Knowledge, attitude and practice towards oral health in parents and teachers of kindergarten students: a cross-sectional survey

Abstract

Objectives: This study aimed to explore the relationship between oral health and the knowledge, attitudes and practices (KAP) of parents and teachers of kindergarten students towards oral health.

Design: This web-based cross-sectional survey was conducted in Ningbo City from February 2023 to March 2023.

Setting: The study targets parents and teachers of kindergarten students in Ningbo City (five kindergartens selected using convenience sampling). The research aimed to explore the relationships between oral health practices, knowledge and attitudes among parents and teachers.

Participants: A total of 540 valid questionnaires were collected from parents and teachers. Clear definitions of selection, entry and exclusion criteria were followed to ensure comprehensive data collection.

Outcome measures: Assessment of oral health KAP among parents and teachers and correlation between KAP levels and students' oral hygiene habits.

Results: Key findings include comparatively high levels of oral health knowledge among parents (7.29±1.74), positive attitudes towards oral health (23.69±2.97), and commendable practices (51.92±4.76). The structural equation model suggested a direct positive influence of attitude (β=0.27, p<0.001) and knowledge (β=0.51, p<0.001) on practice. Daily habits were also influenced indirectly by both attitude (β=0.10, p<0.001) and knowledge (β=0.20, p<0.001).

Conclusions: The study underscores the significant effect of parents' and teachers' KAP on kindergarten students' oral health. The unknown representativeness of the sample necessitates caution in generalisation; nonetheless, the findings highlight the importance of enhancing oral health education and implementing targeted interventions to improve hygiene practices, with the potential to decrease dental caries prevalence among children. Collaborative efforts are essential in promoting effective oral health practices among young populations.

Keywords: Child; Education, Medical; ORAL MEDICINE.

Figure 1. Structural equation model for the relationship between knowledge, attitudes and practices.