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The impact of health belief model in the middle and high school students on oral health behaviors

lim hee jung ORD ID 1 김형주 1 안용순 1

1을지대학교

Accredited

ABSTRACT

Objectives: The aim of the study is to investigate the health belief model affecting the oral health behavior in middle and high schoolstudents. Methods: The subjects were 296 middle and high school students in Seoul, Gyeonggi and Incheon from February 15 to March 21,2014. The students filled out the self-reported questionnaires after receiving informed consents. The instrument was adopted andrevised from those of Kim & Hwang, and Choi & Joo. The questionnaire consisted of 4 questions of general characteristics, 9questions of oral health status including subjective oral health status, frequency of tooth brushing, duration of tooth brushing, methodof tooth brushing, use of oral health devices, dental clinic visit, scaling services, snack intake, and smoking. The oral health beliefconsisted of 25 questions including susceptibility, seriousness, barriers, benefit, and self-efficacy using Likert 5 scale. The reliabilityof Cronbach’s alpha in the study was 0.725. Data were analyzed using SPSS ver 18.0 for frequency analysis, t-test, ANOVA, χ²-test,and Pearson's correlation coefficient, simple regression, and binary logistic regression. Results: Oral health beliefs of middle and high school students affected the oral health behaviors. Susceptibility, barriers andself-efficacy also influenced on the oral health behaviors. In order to provide the best oral health education, susceptibility andself-efficacy are the primary factors to increase motivation because the motivation endows the students with correction of oral healthbehaviors that improve the knowledge, attitudes, and decrease barriers in oral hygiene. Conclusions: It is important to correct oral health behaviors in the middle and high school students by providing the continuing andsystematic oral health education.

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