September 2014

Volume 31, Issue 3

Experience of racism and tooth brushing among pregnant Aboriginal Australians: exploring psychosocial mediators

Authors: J. Ben L.M. Jamieson N. Priest E.J. Parker K.F. Roberts-Thomson H.P. Lawrence J. Broughton Y. Paradies
doi: 10.1922/CDH_3298Ben08


Objectives: Despite burgeoning evidence regarding the pathways by which experiences of racism influence health outcomes, little attention has been paid to the relationship between racism and oral health-related behaviours in particular. We hypothesised that self-reported racism was associated with tooth brushing, and that this association was mediated by perceived stress and sense of control and moderated by social support. Methods: Data from 365 pregnant Aboriginal Australian women were used to evaluate tooth brushing behaviour, sociodemographic factors, psychosocial factors, general health, risk behaviours and racism exposure. Bivariate associations were explored and hierarchical logistic regression models estimated odds ratios (OR) and 95% confidence intervals (CI) for tooth brushing. Perceived stress and sense of control were examined as mediators of the association between self-reported racism and tooth brushing using binary mediation with bootstrapping. Results: High levels of self-reported racism persisted as a risk indicator for tooth brushing (OR 0.51, 95%CI 0.27,0.98) after controlling for significant covariates. Perceived stress mediated the relationship between self-reported racism and tooth brushing: the direct effect of racism on tooth brushing was attenuated, and the indirect effect on tooth brushing was significant (b coefficient -0.09; biascorrected 95%CI -0.166,-0.028; 48.1% of effect mediated). Sense of control was insignificant as a mediator of the relationship between racism and tooth brushing. Conclusions: High levels of self-reported racism were associated with non-optimal tooth brushing behaviours, and perceived stress mediated this association among this sample of pregnant Aboriginal women.. Limitations and implications are discussed. Key words: racism, toothbrushing, psychosocial factors, psychological stress, control, Australian Aborigines


Other articles in this issue

Article Pages Access
Editorial - Celebrating 50 years of water fluoridation in Birmingham – a time for decision-makers to tackle high tooth decay rates elsewhere 130-131 Download
Dental Public Health in Action - Training dental nurses with additional skills in oral health education and application of fluoride varnish: activity impact and challenges 132-135 Download
Frequency of daily tooth brushing: predictors of change in 9- to 11-year old US children 136-140 Download
Caries experience and treatment needs among Albanian 12-year-olds 141-144 Download
Experience of racism and tooth brushing among pregnant Aboriginal Australians: exploring psychosocial mediators 145-152 Download
Dietary intake of calcium, vitamins A and E and bleeding on probing in Sri Lankan preschoolers 153-157 Download
Type II diabetes and oral health: perceptions among adults with diabetes and oral/health care providers in Ghana 158-162 Download
Dental caries among children in Georgia by age, gender, residence location and ethnic group 163-166 Download
Access, literacy and behavioural correlates of poor self-rated oral health amongst an Indigenous South Australian population 167-171 Download
Effect of second mailing for consent on child dental survey results 172-175 Download
Evaluation of a capacity building clinical educational model for oral health clinicians treating very young children 176-182 Download
The significance of motivation in periodontal treatment: The influence of adult patients’ motivation on the clinical periodontal status 183-187 Download
Evaluation of internet search trends of some common oral problems, 2004 to 2014 188-192 Download


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