{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T07:01:19Z","timestamp":1790751679310,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study explored oral health beliefs and behaviours among adults in the Seychelles through the perspective of the Extended Health Belief Model. The findings aim to inform contextually appropriate oral health promotion and prevention strategies for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive study was conducted among 84 purposively selected adults from Mah\u00e9, Praslin and La Digue in the Seychelles. Data were collected through 60 semi\u2010structured individual interviews and three focus group discussions involving 24 additional participants. Qualitative data were analysed thematically using a hybrid deductive\u2010inductive approach guided by the Extended Health Belief Model. Data collected from the structured introductory questions, including demographic and oral health\u2010related information, were summarised using descriptive statistics in Microsoft Excel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants perceived themselves to be susceptible to oral diseases and regarded these conditions as serious, with pain serving as the primary cue to action for seeking dental care. Despite demonstrating awareness of recommended oral health practices, behaviours remained predominantly reactive rather than preventive. Preventive behaviours were influenced by culturally embedded beliefs, family and social norms, financial constraints, time limitations, fear and anxiety, and challenges within the oral health system. Although participants reported relatively high self\u2010efficacy, this was not consistently reflected in their preventive oral health practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oral health behaviours among adults in the Seychelles were shaped by both individual beliefs and broader social, economic and health system factors. The Extended Health Belief Model provided a useful framework for understanding participants' oral health beliefs and behaviours. The findings further highlight the importance of considering the broader social, economic, cultural and health system context in which these behaviours occur. Oral health promotion strategies should therefore extend beyond information provision to address both individual beliefs and the conditions that influence people's ability to adopt and sustain preventive oral health behaviours.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.70173","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T06:35:41Z","timestamp":1790750141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Oral Health Beliefs and Behaviours Among Adults in the Seychelles: An Extended Health Belief Model Perspective"],"prefix":"10.1111","author":[{"given":"C. Y. S.","family":"Noshir","sequence":"first","affiliation":[{"name":"Ministry of Health  Victoria Seychelles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2845-4760","authenticated-orcid":false,"given":"P.","family":"Brijlal","sequence":"additional","affiliation":[{"name":"Department of Oral Hygiene, Faculty of Dentistry University of the Western Cape  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"WHO \u201cThe Global Status Report on Oral Health 2022 \u201dWorld Health Organisation accessed March 30 2023 https:\/\/www.who.int\/team\/noncommunicable\u2010diseases\/global\u2010statusreport\u2010on\u2010oral\u2010health\u20102022."},{"key":"e_1_2_14_3_1","first-page":"30","volume-title":"Predicting and Changing Health Behaviour: Research and Practice With Social Cognition Models","author":"Abraham C.","year":"2015"},{"key":"e_1_2_14_4_1","first-page":"1","volume-title":"The Blackwell Encyclopedia of Sociology","author":"Cockerham W. 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Report of the Ministry of Health Seychelles \u201d1993."},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuro.2020.09.013"},{"key":"e_1_2_14_15_1","unstructured":"Ministry of Health Seychelles \u201cAnnual\u2010Health\u2010Sector\u2010Performance\u2010Report\u20102019 \u201d2020 Ministry of Health Seychelles accessed 10 October 2023 http:\/\/www.health.gov.sc\/wp\u2010content\/uploads\/Annual\u2010Health\u2010Sector\u2010PerformanceReport\u20102019_FULL\u2010REPORT\u20101.pdf."},{"key":"e_1_2_14_16_1","unstructured":"World Health Organisation \u201cSeychelles Oral Health Country Profile \u201dWorld Health Organization 2022 accessed 19 January 2024 https:\/\/cdn.who.int\/media\/docs\/defaultsource\/country\u2010profiles\/oral\u2010health\/oral\u2010health\u2010syc\u20102022\u2010countryprofile.pdf?sfvrsn=2d9b8c1f_7."},{"key":"e_1_2_14_17_1","unstructured":"U.S. Department of State \u201c2019 Investment Climate Statements: Seychelles \u201daccessed 01 February 2024 https:\/\/www.state.gov\/reports\/2019\u2010investment\u2010climate\u2010statements\/seychelles\/."},{"key":"e_1_2_14_18_1","unstructured":"National Bureau of Statistics Seychelles \u201cPopulation and Vital Statistics (2017\/2) \u201dNational Bureau of Statistics Seychelles 2019 accessed 10 October 2023 https:\/\/www.nbs.gov.sc\/downloads\/36\u2010data\u2010acquisition\u2010census\/16\u2010population\u2010and\u2010vital\u2010statistics\/48\u20102017."},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"issue":"4","key":"e_1_2_14_20_1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on Reflexive Thematic Analysis","volume":"11","author":"Braun V.","year":"2019","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"key":"e_1_2_14_21_1","doi-asserted-by":"crossref","DOI":"10.4135\/9781036232078.n9","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_14_22_1","unstructured":"ATLAS.ti Scientific Software Development GmbH \u201cATLAS.ti [Computer Software] \u201dVersion 8.1.3. 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