Maternal and adolescent sense of coherence: Contributions and implications for adolescent oral health behaviors

Context: The sense of coherence (SOC) is a pivotal element within the salutogenic framework of health, which endeavors to elucidate the determinants that facilitate health promotion. Aims: This study examined the relationship between maternal and adolescent SOC and its impact on adolescents’ oral health behaviors, explicitly brushing frequency, sugar consumption, and dental visits. Settings and Design: A cross-sectional investigation was conducted within the department, encompassing 723 mother-adolescent dyads selected from urban and semi-urban educational institutions. Subjects and Methods: Both cohorts completed the SOC-13 scale, and data about demographic variables and oral health behaviors were systematically gathered. Statistical Analysis Used: Logistic regression and mediation analyses examined the relationships between maternal and adolescent SOC and oral health practices. Results: The investigation revealed that elevated maternal SOC was significantly correlated with enhanced oral health behaviors among adolescents. A 10-point increase in maternal SOC was associated with a 104% increase in dental visits and a 90% increase in the frequency of brushing in adolescents. Similarly, a 10-point increase in adolescent SOC led to a 52% enhancement in daily tooth brushing and a 10% decrease in sugar intake. Maternal educational attainment and socioeconomic status were the critical determinants of oral health practices. Mediation analysis demonstrated maternal SOC partially mediated the association between adolescent SOC and oral health behaviors. Conclusions: Elevated SOC scores in both mothers and adolescents were associated with enhanced oral health practices among adolescents, including consistent tooth brushing and decreased intake of sugary foods. Programs that foster familial interactions that elevate maternal SOC and educational attainment may serve as effective mechanisms for encouraging healthier behavioral patterns in adolescents.