Volume 3, Issue 2 (Summer 2016)                   J Educ Community Health 2016, 3(2): 1-8 | Back to browse issues page

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Banaye Jedd M, Babazadeh T, Hashemian Z, Moradi F, Ghavami Z. Cognitive-Behavioral Determinants of Oral Health in students: an Application of Pender's Health Promotion Model. J Educ Community Health. 2016; 3 (2) :1-8
URL: http://jech.umsha.ac.ir/article-1-215-en.html
Cognitive-Behavioral Determinants of Oral Health in students: an Application of Pender's Health Promotion Model
Mortezai Banaye Jedd1, Towhid Babazadeh *2, Zahra Hashemian3, Fatemeh Moradi4, Zeinab Ghavami3
1- Department of Disease Control and Prevention, Khoy Health Care Center, Urmia University of Medical Sciences, Urmia, Iran
2- Student Research Committee, School of Health , Tabriz University of Medical Sciences, Tabriz, Iran , towhid.bababzadeh@gmail.com
3- Sarab Faculty of Medical Sciences, Sarab, Iran
4- Senior Expert in Director General Office of Health, Tehran Municipality, Tehran, Iran
Abstract:   (10762 Views)

Background and Objectives: Identifying the effective factors on oral health behaviors could have an important role in promotion of oral health in diabetic patients. Therefore, the aim of the present study was the assessment of cognitive-behavioral determinants of oral health in students using Penderchr('39')s Health Promotion Model.

Materials and Methods: In this cross-sectional study, 251 subjects were selected from Azad University, Payame Noor University and Sarab Faculty of Medical Sciences by multistage random sampling in 2016. To collect data, a standard instrument was applied based on Health Promotion Model (HPM) structures. This questionnaire consisted of three parts: demographic variables, Pender’s HPM constructs items based on oral and dental health promotion, and health behavior.

Results: The mean age (standard deviation) was (21.9 ± 1.67). Oral health behaviors had statistically significant correlations with all of the HPM structures except for situational influences (r = 0.048). The HPM structures were able to predict 43.6% of oral heath behaviors and 24.6% of commitment to action. Self-efficacy (β = 0.342) was the strongest predictor to behavior and perceived barriers of commitment to action (β = -0.217).

Conclusions: According to the results, self-efficacy was the strongest predictor of oral health behaviors and perceived barriers was the strongest predictors of commitment to action plan. Generally, based on the present study findings, HPM may be used as an appropriate framework for identifying factors and developing educational interventions, aiming at improving oral health behaviors among students.

Keywords: Health Promotion Model, Oral Health, Students
Persian Full-Text [PDF 245 kb]   (4347 Downloads)    
Type of Study: Research Article | Subject: Oral Health
Received: 2016/07/8 | Accepted: 2016/08/28
References
1. Fernando S, Bakr M, Kanthi R. Improving maternal oral health knowledge and practices: an intervention from Sri Lanka. J Res Med Dent Sci. 2015;3(4):249. [DOI]
2. Services USDoHaH. Healthy people 2010: understanding and improving health. Washington (DC), USA: Government Printing Office, 2000.
3. Bastani P, Moosavi N, Alijanpoor M, Mehr Alian A. [The oral health care in pregnancy]. Behvarz. 2003;13(1):38-40.
4. Fallahi A, Morovati Sharifabad M. [Change stages of inter-dental cleaning behavior based on transtheoretical model among pre-university students in Yazd, Iran]. Payavard. 2009;3(1-2):85-93.
5. Bahmanpour K, Nouri R, Nadrian H, Salehi B. [Determinants of oral health behavior among high school students in Marivan County, Iran based on the Pender’s Health Promotion Model]. J Sch Instit Pub Health Res. 2011;9(2):93-106.
6. Tsai AI, Chen CY, Li LA, Hsiang CL, Hsu KH. Risk indicators for early childhood caries in Taiwan. Community Dent Oral Epidemiol. 2006; 34(6): 437-45. [DOI] [PubMed]
7. Atchison KA, Dubin LF. Understanding health behavior and perceptions. Dent Clin North Am. 2003;47(1):21-39. [PubMed]
8. Khami MR, Virtanen JI, Jafarian M, Murtomaa H. Oral health behaviour and its determinants amongst Iranian dental students. Eur J Dent Educ. 2007; 11(1):42-7. [DOI] [PubMed]
9. Harada S, Akhter R, Kurita K, Mori M, Hoshikoshi M, Tamashiro H, et al. Relationships between lifestyle and dental health behaviors in a rural population in Japan. Community Dent Oral Epidemiol. 2005;33(1):17-24. [DOI] [PubMed]
10. Sadeghi R, Khanjani N, Hashemi M, Movagheripour M. [Using Health Belief Model to Prevent Skin Cancer among Farmers]. Iranian J Health Educ Health Prom. 2014;2(3):215-22.
11. Michie S, Abraham C. Interventions to change health behaviours: evidence-based or evidence inspired? Psychol Health. 2004;19(1):29-49. [DOI]
12. Morowatisharifabad M, Shirazi KK. Determinants of oral health behaviors among preuniversity (12th-grade) students in Yazd (Iran): an application of the health promotion model. Fam Community Health. 2007; 30(4): 342-50. [DOI] [PubMed]
13. Pender N, Murdaugh C, Parsons M. Health promotion in nursing practice. 4thed. Upper Saddle River, New Jersey: Prentice-Hall Health; 2002.
14. Model HP. Nursing theories: a companion to nursing theories and models. Current Nursing: a portal for nursing professionals 2011 [updated 2011; cited 2017 25 April]. Available from: http://currentnursing.com/nursing_theory/health_promotion_model.html.
15. Pender N, Murdaugh C, Parsons M. Health Promotion in Nursing Practice. 6thed. Boston, MA: Pearson; 2011.
16. Khodaveisi M, Omidi A, Farokhi S, Soltanian A. [Dietary behavior status and its predictors based on the penders health promotion model constructs among overweight women referred to Fatemieh hospital clinics in Hamedan, 2014]. J Nurs Educ. 2016;5(2):31-9.
17. Wu TY, Pender N. Determinants of physical activity among Taiwanese adolescents: an application of the health promotion model. Res Nurs Health. 2002;25(1):25-36. [PubMed]
18. Karimi M, Eshrati B. [The effect of health promotion model-based training on promoting students’ physical activity]. J Kermanshah Univ Med Sci. 2012;16(3):192-200.
19. Mehri A, Morowatisharifabad M. [Utilizing the Health Promotion Model to predict oral health behaviors in the students of Islamic Azad University of Sabzevar (2008)]. J Dent Med. 2009;22(1):81-7.
20. Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, et al. Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC Public Health. 2013;13:261. [PubMed]
21. Buglar ME, White KM, Robinson NG. The role of self-efficacy in dental patients’ brushing and flossing: testing an extended Health Belief Model. Patient Educ Couns. 2010;78(2):269-72.
22. Babaei V, Babazadeh T, Kiani A, Garmaroodi G, Batebi A. [The Role of effective factors in preventive behaviors of brucellosis in stockbreeder of Charaoymaq County: a health belief model]. J Fasa Univ Med Sci. 2016;5(4):470-8.
23. Esmailikia M, Gholami Parizad E, Abedzadeh Zavareh MS, Sayehmiri K, Ghazanfari Z. Prediction of Oral Health in Children 3-6 Years old in Ilam, 2015: Application of Health Belief Model. J Ilam Univ Med Sci. 2016;24(3):49-58. [DOI]
24. Charkazi A, Berdi Ozouni-Davaji R, Bagheri D, Mansourian M, Qorbani M, Safari O. Predicting oral health behavior using the health promotion model among school students: a cross-sectional survey. Int J Pediatr. 2016;4(7):2069-77.
25. Badri-Gargari R, Salek-Hadadian N. [The Role of self-efficacy and factors of health belief model in dental patient’ brushing and flossing]. J Urmia Nurs Midwifery Fac. 2011;9(3):130-8.
26. Keikhaee R, Rakhshani F, Izadi S, Hashemi Z. [Survey of oral health behaviors and its associated factors in female students of primary schools in Zabol based on health belief model]. J Zabol Univ Med Sci Health Serv. 2012;4(2):33-41.
27. Hajimiri K, Sharifirad G, Hasanzade A. [The effect of oral health education based on health belief model in mothers who had 3-6 year old children on decreasing dental plaque index in Zanjan]. Zanjan J Res Med Sci. 2010;18(72):77-86.
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