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Alzeer M, AlJameel A, Rosing K, Øzhayat E. The association between oral health literacy and oral health-related behaviours among female adolescents in the Kingdom of Saudi Arabia: A cross-sectional study. Saudi Dent J 2024; 36:1035-1042. [PMID: 39035552 PMCID: PMC11255937 DOI: 10.1016/j.sdentj.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 05/12/2024] [Accepted: 05/14/2024] [Indexed: 07/23/2024] Open
Abstract
Objectives Oral health literacy (OHL) is suggested as an important denominator of oral health. This study aimed to identify ways to improve oral health by exploring the association between oral health literacy and oral health-related behaviours among female adolescents in the Eastern Province of the Kingdom of Saudi Arabia (KSA). Methods This cross-sectional study assessed OHL among 1,889 10th grade female students in the Eastern Province of the KSA. OHL was assessed using an Arabic version of the short version of the Health Literacy in Dentistry scale (A-HeLD-14). Self-reported socio-demographic information and oral health-related behaviours (toothbrushing, dental attendance, and sugary diet consumption) were also collected. The relationship between OHL and oral health-related behaviours was investigated using binary logistic regression, adjusted for socio-demographic information. Results The binary logistic regression analyses showed that poor OHL was significantly associated with infrequent toothbrushing (p < 0.001) and irregular dental attendance (p = 0.005) but not with consumption of sugary diets. All A-HeLD-14 domains were significantly associated with infrequent toothbrushing, and the domains concerning access, receptivity, and financial barriers were significantly associated with irregular dental attendance. The highest odds ratios (ORs) for infrequent toothbrushing were found in the domains of receptivity (OR = 4.19) and understanding (OR = 3.85) and for irregular dental attendance in the financial barriers (OR = 1.61) and access (OR = 1.49) domains, followed by the receptivity domain (OR = 1.35). Conclusion Poor OHL was significantly associated with infrequent toothbrushing and irregular dental attendance. Interventions focusing on OHL are warranted to improve oral health-related behaviours and thereby oral health in the population. The aspects that seem most vital to target are improved access to dental care, including the reduction of economic barriers, as well as increased awareness of oral health in the population.
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Affiliation(s)
- Muneera Alzeer
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
- Department of Dental Health, College of Applied Medical Sciences, King Saud University. P.O. Box: 10219, Riyadh 11433, Kingdom of Saudi Arabia
| | - AlBandary AlJameel
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, P. O. Box 60169, Riyadh 11545, Kingdom of Saudi Arabia
| | - Kasper Rosing
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
| | - Esben Øzhayat
- Department of Odontology, University of Copenhagen, Nørre Allé 20, 2200 Copenhagen N, Copenhagen, Denmark
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Alzeer ME, AlJameel AH, Rosing K, Øzhayat EB. Validation of an Arabic version of the short form of the health literacy in dentistry scale: a cross-sectional study. BMC Oral Health 2024; 24:638. [PMID: 38811915 PMCID: PMC11137902 DOI: 10.1186/s12903-024-04303-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 04/26/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND The Arabic version of the short form of the Health Literacy in Dentistry scale (HeLD) had not yet been developed in previously published studies. This study aims to test the reliability and validity of an Arabic version of the short form of the HeLD questionnaire. METHODS The short version of HeLD was translated into Arabic and the psychometric properties were evaluated in a sample of 1,889 female students in their first year of secondary school. Test-retest reliability was assessed using the intra-class correlation coefficient (ICC), and internal consistency reliability was assessed using Cronbach's alpha. Content validity was investigated by creating a correlation matrix between the individual items of the HeLD-14, and criterion validity was determined using Pearson's correlation between the HeLD-14 score and an overall oral health rating. Sensitivity analysis was assessed by testing the associations of the HeLD-14 score with oral health-related behaviours and residential area. RESULTS The Arabic version of HeLD-14 (A-HeLD-14) had acceptable ICC (0.54) and excellent internal consistency (Cronbach's alpha: 0.92). The correlations between the items of the A-HeLD-14 varied from 0.3 to 0.9. The A-HeLD-14 showed a statistically significant correlation with the overall oral health rating (r = 0.37, p < 0.001). The median A-HeLD-14 score was significantly higher in participants who brushed their teeth frequently (51.31), visited the dentist regularly (52.00), consumed fresh fruit frequently (51) and consumed soda or energy drinks infrequently (51.00) than participants who brushed their teeth infrequently (41.50), visited the dentist irregularly (49.00), consumed fresh fruit infrequently (47) and consumed soda or energy drinks frequently (48.00). CONCLUSION The A-HeLD-14 instrument demonstrates sufficient validity, reliability, and sensitivity for measuring oral health literacy among the Arabic-speaking population.
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Affiliation(s)
- Muneera Essa Alzeer
- Department of Odontology, University of Copenhagen, Copenhagen, Denmark.
- Department of Dental Health, Colleges of Applied Medical Sciences, King Saud University, Riyadh, Kingdom of Saudi Arabia.
| | - AlBandary Hassan AlJameel
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Kasper Rosing
- Department of Odontology, University of Copenhagen, Copenhagen, Denmark
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Mafla AC, Herrera-López M, Gallardo-Pino C, Schwendicke F. Psychometric Testing of HeLD-14 in a Colombian Geriatric Population. Int J Dent 2024; 2024:5570671. [PMID: 38357580 PMCID: PMC10866630 DOI: 10.1155/2024/5570671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 01/07/2024] [Accepted: 01/18/2024] [Indexed: 02/16/2024] Open
Abstract
Introduction The objective of this study was to test the validity and reliability of the Colombian version of the Health Literacy in Dentistry (HeLD-14) in older adults. Materials and Methods A translation and validation study of HeLD-14 was conducted on 384 non-institutionalized older adults attending the Dental Clinic at Universidad Cooperativa from Pasto, Colombia. A cross-cultural adaptation of a multidimensional HeLD-14 was completed, and the psychometric properties of this scale were evaluated through a cross-validation method using an exploratory factor analysis (EFA) and a confirmatory factor analysis (CFA). Internal consistency was measured with Cronbach's alpha (α) and Omega's McDonald (ɷ). The statistical significance was set at P < 0.05. Results The EFA demonstrated that a single-factor structure with 11 items explained a cumulative 59.86% of the overall variance. The CFA confirmed that goodness of fit indices of this questionnaire had optimal adequateness (χ2S-B = 109.047; χ2S-B/(44) = 2.478, P=0.001; non-normed fit index = 0.901; comparative fit index = 0.908; root mean square error of approximation = 0.079 (90% CI (0.075, 0.083)); standardized root mean residual = 0.080). The coefficients indicated a high internal consistency for the total scale (α = 0.94; ɷ = 0.96). Conclusion The developed adaptation of HeLD-14 for the Colombian population, HeLD-Col, is a unidimensional, reliable, and valid instrument to assess oral health literacy in older adults in Colombia.
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Affiliation(s)
- Ana Cristina Mafla
- Escuela Internacional de Doctorado, Universidad Rey Juan Carlos, Madrid, Spain
- School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Colombia
| | | | - Carmen Gallardo-Pino
- Departamento de Especialidades Médicas y Salud Pública, Facultad Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain
| | - Falk Schwendicke
- Department of Oral Diagnostics, Digital Health and Health Services Research, Charité Universitätsmedizin Berlin, Berlin, Germany
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Mafla AC, Herrera-López M, Dorado-Pantoja GT, López-Ruano KJ, Saa-Valentierra L, Gallardo-Pino C, Schwendicke F. Oral Health Literacy and Tooth Loss and Replacement in Older Adults at a University Dental Clinic in Colombia. Health Lit Res Pract 2024; 8:e21-e28. [PMID: 38329842 PMCID: PMC10849777 DOI: 10.3928/24748307-20240121-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 08/14/2023] [Indexed: 02/10/2024] Open
Abstract
BACKGROUND Oral health literacy (OHL) is the ability of individuals to obtain, process, and understand oral health information and services, allowing them to make appropriate oral health decisions. The association between OHL and tooth loss and replacement have not been well understood. OBJECTIVES We aimed to determine the association between OHL and tooth loss and replacement in a Colombia population. METHODS A cross-sectional study of 384 older adults age 65 to 89 years from Pasto, Colombia was carried out. The number of lost and replaced teeth was assessed intraorally; sociodemographic and prosthetic characteristics were collected, and the Health Literacy in Dentistry questionnaire was used to evaluate OHL. Generalized linear models were estimated to assess associations between independent variables (including OHL) and the number of lost and replaced teeth. KEY RESULTS There were 224 (58.3%) men and 160 (41.7%) women. The mean (standard deviation [SD]) number of lost and replaced teeth was 27.78 (4.03) and 12.53 (9.89), respectively. One hundred fifty five (40.4%) individuals had full removable dental protheses, 122 (31.8%) partial removable dental protheses, 68 (17.7%) fixed prosthetics, and 36 (9.4%) dental implants. OHL was 33.29 (6.59) and significantly positively associated with the number of replaced teeth (β = 0.65, 95% confidence interval [CI]: 0.52-0.78, p < .001), but not with lost teeth. CONCLUSIONS OHL may foster individuals' capabilities to replace lost teeth, although we did not find it associated with reduced tooth loss, likely as tooth loss was highly common in this older population. [HLRP: Health Literacy Research and Practice. 2024;8(1):e21-e28.].
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Affiliation(s)
- Ana Cristina Mafla
- Address correspondence to Ana Cristina Mafla, DDS, MSPH, Facultad de Odontología, Universidad Cooperativa de Colombia, Calle 18 No. 45 – 150, Pasto, Colombia;
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Abstract
Dental and oral health are the main indicators of health, well-being, and quality of life. The concept of Oral Health Literacy (OHL) has become important because it regards individual capacity to understand and use dental information to transform into oral health behaviours. Thus, the aim of this study was to discover and describe the OHL status of adults in Malang City and its relationship with sociodemographic status so that it can be used as a basis for making policy. This study used observational analytical study design involving 450 respondents in Malang by quota random sampling method. The data was collected by the self-administered 29-item HeLD-ID (Health Literacy in Dentistry Indonesian Version) questionnaire. The study resulted that the overall HeLD-ID score was 3.68±0.69. The HeLDID score significant difference was affected by sex (p<0.05) and the other sociodemographic determinants (age, last education, and income) were not. However, there were significant differences of HeLD scores in communication domain (p<0.05) affected by age, sex, and income.
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Mialhe FL, de Oliveira Júnior AJ, Junior MFS, Jamieson L, Neiva A, Soares GH. Oral Health Literacy, Sense of Coherence and Associations With Poor School Performance. THE JOURNAL OF SCHOOL HEALTH 2022; 92:1106-1113. [PMID: 35883209 DOI: 10.1111/josh.13223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 05/19/2022] [Accepted: 07/08/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND This study aimed to investigate the associations of oral health literacy (OHL), sense of coherence (SOC) and other covariates with self-reported school performance (SRSP) in adolescents enrolled in public schools in Brazil. METHODS This was a cross-sectional study conducted with adolescents aged from 14 to 18 years enrolled in 6 public schools in Piracicaba, São Paulo, Brazil. Researchers carried out data collection at schools using a self-administered structured questionnaire. The dependent variable was SRSP. The explanatory factors included were sociodemographic characteristics, OHL, SOC, self-rated oral health, health behaviors, and experience of bullying. Analyses included simple and multiple logistic regression models. RESULTS The final sample consisted of 385 adolescents with a mean age of 16 years. Poor school performance was associated (95%CI) with being male, with more than 1 sibling, individual whose last visit to the dentist was due to dental pain, with a lower level of OHL and SOC. CONCLUSIONS OHL and SOC were important factors associated with SRSP performance together with other sociodemographic and oral health-related variables in high school students. Our findings reinforce the importance of intersectoral actions between the health and education sectors to promote better school performance among adolescents, including actions to improve OHL and SOC.
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Affiliation(s)
- Fábio L Mialhe
- Department of Health Sciences and Pediatric Dentistry, Division of Health Education and Health Promotion, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, 13414-903, Brazil
| | - Alcir J de Oliveira Júnior
- Department of Health Sciences and Pediatric Dentistry, University of Campinas, Piracicaba Dental School, Piracicaba, São Paulo, 13414-903, Brazil
| | - Manoelito F S Junior
- Department of Dentistry, Ponta Grossa State University, Ponta Grossa, Paraná, Brazil
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, Australia
| | - Andréa Neiva
- Department of Health and Society, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | - Gustavo H Soares
- Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, Australia
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Tavousi M, Mohammadi S, Sadighi J, Zarei F, Kermani RM, Rostami R, Montazeri A. Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021. PLoS One 2022; 17:e0271524. [PMID: 35839272 PMCID: PMC9286266 DOI: 10.1371/journal.pone.0271524] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 07/04/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND It has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages. METHODS The review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021. RESULTS The findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties. CONCLUSION This review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.
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Affiliation(s)
- Mahmoud Tavousi
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
| | - Samira Mohammadi
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
| | - Jila Sadighi
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
| | - Fatemeh Zarei
- Faculty of Medical Sciences, Department of Health Education, Tarbiat Modares University, Tehran, Iran
| | - Ramin Mozafari Kermani
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
| | - Rahele Rostami
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
| | - Ali Montazeri
- Health Metrics Research Center, ACECR, Iranian Institute for Health Sciences Research, Tehran, Iran
- Faculty of Humanity Sciences, University of Science and Culture, Tehran, Iran
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Almeida ER, Sistani MMN, Bendo CB, Pordeus IDA, Firmino RT, Paiva SM, Ferreira FM. Validation of the Brazilian Oral Health Literacy-Adults Questionnaire. Health Lit Res Pract 2022; 6:e224-e231. [PMID: 36099034 PMCID: PMC9469776 DOI: 10.3928/24748307-20220822-01] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Objective: Methods: Key Results: Conclusions: Plain Language Summary:
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Affiliation(s)
- Eliete Rodrigues Almeida
- Address correspondence to Eliete Rodrigues Almeida, PhD, Department of Pediatric Dentistry, School of Dentistry, Federal University of Minas Gerais. Rua Professor Moacir Gomes de Freitas, 688. Belo Horizonte, MG, Brazil, 31270-901;
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MIALHE FL, SANTOS BL, BADO FMR, OLIVEIRA JÚNIOR AJD, SOARES GH. Association between oral health literacy and dental outcomes among users of primary healthcare services. Braz Oral Res 2022; 36:e004. [DOI: 10.1590/1807-3107bor-2022.vol36.0004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 06/02/2021] [Indexed: 11/21/2022] Open
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ASSUNÇÃO LRDS, FAGUNDES FAU, KUKLIK HH, FERREIRA FDM, FRAIZ FC. Different dimensions of oral health literacy are associated with social determinants of health in Brazilian adults. Braz Oral Res 2022; 36:e0122. [DOI: 10.1590/1807-3107bor-2022.vol36.0122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 05/17/2022] [Indexed: 12/09/2022] Open
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Oliveira Júnior AJD, Mialhe FL, Benedicto EDN, Araujo MED, Gabriel M. Association between Oral Health Literacy and Socioeconomic Variables in Users of Centers for Dental Specialties. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Bado FMR, De Checchi MHR, Cortellazzi KL, Ju X, Jamieson L, Mialhe FL. Oral health literacy, self‐rated oral health, and oral health‐related quality of life in Brazilian adults. Eur J Oral Sci 2020; 128:218-225. [DOI: 10.1111/eos.12695] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2020] [Indexed: 12/27/2022]
Affiliation(s)
- Fernanda Maria Rovai Bado
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | | | - Karine Laura Cortellazzi
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
| | - Xiangqun Ju
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health Adelaide Dental School University of Adelaide Adelaide SA Australia
| | - Fábio Luiz Mialhe
- Departament of Health Sciences and Pediatric Dentistry Piracicaba Dental School University of Campinas São Paulo Brazil
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