mdl-27126734
OBJECTIVES: To introduce a multi-site assessment of oral health literacy and to describe preliminary analyses of the relationships between health literacy and selected oral health outcomes within the context of a comprehensive conceptual model. METHODS: Data for this analysis came from the Multi-Site Oral Health Literacy Research Study (MOHLRS), a federally funded investigation of health literacy and oral health. MOHLRS consisted of a broad survey, including several health literacy assessments, and measures of attitudes, knowledge, and other factors. The survey was administered to 922 initial care-seeking adult patients presenting to university-based dental clinics in California and Maryland. For this descriptive analysis, confidence filling out forms, word recognition, and reading comprehension comprised the health literacy assessments. Dental visits, oral health functioning, and dental self-efficacy were the outcomes. RESULTS: Overall, up to 21% of participants reported having difficulties with practical health literacy tasks. After controlling for sociodemographic confounders, no health literacy assessment was associated with dental visits or dental caries self-efficacy. However, confidence filling out forms and word recognition were each associated with oral health functioning and periodontal disease self-efficacy. CONCLUSIONS: Our analysis showed that dental school patients exhibit a range of health literacy abilities. It also revealed that the relationship between health literacy and oral health is not straightforward, depending on patient characteristics and the unique circumstances of the encounter. We anticipate future analyses of MOHLRS data will answer questions about the role that health literacy and various mediating factors play in explaining oral health disparities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Bucal / Alfabetización en Salud Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Aspecto: Equity_inequality Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Public Health Dent Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Bucal / Alfabetización en Salud Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Aspecto: Equity_inequality Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: J Public Health Dent Año: 2016 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos