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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Health Literacy: A Pathway to Better Oral Health</title>
<author><name sortKey="Guo, Yi" sort="Guo, Yi" uniqKey="Guo Y" first="Yi" last="Guo">Yi Guo</name>
</author>
<author><name sortKey="Logan, Henrietta L" sort="Logan, Henrietta L" uniqKey="Logan H" first="Henrietta L." last="Logan">Henrietta L. Logan</name>
</author>
<author><name sortKey="Dodd, Virginia J" sort="Dodd, Virginia J" uniqKey="Dodd V" first="Virginia J." last="Dodd">Virginia J. Dodd</name>
</author>
<author><name sortKey="Muller, Keith E" sort="Muller, Keith E" uniqKey="Muller K" first="Keith E." last="Muller">Keith E. Muller</name>
</author>
<author><name sortKey="Marks, John G" sort="Marks, John G" uniqKey="Marks J" first="John G." last="Marks">John G. Marks</name>
</author>
<author><name sortKey="Riley, Joseph L" sort="Riley, Joseph L" uniqKey="Riley J" first="Joseph L." last="Riley">Joseph L. Riley</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">24832423</idno>
<idno type="pmc">4056215</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056215</idno>
<idno type="RBID">PMC:4056215</idno>
<idno type="doi">10.2105/AJPH.2014.301930</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000303</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000303</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Health Literacy: A Pathway to Better Oral Health</title>
<author><name sortKey="Guo, Yi" sort="Guo, Yi" uniqKey="Guo Y" first="Yi" last="Guo">Yi Guo</name>
</author>
<author><name sortKey="Logan, Henrietta L" sort="Logan, Henrietta L" uniqKey="Logan H" first="Henrietta L." last="Logan">Henrietta L. Logan</name>
</author>
<author><name sortKey="Dodd, Virginia J" sort="Dodd, Virginia J" uniqKey="Dodd V" first="Virginia J." last="Dodd">Virginia J. Dodd</name>
</author>
<author><name sortKey="Muller, Keith E" sort="Muller, Keith E" uniqKey="Muller K" first="Keith E." last="Muller">Keith E. Muller</name>
</author>
<author><name sortKey="Marks, John G" sort="Marks, John G" uniqKey="Marks J" first="John G." last="Marks">John G. Marks</name>
</author>
<author><name sortKey="Riley, Joseph L" sort="Riley, Joseph L" uniqKey="Riley J" first="Joseph L." last="Riley">Joseph L. Riley</name>
</author>
</analytic>
<series><title level="j">American Journal of Public Health</title>
<idno type="ISSN">0090-0036</idno>
<idno type="eISSN">1541-0048</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
We examined whether health literacy was associated with self-rated oral health status and whether the relationship was mediated by patient–dentist communication and dental care patterns.</p>
<p><italic>Methods.</italic>
We tested a path model with data collected from 2 waves of telephone surveys (baseline, 2009–2010; follow-up, 2011) of individuals residing in 36 rural census tracts in northern Florida (final sample size n = 1799).</p>
<p><italic>Results.</italic>
Higher levels of health literacy were associated with better self-rated oral health status (B = 0.091; <italic>P</italic>
< .001). In addition, higher levels of health literacy were associated with better patient–dentist communication, which in turn corresponded with patterns of regular dental care and better self-rated oral health (B = 0.003; <italic>P</italic>
= .01).</p>
<p><italic>Conclusions.</italic>
Our study showed that, beyond the often-reported effects of gender, race, education, financial status, and access to dental care, it is also important to consider the influence of health literacy and quality of patient–dentist communication on oral health status. Improved patient–dentist communication is needed as an initial step in improving the population’s oral health.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id>
<journal-id journal-id-type="publisher-id">ajph</journal-id>
<journal-title-group><journal-title>American Journal of Public Health</journal-title>
</journal-title-group>
<issn pub-type="ppub">0090-0036</issn>
<issn pub-type="epub">1541-0048</issn>
<publisher><publisher-name>American Public Health Association</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24832423</article-id>
<article-id pub-id-type="pmc">4056215</article-id>
<article-id pub-id-type="publisher-id">301930</article-id>
<article-id pub-id-type="doi">10.2105/AJPH.2014.301930</article-id>
<article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>Dental/Oral Health</subject>
<subject>Rural Health</subject>
</subj-group>
<subj-group subj-group-type="heading"><subject>Online Research and Practice</subject>
</subj-group>
</article-categories>
<title-group><article-title>Health Literacy: A Pathway to Better Oral Health</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Guo</surname>
<given-names>Yi</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Logan</surname>
<given-names>Henrietta L.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Dodd</surname>
<given-names>Virginia J.</given-names>
</name>
<degrees>PhD, MPH</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Muller</surname>
<given-names>Keith E.</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Marks</surname>
<given-names>John G.</given-names>
</name>
<degrees>MS</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Riley</surname>
<given-names>Joseph L.</given-names>
<suffix>III</suffix>
</name>
<degrees>PhD</degrees>
</contrib>
<aff>Yi Guo and Keith E. Muller are with the Department of Health Outcomes and Policy, College of Medicine, and Henrietta L. Logan, Virginia J. Dodd, John G. Marks, and Joseph L. Riley III are with the Department of Community Dentistry and Behavioral Science, College of Dentistry, University of Florida, Gainesville.</aff>
</contrib-group>
<author-notes><corresp>Correspondence should be sent to Yi Guo, PhD, PO Box 100177, Department of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville 32610-0177 (e-mail: <email>yiguo@ufl.edu</email>
). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link>
by clicking the “Reprints” link.</corresp>
<fn><p><bold>Contributors</bold>
</p>
<p>Y. Guo conducted the analysis and led the writing of the article. H. L. Logan, V. J. Dodd, J. G. Marks, and J. L. Riley III guided the study design and assisted with analysis, interpretation, and writing. K. E. Muller guided the study design and statistical model selection.</p>
</fn>
<fn><p>Peer Reviewed</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>1</day>
<month>7</month>
<year>2015</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>104</volume>
<issue>7</issue>
<fpage>e85</fpage>
<lpage>e91</lpage>
<history><date date-type="accepted"><day>8</day>
<month>2</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© American Public Health Association 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="AJPH.2014.301930.pdf"></self-uri>
<abstract><p><italic>Objectives.</italic>
We examined whether health literacy was associated with self-rated oral health status and whether the relationship was mediated by patient–dentist communication and dental care patterns.</p>
<p><italic>Methods.</italic>
We tested a path model with data collected from 2 waves of telephone surveys (baseline, 2009–2010; follow-up, 2011) of individuals residing in 36 rural census tracts in northern Florida (final sample size n = 1799).</p>
<p><italic>Results.</italic>
Higher levels of health literacy were associated with better self-rated oral health status (B = 0.091; <italic>P</italic>
< .001). In addition, higher levels of health literacy were associated with better patient–dentist communication, which in turn corresponded with patterns of regular dental care and better self-rated oral health (B = 0.003; <italic>P</italic>
= .01).</p>
<p><italic>Conclusions.</italic>
Our study showed that, beyond the often-reported effects of gender, race, education, financial status, and access to dental care, it is also important to consider the influence of health literacy and quality of patient–dentist communication on oral health status. Improved patient–dentist communication is needed as an initial step in improving the population’s oral health.</p>
</abstract>
<counts><page-count count="7"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
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