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Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 53-61 | Back to browse issues page

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Bashirian S, Barati M, Barati M, Khazaei S, Jenabi E, Gholami L et al . Determinants of Tooth Brushing Behavior among Pregnant Women: An Application of the Pender’s Health Promotion Model. Health Educ Health Promot 2023; 11 (1) :53-61
URL: http://hehp.modares.ac.ir/article-4-65183-en.html
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1- Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
4- Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
5- “Dental Research Center” and “Department of Periodontology, School of Dentistry”, Hamadan University of Medical Sciences, Hamadan, Iran
6- Department of Community Oral Health, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
* Corresponding Author Address: Health Faculty, Hamadan University of Medical Science, Shahid Fahmide Boulevard, Hamadan, Iran. Postal Code: 8138380509 (barati85@gmail.com)
Abstract   (2620 Views)
Aims: It is very important to maintain oral health during pregnancy because it has short- and long-term effects on the health of women and children. This study aimed to identify the factors affecting tooth brushing behavior among pregnant women based on Pender’s Health Promotion Model.
Instruments & Methods: This cross-sectional descriptive-analytical study was performed on 275 pregnant women under the coverage of the health centers of Arak, Iran, selected by cluster sampling method in 2021. Data were collected using a questionnaire, which was constructed and validated in this study. The questionnaire contained items about demographic variables and Health Promotion Model constructs. Data were analyzed in SPSS 18 software using regression models.
Findings: The mean age of participants was 29.67±5.54. Only 24% of pregnant women brushed twice a day or more. Perceived Self-efficacy (β=0.157, p=0.020), perceived barriers of action (β= -0.138, p=0.049), and interpersonal influence (modeling) (β=0.188, p=0.002) had significant relationships with commitment to a plan of action. The pregnant women who had more self-efficacy (OR: 1.114, 95% CI: 1.012-1.225) and more commitment to a plan of action (OR: 1.802, 95% CI: 1.509-2.153) were more likely to brush their teeth twice or more a day.
Conclusion: Perceived self-efficacy and commitment to a plan of action are determinant factors of brushing behavior in pregnant women based on Pender’s Health Promotion Model.
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