Introduction: Health literacy is an independent predictor of health outcomes, including health knowledge and behavior. This study determined the influence of oral health literacy on knowledge and attitude towards children's oral health among pregnant women.
Materials and methods: A total of 130 pregnant women (65 nulliparous and 65 primiparous or multiparous) attending Hospital Universiti Sains Malaysia for antenatal care who did not have any diagnosed cognitive disorders and could read and write in the Malay language participated in this crosssectional study. A structured self-administered questionnaire was used to measure knowledge and attitude towards children's oral health, and the Malay version of the Oral Health Literacy Instrument (OHLI-M) was used to assess the oral health literacy of the participants.
Results: Multivariable linear regression analysis showed that older women and women with higher OHLI-M scores had higher mean knowledge scores than younger women (p=0.007) and women with lower OHLI-M scores (p=0.001), respectively. In addition, women with higher OHLI-M scores, women with higher mean knowledge scores, and women who had attended a talk about children's oral health were more likely to have higher mean attitude scores than women with lower OHLI-M scores (p=0.019), women with lower mean knowledge scores (p=0.006), and women who had never attended a talk about children's oral health (p=0.001).
Conclusion: Pregnant women's oral health literacy was positively associated with their oral health knowledge and attitude towards children's oral health. Strategies to improve the oral health literacy of pregnant women are indicated.