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Table 3 Summary of themes identified that influence children’s oral hygiene behaviors, by level, from Fisher-Owens et al. framework

From: A qualitative study of the multi-level influences on oral hygiene practices for young children in an Early Head Start program

LevelInfluences on health behaviorThemes
ChildHealth behaviorChild’s usual oral hygiene routine
ChildStage of development1. Desire for independence
FamilyFamily function and roles2. Mothers’ role
3. Other family role models
FamilyBeliefs and practices4. Oral health knowledge
5. Oral health attitudes
FamilyCoping skills6. Coping skills and strategies
CommunityCommunity Oral Health Environment7. Community Oral Health Environment and Early Head Start Home Visitor program norms
Social Environment8. Social Environment
Health system characteristics9. Health system characteristics