Parents oral health literacy and childrens oral health a systematic review and strategic analysis

Authors

DOI:

https://doi.org/10.62697/rmiie.v5i2.325

Keywords:

Health literacy, oral health, dental caries, child preschool, systematic review

Abstract

This study aimed to collect and systematize the available information on the relationship between parents' oral health literacy and the oral health status of their preschool and school-age children. A situational analysis was additionally incorporated to identify priority lines of action for the Latin American context. The search was conducted in PubMed, SciELO and Google Academic databases using MeSH descriptors and Boolean operators. Studies published between 2019 and 2024 in English, Spanish and Portuguese were included. Thirteen cross-sectional studies met the eligibility criteria and were analyzed. To complement the evidence synthesis, a SWOT-Action strategic analysis was applied, constructed from the findings of the included studies. Seven of the thirteen studies reported an association between parents' oral health literacy level and the presence of caries in their children; four investigations found an inverse relationship, and two studies found no statistically significant association. The SWOT analysis identified weaknesses related to the heterogeneity of measurement instruments and external threats associated with adverse social determinants. The derived Action matrix proposed differentiated strategies according to level of intervention. The review confirmed that an association exists between low parental oral health literacy and poor oral health status in their children. The complementary situational analysis provided an applied interpretation that transcends associative description and offers concrete pathways for intervention in resource-limited contexts.

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References

Arciga Ornelas, M. J., & Ortiz Montalvo, V. H. (2023). Enfermedades bucodentales, un problema de salud pública. Milenaria, Ciencia y Arte, (22), 32–34. https://doi.org/10.35830/mcya.vi22.425

Chawłowska, E., Karasiewicz, M., Lipiak, A., Cofta, M., Fechner, B., Lewicka-Rabska, A., Pruciak, A., & Gerreth, K. (2022). Exploring the relationships between children’s oral health and parents’ oral health knowledge, literacy, behaviours and adherence to recommendations: A cross-sectional survey. International Journal of Environmental Research and Public Health, 19(18), 11288. https://doi.org/10.3390/ijerph191811288

Corratgé Delgado, H., Soler Porro, A. B., Barciela González, M. de la C., González Vega, S. M., & Vidal Ledo, M. J. (2024). Caracterización de la planificación de objetivos y actividades en el nivel primario de atención. Revista Cubana de Medicina General Integral, 40(1). https://revmgi.sld.cu/index.php/mgi/article/view/3321

Cruz-Ochoa, Y. A., Arroyo-Lalama, E. M., & Romero-Fernández, A. J. (2025). Eficacia de localizadores apicales en la reducción del tiempo de trabajo durante la terapia endodóntica. Sanitas. Revista Arbitrada de Ciencias de la Salud, 4, 178–184. https://doi.org/10.62574/g20srs34

Da Silva Benigno, M. B., Bastoni da Silva, J., Garcia de Avila, M. A., de Carvalho Nunes, H. R., & Mialhe, F. L. (2025). Dental caries in preschoolers and parental level of oral health literacy in Tocantins. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 25, e240124. https://doi.org/10.1590/pboci.2025.107

Dieng, S., Cisse, D., Lombrail, P., & Azogui-Lévy, S. (2020). Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study. PLOS ONE, 15(1), e0226876. https://doi.org/10.1371/journal.pone.0226876

El-Wakeel, N., Ezzeldein, N., & Ramadan, A. A. (2025). Oral health status of Egyptian mothers and their preschool children: Association of mother’s oral health literacy and marital satisfaction—A cross-sectional study. BMC Oral Health, 25(1), 767. https://doi.org/10.1186/s12903-025-06099-8

Ferreira-Barbosa, M., Pereira-Martins, L., Madeira-Bittencourt, J., Martins-Paiva, S., & Baccin-Bendo, C. (2023). Impacto de la caries de la primera infancia y la alfabetización en salud bucal de los padres en el uso de los servicios de atención de la salud oral por parte de los niños. International Journal of Odontostomatology, 17(2), 160–166. http://dx.doi.org/10.4067/S0718-381X2023000200160

Guilabert, M., Sánchez-García, A., Asencio, A., Marrades, F., García, M., & Mira, J. J. (2024). Retos y estrategias para recuperar y dinamizar la atención primaria. Metodología DAFO–CAME en un departamento de salud. Atención Primaria, 56(3), 102809. https://doi.org/10.1016/j.aprim.2023.102809

Hidalgo-Mora, E., Campos-Campos, K. J., Aguilar Gálvez, D., López-Ramos, R. P., & Alvarez Vidigal, E. (2024). Parents’ oral health literacy and its association with their children’s oral health: A review. Revista Científica Odontológica, 12(3), e209. https://doi.org/10.21142/2523-2754-1203-2024-209

Kamolchaiwanich, K., Lee, J. Y., & Leelataweewud, P. (2025). Exploring the link between maternal oral health literacy and child oral health behaviours. International Dental Journal, 75(3), 2042–2052. https://doi.org/10.1016/j.identj.2024.12.033

Maito Velasco, S. R., Moraes Moriyama, C., Bonecker, M., Butini, L., Abanto, J., & Ferreira Antunes, J. L. (2022). Relationship between oral health literacy of caregivers and the oral health-related quality of life of children: A cross-sectional study. Health and Quality of Life Outcomes, 20(1), 117. https://doi.org/10.1186/s12955-022-02019-4

Moraes, C., Maito, S. R., Butini, L., Abanto, J., Antunes, J. L. F., & Bönecker, M. (2022). How oral health literacy and parental behavior during meals relate to dental caries in children. Brazilian Oral Research, 36, e131. https://doi.org/10.1590/1807-3107bor-2022.vol36.0131

Pereira Martins, L., Madeira Bittencourt, J., Baccin Bendo, C., Almeida Pordeus, I., Martins-Júnior, P. A., & Martins Paiva, S. (2021). Impact of oral health literacy on the clinical consequences of untreated dental caries in preschool children. Pediatric Dentistry, 43(2), 116–122. https://pubmed.ncbi.nlm.nih.gov/33892836/

Ristow Montes, G., Veiga Bonotto, D., Morais Ferreira, F., Nogara Menezes, J. V. B., & Fraiz, F. C. (2019). Caregiver’s oral health literacy is associated with prevalence of untreated dental caries in preschool children. Ciência & Saúde Coletiva, 24, 2737–2744. https://doi.org/10.1590/1413-81232018247.18752017

Sánchez Carvajal, K. G., & Cabrera Arias, M. A. (2024). El grado de alfabetismo en salud posiblemente influye paulatinamente en la salud oral como la salud general de las personas. Revista Ecuatoriana de Pediatría, 25(1), 12–22. https://doi.org/10.52011/RevSepEc/e260

Sowmya, K. R., Puranik, M. P., & Aparna, K. S. (2021). Association between mother’s behaviour, oral health literacy and children’s oral health outcomes: A cross-sectional study. Indian Journal of Dental Research, 32(2), 147–152. https://doi.org/10.4103/ijdr.IJDR_676_18

Sun, Y., Li, C., Zhao, Y., & Sun, J. (2021). Trends and developments in oral health literacy: A scientometric research study (1991–2020). BDJ Open, 7(1), 13. https://doi.org/10.1038/s41405-021-00066-5

Vessoni Menoncin, B. L., de Araujo Crema, A. F., Ferreira, F. de M., Ferreira Zandoná, A., Nogara Menezes, J. V. B. de, & Fraiz, F. C. (2023). Parental oral health literacy influences preschool children’s utilization of dental services. Brazilian Oral Research, 37, e090. https://doi.org/10.1590/1807-3107BOR-2023.vol37.0090

Wang, Y., Inglehart, M. R., & Yuan, C. (2022). Impact of parents’ oral health literacy on their own and their children’s oral health in Chinese population. Frontiers in Public Health, 10, 809568. https://doi.org/10.3389/fpubh.2022.809568

Wu, K., Yin, W., Liang, X., Zou, L., & Yang, Z. (2024). The influence of parents’ oral health literacy and behavior on oral health of preschool children aged 3–6 years: Evidence from China. BMC Oral Health, 24(1), 1445. https://doi.org/10.1186/s12903-024-05213-6

Zhang, B., Zhou, F., Liu, Z., Gong, A., & Li, M. (2025). Association of parental oral health literacy, early childhood oral health behaviors, and caries severity with oral health-related quality of life among preschool children. BMC Oral Health, 25(1), 1808. https://doi.org/10.1186/s12903-025-07159-9

Published

2026-04-01

How to Cite

Moscoso-Rosero, K. P., Toala-Tapia, A. I., & Acosta-Zambrano, M. G. (2026). Parents oral health literacy and childrens oral health a systematic review and strategic analysis. Revista Mexicana De Investigación E Intervención Educativa, 5(2), 107–116. https://doi.org/10.62697/rmiie.v5i2.325