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Determinants of intention to improve oral hygiene behavior among students based on the theory of planned behavior: A structural equation modelling analysis
- Source :
- PLoS ONE, Vol 16, Iss 2, p e0247069 (2021), PLoS ONE
- Publication Year :
- 2021
- Publisher :
- Public Library of Science (PLoS), 2021.
-
Abstract
- Introduction The prevalence of oral hygiene behaviors (OHB) is very low among school children in Ethiopia. However, the determinants of student’s readiness/intention to perform those behaviors have been remained unstudied. Objective This study aimed to identify the determinants of oral hygiene behavioral intention (OHBI) among preparatory school students based on the theory of planned behavior (TPB). Methods and materials An institution-based cross-sectional study was conducted among 393 students. A 98-item self-administered questionnaire was used to evaluate oral hygiene knowledge (OHK), oral hygiene behavior (OHB), and OHBI based on TPB variables [attitude (ATT), subjective norms (SN) and perceived behavioral control (PBC)]. Descriptive statistics and structural equation modeling analysis (SEM) were employed to confirm relationships and associations among study variables. A p-value of less than 0.05 and a 95% confidence interval were used to declare statistical significance. Results A total of 393 students were participated with a response rate of 97.5%. The mean age of the participants (54% females) was 18 (± 1.3) with an age range of 16 to 24. The TPB model was well fitted to the data and explained 66% of the variance in intention. ATT (β = 0.38; 95% CI, (0.21, 0.64)), SN (β = 0.33; 95% CI, (0.05, 0.83)) and PBC (β = 0.29; 95% CI, (0.13, 0.64)) were significant predictors of OHBI, where ATT was the strongest predictor of OHBI. Conclusion The TPB model explained a large variance in the intention of students to improve their OHB. All TPB variables were significantly and positively linked to stronger intent, as the theory suggests. Furthermore, these results suggest that the model could provide a framework for oral hygiene promotion interventions in the study area. Indeed, these interventions should focus on changing the attitudes of students towards OHB, creation of positive social pressure, and enabling students to control over OHB barriers.
- Subjects :
- Male
Bacterial Diseases
Teeth
Psychological intervention
Social Sciences
Oral Health
Medical Conditions
Sociology
Caries
Surveys and Questionnaires
Medicine and Health Sciences
Public and Occupational Health
Response rate (survey)
Multidisciplinary
Schools
Theory of planned behavior
Infectious Diseases
Latent Class Analysis
Educational Status
Medicine
Female
Anatomy
Psychology
Behavioral and Social Aspects of Health
Clinical psychology
Research Article
Adolescent
Science
Oral Medicine
Oral hygiene
Structural equation modeling
Education
Young Adult
Statistical significance
Humans
Mouth
Descriptive statistics
business.industry
Biology and Life Sciences
Models, Theoretical
Oral Hygiene
Confidence interval
Cross-Sectional Studies
Jaw
People and Places
Population Groupings
business
Digestive System
Head
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 16
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....d153dabe9296d4c18ff51e10d94062bb