TL;DR: Children's beliefs about vulnerability to health problems and the benefits of taking some health action together with their reports of traumatic dental encounters were a significantly better set of predictors of intention to make a dental visit among children for whom health was relatively important.
Abstract: Questionnaire data from 774 children aged 8 through 17 years demonstrated that health motivation has an organizing effect upon health beliefs and intentions. Children's beliefs about vulnerability to health problems and the benefits of taking some health action together with their reports of traumatic dental encounters were a significantly better set of predictors of intention to make a dental visit among children for whom health was relatively important, than they were among children for whom health was of less importance. The study has implications for reformulating the health-belief model, and increasing the effectiveness of health education programs.
Abstract: Dr. Gochman is an associate professor of public health administration, University of Michigan School of Public Health. Dr. Bagramian is an assistant professor of dental public health at the school and assistant professor of dentistry and chairman of the department of community dentistry, University of Michigan School of Dentistry. Dr. Sheiham is a senior lecturer in periodontology at the London Hospital Medical College Dental School, University of London, England. The research described was supported by Public Health Service grants No. CH 00044 from the Division of Community Health Services, No. HS 00370 from the National Center for Health Services Research and Development, and No. PHT-5-26 from the Division of Health Manpower and Educational Services. Tearsheet requests to Dr. David S. Gochman, Room M-4148, University of Michigan School of Public Health, Ann Arbor, Mich. 48104. tions for the planning of successful health education programs and for increasing the utilization and effectiveness of health services. Earlier research conducted by Gochman (1,2) revealed that children and young adults exhibit consistency in their expectancies of health problems in two ways: (a) the degree to which a child expects some specific illness, accident, or other health problem is related to the degree to which he expects other such problems, and (b) the degree to which some specific health problem is expected by one age-sex group is markedly related to the degree to which it is expected by other age-sex groups. The studies conducted by Gochman in 1967 and 1968 established, replicated, and extended these observations, but did not explore the effects of socioeconomic differences on the consistency of these patterns. Moreover, Bagramian and Sheiham suggested the possibility of determining whether such consistency also extended to dental problems. Accordingly, one major goal of the current study was to examine the effects of socioeconomic status, as well as those of sex and age, on a variety of health and dental problems. In addition, several psychological theories of child development suggest that younger children exhibit less interdependence in their belief systems, that is, a lesser degree of relationship among