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Understanding and predicting flossing behavior in a rural Appalachian community using the multi-theory model.

Rahib K Islam1, Manoj Sharma2,3, Amanda H Wilkerson4

  • 1LSU Health Sciences Center New Orleans School of Medicine, New Orleans, LA, USA.

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Summary

Improving flossing adherence in rural Appalachia requires interventions targeting behavioral confidence for initiation and emotional transformation for sustenance. These strategies, guided by the Multi-Theory Model, can address oral health disparities.

Keywords:
AppalachiaFlossingHealth behaviorPeriodontal diseasePublic health

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Area of Science:

  • Public Health
  • Behavioral Science
  • Oral Health

Background:

  • Effective flossing is crucial for preventing periodontal disease.
  • Low adherence to flossing in rural Appalachia exacerbates oral health disparities.
  • The Multi-Theory Model (MTM) offers a framework to understand health behavior change.

Purpose of the Study:

  • To conceptualize the intention of initiation and sustenance of flossing behaviors using the MTM.
  • To identify predictors of flossing behavior in a rural Appalachian population.

Main Methods:

  • A cross-sectional survey was conducted with 228 participants in rural Appalachia.
  • The MTM constructs were measured.
  • Multiple linear regression models were used for data analysis.

Main Results:

  • Behavioral confidence predicted flossing initiation intention in non-daily flossers.
  • Emotional transformation predicted flossing sustenance in non-daily flossers.
  • For daily flossers, physical environment changes predicted initiation intention, while emotional transformation and practice for change predicted sustenance.

Conclusions:

  • The MTM effectively predicts flossing behaviors in rural Appalachian populations.
  • Interventions should focus on enhancing behavioral confidence, physical environment, emotional transformation, and practice for change to improve flossing adherence.
  • Further research is needed to develop targeted public health strategies.