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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

Level

Influences on health behavior

Themes

Child

Health behavior

Child’s usual oral hygiene routine

Child

Stage of development

1. Desire for independence

Family

Family function and roles

2. Mothers’ role

3. Other family role models

Family

Beliefs and practices

4. Oral health knowledge

5. Oral health attitudes

Family

Coping skills

6. Coping skills and strategies

Community

Community Oral Health Environment

7. Community Oral Health Environment and Early Head Start Home Visitor program norms

Social Environment

8. Social Environment

Health system characteristics

9. Health system characteristics