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A cross sectional study of Mexican caregiver social status, dental knowledge, self‐efficacy, and caregiver/child oral health. A structural equation model
Author(s) -
Jolanta Aleksejūnienė,
María del Carmen VillanuevaVilchis,
Mónica AnayaMorales
Publication year - 2020
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12362
Subject(s) - structural equation modeling , self efficacy , oral health , medicine , dentition , cross sectional study , path analysis (statistics) , health care , psychology , gerontology , clinical psychology , family medicine , dentistry , social psychology , statistics , economics , economic growth , mathematics , pathology
Objectives To test hypothetical models relating caregivers' social status, knowledge, and self‐efficacy to caregiver/child (C/C) oral health‐related outcomes. Methods One hundred fifty C/C pairs participated (recruitment = 87.7 percent). Three C/C outcomes were clinically assessed: “Oral self‐care”; “Functional dentitions”; and “Dental treatment needs.” Information about caregiver (CG) social status, knowledge, and self‐efficacy was also gathered. Structural equation modeling tested measurement models (MMs) for CG social status, CG knowledge, and CG self‐efficacy. The structural models (SMs) hypothesized causal paths among CG social status, CG knowledge, CG self‐efficacy, and C/C oral health outcomes. Results All three MMs had a good overall fit (nonsignificant χ 2 estimates, Goodness of Fit Index >0.95, Normed Fit Index ~ >0.95, Confirmatory Fit Index >95, Root Mean Square Error Approximation <0.05). For the SMs, the best overall fit was for “Functional dentitions,” while SMs for “Oral self‐care,” and “Dental treatment needs” required revisions. In all the SMs, the path between “Caregiver social status” and “Caregiver knowledge” was significant. In the “C/C Functional dentitions” SM, the significant path linked “CG self‐efficacy” and “Child functional dentition.” In the “C/C Dental treatment needs” SM, the significant path linked “CG self‐efficacy” and “CG functional dentition.” Conclusions Hypothetical models for three oral health‐related outcomes were partly or fully validated.