PDF(Pubmed)
Abstract：
The relationship between parental attitudes towards health and child development has been a topic of interest for many years; however, research results in this field are still inconsistent. This study aimed to develop a structural equation model of the Parental Attitudes toward Child Oral Health (PACOH) scale, using this model to analyse the relationship between parental attitudes with demographic variables and the oral health-related behaviour of parents and children. A total of 302 parents (87% mothers) answered questions regarding their own and their children\'s, aged 4-7 years, oral health-related actions and completed the 38-item PACOH scale. The structural equation model indicated that parental attitudes captured by the PACOH scale can be fitted to a second-order factorial model, even with the scale shortened to 21 items. The model demonstrated good fit characteristics (CFI = 0.925; IFI = 0.927; GFI = 0.915; RMSEA = 0.049), making it a reliable tool for examining the structure of parental attitudes. This model was employed in the multi-group analysis, revealing the close relationship between positive parents\' attitudes towards their child\'s oral health and oral health-promoting behaviour both in parents and children, such as regular tooth brushing (p < 0.001), visiting the dentist (p = 0.027), and parents helping their child brush his/her teeth (p < 0.001). In light of these findings, it was concluded that Parental Attitudes towards Child Oral Health should be considered an essential factor influencing the development of oral health-promoting behaviour in children.
摘要：
多年来，父母对健康的态度与儿童发展之间的关系一直是人们关注的话题；然而，该领域的研究成果仍不一致。本研究旨在建立父母对儿童口腔健康态度（PACOH）量表的结构方程模型，使用该模型分析父母态度与人口统计学变量与父母和子女口腔健康相关行为之间的关系。共有302名家长(87%的母亲)回答了关于他们自己和孩子的问题，4-7岁,与口腔健康相关的行动，并完成了38个项目的PACOH量表。结构方程模型表明，PACOH量表捕获的父母态度可以拟合到二阶阶乘模型，即使规模缩短到21项。该模型表现出良好的拟合特性(CFI=0.925;FI=0.927;GFI=0.915;RMSEA=0.049),使其成为检查父母态度结构的可靠工具。该模型用于多组分析，揭示父母对孩子口腔健康的积极态度与父母和孩子的口腔健康促进行为之间的密切关系，例如定期刷牙（p<0.001），看牙医（p=0.027），父母帮助孩子刷牙（p<0.001）。根据这些发现,结论是，父母对儿童口腔健康的态度应被视为影响儿童口腔健康促进行为发展的重要因素。
