{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T05:05:28Z","timestamp":1779253528904,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The United Nations Population Fund (UNFPA) Office in Albania"},{"name":"The United Nations Children\u2019s Fund (UNICEF) Office in Albania"},{"name":"The Swiss Development and Cooperation (SDC) Agency"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    Nonadherence to recommended twice daily toothbrushing with a fluoride toothpaste increases the risk of dental caries and periodontal diseases in children. This study aimed at assessing the prevalence and demographic and behavioural correlates of toothbrushing practices among Albanian children.\n                    <jats:bold>Design and Setting:<\/jats:bold>\n                    Cross-sectional study in Albania in 2022.\n                    <jats:bold>Participants:<\/jats:bold>\n                    A nationwide representative sample of 5454 schoolchildren aged 11, 13 and 15\u00a0years.\n                    <jats:bold>Measures:<\/jats:bold>\n                    Information on toothbrushing habits, other behavioural factors, and sociodemographic characteristics.\n                    <jats:bold>Statistical Analysis:<\/jats:bold>\n                    Binary logistic regression to assess the association of toothbrushing with demographic characteristics and behavioural factors.\n                    <jats:bold>Results:<\/jats:bold>\n                    Half (56%) of schoolchildren reported brushing their teeth more than once per day (46% in boys vs 66% in girls). Inadequate toothbrushing (\u2264once\/day) was associated with male gender (OR = 2.7, 95% CI = 2.3, 3.0), age 13 (OR = 1.3, 95% CI = 1.1, 1.5), lower family affluence (OR = 1.5, 95% CI = 1.4, 1.8), smoking (OR = 1.4, 95% CI = 1.1, 1.7), inadequate physical exercise (OR = 1.5, 95% CI = 1.3, 1.7), non-daily breakfast consumption (OR = 1.2, 95% CI = 1.1, 1.4), and non-daily fruit consumption (OR = 1.8, 95% CI = 1.6, 2.1).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Adequate toothbrushing (at least twice\/day) among Albanian children is low compared with most European countries, which should be a cause of serious concern for policymakers and decisionmakers in this post-communist country. There is an urgent need to implement oral health promotion programs in Albania targeting especially boys and children from low socioeconomic families.\n                  <\/jats:p>","DOI":"10.1177\/0265539x251400600","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T11:13:36Z","timestamp":1763378016000},"page":"132-137","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Demographic and behavioural correlates of toothbrushing practices among schoolchildren in Albania"],"prefix":"10.1177","volume":"43","author":[{"given":"Andis","family":"Qendro","sequence":"first","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genc","family":"Burazeri","sequence":"additional","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alketa","family":"Qosja","sequence":"additional","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugena","family":"Tomini","sequence":"additional","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loreta","family":"Kuneshka","sequence":"additional","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gentiana","family":"Qirjako","sequence":"additional","affiliation":[{"name":"University of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_5_2_1","first-page":"135","article-title":"Tooth brushing and oral health: how frequently and when should tooth brushing be performed?","volume":"3","author":"Attin T","year":"2005","unstructured":"Attin T, Hornecker E (2005) Tooth brushing and oral health: how frequently and when should tooth brushing be performed? Oral Health & Preventive Dentistry 3: 135\u2013140.","journal-title":"Oral Health & Preventive Dentistry"},{"key":"e_1_3_5_3_1","first-page":"211","volume-title":"Disease Control Priorities","author":"Benzian H","year":"2017","unstructured":"Benzian H, Garg RM, Monse B, et al. (2017) Promoting oral health in children and adolescents. In: Das P, Horton R (eds) Disease Control Priorities. 3rd edition. 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The University of Glasgow."},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12428"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034515573272"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/idj.12317"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4814259"},{"key":"e_1_3_5_18_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"World Health Organization","year":"2022","unstructured":"World Health Organization (2022) Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030. Geneva, Switzerland: World Health Organization. Licence: CC BY-NC-SA 3.0 IGO. https:\/\/www.who.int\/publications\/i\/item\/9789240061484 accessed 10 November 2024."},{"key":"e_1_3_5_19_1","unstructured":"World Health Organization (2024) Health behaviour in school-aged children Study(HBSC): highlights. https:\/\/www.who.int\/europe\/initiatives\/health-behaviour-in-school-aged-children-(hbsc)-study\/highlights accessed: 10 November 2024."},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.17219\/dmp\/143581"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11243148"}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251400600","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X251400600","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X251400600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:06:18Z","timestamp":1779249978000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X251400600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,17]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/0265539X251400600"],"URL":"https:\/\/doi.org\/10.1177\/0265539x251400600","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,17]]}}}