Arwa Z Gazzaz1,2, Richard M Carpiano3,4, Jolanta Aleksejuniene1. 1. Department of Oral Health Science, Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada. 2. Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. 3. School of Public Policy, University of California, Riverside, California, USA. 4. Department of Sociology, University of California, Riverside, California, USA.
Abstract
OBJECTIVES: We tested hypotheses regarding how adolescent oral health-related behaviors are associated with socioeconomic status (SES) and family and peer social support, including the extent to which such associations differ for boys and girls. METHODS: We analyzed data from the 2013/2014 Canadian Health Behavior in School-aged Children Study for 20,357 adolescents ages 12-18 years. Family Affluence Scale was used to assess SES. Family and peer social support were assessed using the Multidimensional Scale of Perceived Social Support. We estimated average marginal effects from multivariable binary logistic regression models for three oral health-risk behaviors outcomes: infrequent toothbrushing, high sugar-sweetened beverage (SSB) intake, and high sweets consumption across both genders. RESULTS: Adolescents from low SES households had lower probability of parental and peer support, and were significantly more likely to report infrequent toothbrushing and high SSB consumption, both before and after controlling for both types of support. Lower family support was associated with higher probability of engaging in infrequent toothbrushing and high SSB intake, while lower peer support was associated with higher probability of engaging in infrequent toothbrushing and lower likelihood of engaging in high SSB consumption. The associations of family support with oral health-related behaviors were somewhat stronger for boys than girls. CONCLUSIONS: Low SES and low family support were associated with a higher likelihood of oral health-risk behaviors (infrequent toothbrushing and SSB consumption). Regardless of adolescents' gender, parental support exerted a protective role, but peer support had countervailing risk and protective roles on oral health-related behaviors.
OBJECTIVES: We tested hypotheses regarding how adolescent oral health-related behaviors are associated with socioeconomic status (SES) and family and peer social support, including the extent to which such associations differ for boys and girls. METHODS: We analyzed data from the 2013/2014 Canadian Health Behavior in School-aged Children Study for 20,357 adolescents ages 12-18 years. Family Affluence Scale was used to assess SES. Family and peer social support were assessed using the Multidimensional Scale of Perceived Social Support. We estimated average marginal effects from multivariable binary logistic regression models for three oral health-risk behaviors outcomes: infrequent toothbrushing, high sugar-sweetened beverage (SSB) intake, and high sweets consumption across both genders. RESULTS: Adolescents from low SES households had lower probability of parental and peer support, and were significantly more likely to report infrequent toothbrushing and high SSB consumption, both before and after controlling for both types of support. Lower family support was associated with higher probability of engaging in infrequent toothbrushing and high SSB intake, while lower peer support was associated with higher probability of engaging in infrequent toothbrushing and lower likelihood of engaging in high SSB consumption. The associations of family support with oral health-related behaviors were somewhat stronger for boys than girls. CONCLUSIONS: Low SES and low family support were associated with a higher likelihood of oral health-risk behaviors (infrequent toothbrushing and SSB consumption). Regardless of adolescents' gender, parental support exerted a protective role, but peer support had countervailing risk and protective roles on oral health-related behaviors.
Authors: Pertti Patinen; Tarja Tanner; Mika Huttunen; Annakaisa Muhonen; Sari Räsänen; Pernelle Moilanen; Jari Päkkilä; Vuokko Anttonen; Antti Kämppi Journal: Dent J (Basel) Date: 2022-07-02
Authors: Lena Cetrelli; Athanasia Bletsa; Anette Lundestad; Elisabet Grut Gil; Johannes Fischer; Josefine Halbig; Paula Frid; Oskar Angenete; Ingrid Lillevoll; Annika Rosén; Karin B Tylleskär; Keio Luukko; Ellen Nordal; Anne Nordrehaug Åstrøm; Marit Slåttelid Skeie; Astrid Jullumstrø Feuerherm; Abhijit Sen; Marite Rygg Journal: BMC Oral Health Date: 2022-08-08 Impact factor: 3.747