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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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Arunyanak SP, Kungsadalpipob K, Wright KE, Subbalekha K, Dragan I, Mattheos N. The use of patient-related outcomes (PRO) and experience (PRE) in assessing the periodontal and implant patient. Periodontol 2000 2024. [PMID: 38927002 DOI: 10.1111/prd.12589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 06/06/2024] [Accepted: 06/11/2024] [Indexed: 06/28/2024]
Abstract
The purpose of this review was to summarize the evidence with regard to behavioral and psychosocial assessment of the periodontitis patient, the candidate for implant therapy, and the peri-implantitis patient. Periodontitis has an adverse effect on quality of life and its treatment can lead to significant improvements experienced by the patient. The latter is true for rehabilitation with dental implants, although patients harbor diverse expectations and perceptions of implant therapy, which can often interfere with satisfaction and/or influence long-term success. A thorough behavioral assessment of the candidate for implant therapy is essential, which should include, perceptions, expectations, as well as risk for behavioral disorders. Remedial action is essential to correct misperceptions and any identified risks. Finally, patients have limited awareness of limited ability to identify signs of peri-implantitis. The diagnosis of peri-implantitis can be a cause of significant distress, resentment, and loss of trust to the treatment and the caregivers. Despite documented value in clinical research, currently available instruments assessing patient-reported outcomes have little application in day-to-day clinical practice. Face-to-face patient to doctor open-ended communication remains the most effective way to comprehensively establish the long-term "therapeutic alliance" essential for the long journey for the periodontitis patient.
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Affiliation(s)
- Sirikarn P Arunyanak
- Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Center of Excellence in Periodontal Disease and Dental Implant, Chulalongkorn University, Bangkok, Thailand
| | - Kajorn Kungsadalpipob
- Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Center of Excellence in Periodontal Disease and Dental Implant, Chulalongkorn University, Bangkok, Thailand
| | - Kyle E Wright
- Tufts University School of Dental Medicine, Boston, Massachusetts, USA
| | - Keskanya Subbalekha
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Oral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Irina Dragan
- Tufts University School of Dental Medicine, Boston, Massachusetts, USA
- Harvard School of Dental Medicine, Boston, Massachusetts, USA
| | - Nikos Mattheos
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Oral and Maxillofacial Surgery and Digital Implant Surgery Research Unit, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
- Department of Dental Medicine, Karolinska Institute, Stockholm, Sweden
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Veladas FMV, De la Torre Canales G, de Souza Nobre BB, Escoval A, Pedro AR, de Almeida AM, Assunção VA, Manso AC. Do sociodemographic factors influence the levels of health and oral literacy? A cross-sectional study. BMC Public Health 2023; 23:2543. [PMID: 38124052 PMCID: PMC10731678 DOI: 10.1186/s12889-023-17489-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Accepted: 12/14/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Oral health literacy has gained importance in dental literature, and its relationship with oral health status and association with health status (HL) has been reported. Then, an association between the levels of HL and OHL could be expected. This study aimed to assess the levels of HL and OHL according to sociodemographic factors and to explore a possible association between HL and OHL. METHODS The European Health Literacy Survey and Oral Health Literacy Adults Questionnaire were applied to a convenience sample from Portuguese individuals. Also, sociodemographic factors such as sex, age, schooling level of the participants and their parents, and if the participants were professionals or students of the health field were assessed. To analyze the data, the Kruskal-Wallis and Mann-Whitney U tests were used to compared sociodemographic variables and the levels of literacy in general and oral health. The Spearman correlation test assessed the correlation between the levels of HL and OHL. RESULTS HL results showed that 45.1% of the volunteers were considered in a "problematic level" and 10.3% in "excellent level". However, 75% presented an adequate level of OHL. Regarding the levels of HL in each sociodemographic variable, significant higher levels of "excellent level" were found in health professionals and students when compared with participants not related to health area (p < 0.001). Comparisons between the levels of OHL in each sociodemographic variable showed, significant differences regarding sex (p < 0.05), age (p < 0.001), levels of schooling of the participants and their parents (p < 0.009 and p < 0.001) and relationship with health field. (p < 0.001). A significant positive - weak correlation was found between HL and OHL (p < 0.001). CONCLUSIONS HL and OHL levels are associated and could be influenced by sociodemographic factors.
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Affiliation(s)
| | - Giancarlo De la Torre Canales
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Caparica, Portugal.
- Department of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, SE-14104, Sweden.
| | | | - Ana Escoval
- Escola Nacional de Saúde Pública NOVA, Centro de Investigação Em Saúde Pública, Centro de Investigação Em Saúde Compreensiva, CHRC, Universidade NOVA de Lisboa, Lisbon, Portugal
| | - Ana Rita Pedro
- Escola Nacional de Saúde Pública NOVA, Centro de Investigação Em Saúde Pública, Centro de Investigação Em Saúde Compreensiva, CHRC, Universidade NOVA de Lisboa, Lisbon, Portugal
| | - André Mariz de Almeida
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Caparica, Portugal
| | | | - Ana Cristina Manso
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Caparica, Portugal
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Reißmann DR, Lamprecht R, Koch-Gromus U, Borof K, Kofahl C, Härter M, Büschel J, Harth V, Hoven H, Kahl-Nieke B, Beikler T, Heydecke G, Aarabi G. [Association of oral health literacy and behaviour with physical oral health. What role can dental education play?]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2023; 66:1320-1327. [PMID: 37947842 PMCID: PMC10667136 DOI: 10.1007/s00103-023-03793-2] [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: 06/09/2023] [Accepted: 10/13/2023] [Indexed: 11/12/2023]
Abstract
BACKGROUND Oral health is an essential component of a person's general health and well-being. It is influenced by many factors. These include individual aspects such as oral health literacy and oral health behaviour. The aim of this study was to investigate the association between oral health literacy and behaviour with physical oral health. METHODS In this population-based cross-sectional study, data of 5510 subjects enrolled in the Hamburg City Health Study (HCHS) from 2016 to 2018 with a mean age of 62.1 years and 50.7% women were evaluated. Physical oral health was assessed using the 14-item Physical Oral Health Index (PhOX). A newly developed 10-item questionnaire based on the Oral Health Literacy Adult Questionnaire and the 5th German Oral Health Study were used to determine oral health literacy and behaviour. RESULTS The sum score of the 10 questions related to oral health literacy and behaviour significantly correlated with the PhOX sum score (r = 0.23; p < 0.001). An increase of one point in the total score of oral health literacy and behaviour was associated with an increase in the PhOX sum score of 1.45 points on average. This association decreased only marginally after integrating potential confounders such as age and education. CONCLUSION Higher oral health literacy and better oral health behaviour are associated with better physical oral health. Oral health literacy and behaviour should be important targets in dental education to efficiently and sustainably improve the oral health of the general population.
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Affiliation(s)
- Daniel R Reißmann
- Poliklinik für Zahnärztliche Prothetik, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
- Klinik für Zahnärztliche Prothetik, Department für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Freiburg, Freiburg, Deutschland
- Poliklinik für Zahnärztliche Prothetik und Werkstoffkunde, Universitätsklinikum Leipzig, Leipzig, Deutschland
| | - Ragna Lamprecht
- Poliklinik für Zahnärztliche Prothetik, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Uwe Koch-Gromus
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Katrin Borof
- Poliklinik für Parodontologie, Präventive Zahnmedizin und Zahnerhaltung, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland
| | - Christopher Kofahl
- Institut für Medizinische Soziologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Martin Härter
- Institut und Poliklinik für Medizinische Psychologie, Zentrum für Psychosoziale Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Julie Büschel
- Poliklinik für Parodontologie, Präventive Zahnmedizin und Zahnerhaltung, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland
| | - Volker Harth
- Zentralinstitut für Arbeitsmedizin und Maritime Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Hanno Hoven
- Zentralinstitut für Arbeitsmedizin und Maritime Medizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Bärbel Kahl-Nieke
- Poliklinik für Kieferorthopädie, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Thomas Beikler
- Poliklinik für Parodontologie, Präventive Zahnmedizin und Zahnerhaltung, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland
| | - Guido Heydecke
- Poliklinik für Zahnärztliche Prothetik, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Ghazal Aarabi
- Poliklinik für Parodontologie, Präventive Zahnmedizin und Zahnerhaltung, Zentrum für Zahn‑, Mund- und Kieferheilkunde, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
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Menoncin BLV, Crema AFDA, Ferreira FDM, Zandoná AF, Menezes JVNBD, Fraiz FC. Parental oral health literacy influences preschool children's utilization of dental services. Braz Oral Res 2023; 37:e090. [PMID: 37672423 DOI: 10.1590/1807-3107bor-2023.vol37.0090] [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: 08/17/2022] [Accepted: 04/24/2023] [Indexed: 09/08/2023] Open
Abstract
Parental behavior towards their children's oral health is strongly influenced by parent's Oral Health Literacy (OHL) level. This study evaluated the impact of parental OHL on preschool children's utilization of dental services. A cross-sectional study was conducted with parents of 419 children aged 3 to 5 years who answered a self-administered questionnaire about their perception of their children's oral health and whether their children had already been to a dental visit. Parental OHL level was assessed by the validated version of the Oral Health Literacy Adult Questionnaire (OHL-AQ) translated into Brazilian Portuguese. Univariate and multivariate Poisson regression analyses with robust variance were used for the data analysis (α = 0.05). Most children had already been to a dental visit (73%). Overall, 31.7% of the parents or guardians reported that their children had experienced dental pain or dental caries. Parental OHL level was classified by tercile as low, medium, and high. The final model showed independent associations between children who had already been to a dental visit and higher parental OHL level (PR = 1.16; 95%CI = 1.00-1.35) when compared to the lowest OHL level, higher parental educational level (PR = 1.39; 95%CI = 1.03-1.87) when compared to lower educational level, the report of children's pain and dental caries (PR = 1.22; 95%CI = 1.09-1.36) and married parents or parents in a common-law marriage (PR = 1.17; 95%CI = 1.03-1.93). The prevalence of children who had already been to a dental visit was higher among those parents with a higher OHL level when compared to those with a lower OHL level.
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Affiliation(s)
| | | | - Fernanda de Morais Ferreira
- Universidade Federal de Minas Gerais - UFMG, Department of Oral Health for Children and Adolescents, Belo Horizonte, MG, Brazil
| | | | | | - Fabian Calixto Fraiz
- Universidade Federal do Paraná - UFPR, Department of Stomatology, Curitiba, PR, Brazil
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Yan W, Li M, Luo L, Ju X, Jamieson L, Liu F. Oral health literacy and its associated factors among nurses: A cross-sectional study. J Clin Nurs 2023. [PMID: 37157136 DOI: 10.1111/jocn.16750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 03/11/2023] [Accepted: 04/20/2023] [Indexed: 05/10/2023]
Abstract
AIMS AND OBJECTIVES To investigate the oral health literacy (OHL) of nurses and explore the factors affecting their OHL. BACKGROUND OHL is important for improving the oral health outcomes. Nurses' OHL may affect the oral health of themselves, families, and patients. Few studies have examined the OHL and its related factors among nurses. DESIGN A cross-sectional design following the STROBE guideline. METHODS A total of 449 nurses were recruited from tertiary hospitals in the minority areas of southwest China. The participants completed an online questionnaire, which contained questions related to the OHL, sociodemographic factors, general health, oral health and related behaviours, oral health knowledge, attitudes, and oral health-related quality of life. OHL was measured using the validated Chinese version of the short-form Health Literacy of Dentistry (HeLD-14) scale. Descriptive statistics, the Mann-Whitney U test, Spearman's correlation, and multiple linear regression analysis were used to analyse the data. RESULTS The median HeLD-14 score (p25-p75) was 50.0 (44.0-54.0). The regression model for OHL was found to be significant. The factors that influenced OHL included oral health knowledge, oral health attitudes, self-reported oral health, annual household income, and dental flossing; these factors accounted for 13.9% of the variance in OHL. CONCLUSIONS The nurse' OHL has room for improvement. Nurses' OHL could be improved by enriching their oral health knowledge, promoting their positive oral health attitudes, increasing their household income, and helping them build correct oral health behaviours. RELEVANCE TO CLINICAL PRACTICE The findings of the study could be used to make a case for changing nursing curricula. Oral health knowledge curriculum or programmes targeted towards nurses should be developed to improve their OHL. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution.
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Affiliation(s)
- Wen Yan
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Min Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Ling Luo
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Xiangqun Ju
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Fan Liu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Nursing, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
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Liu Y, Adeniran E, Wang K. Changes in Prevalence Over Time and Determinants of Dental Care Visits Amongst Tennessee Seniors. Int Dent J 2023:S0020-6539(23)00035-7. [PMID: 36813622 DOI: 10.1016/j.identj.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 01/09/2023] [Accepted: 01/13/2023] [Indexed: 02/22/2023] Open
Abstract
INTRODUCTION Rates of dental visits of older adults in the United States, particularly in Tennessee, are rapidly increasing, coupled with the growing complexity of older adults' dental treatment. Notably, increased dental visits help detect and treat dental disease and offer opportunities for preventive care. This longitudinal study aimed to examine the prevalence and determinants of dental care visits amongst Tennessee seniors. METHODS This observational study combined multiple cross-sectional studies. Five even years of Behavioral Risk Factor Surveillance system data were used, including 2010, 2012, 2014, 2016, and 2018. Our data were limited to Tennessee seniors (60 years or older). Weighting was conducted to account for the complex sampling design. Logistic regression analysis was performed to determine the factors associated with dental clinic visits. A P value < .05 was considered statistically significant. RESULTS The current study comprised 5362 Tennessee seniors. Older individuals visiting dental clinics within 1 year gradually decreased from 76.5% in 2010 to 71.2% in 2018. The majority of participants were female (51.7%), White (81.3%), and located in Middle Tennessee (43.5%). Logistic regression showed that those more likely to visit dentists or dental clinics included females (odds ratio [OR], 1.4; 95% confidence interval [CI], 1.1-1.8), never-smokers and former smokers (OR, 2.2; 95% CI, 1.5-3.4), individuals with some college education (OR, 1.6; 95% CI, 1.1-2.4), college graduates (OR, 2.7; 95% CI, 1.8-4.1), and those with high incomes (eg, >$50,000; OR, 5.7; 95% CI, 3.7-8.7). Conversely, Black participants (OR, 0.6; 95% CI, 0.4-0.8), participants with fair/poor health (OR, 0.7; 95% CI, 0.5-0.8), and those who have never married (OR, 0.5; 95% CI, 0.3-0.8) were less likely to report dental visits. CONCLUSIONS Rates of Tennessee seniors visiting dental clinics within 1 year have gradually decreased from 76.5% in 2010 to 71.2% in 2018. Several factors were associated with seniors seeking dental treatment. Effective interventions to improve dental visits should take the identified factors into account.
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Affiliation(s)
- Ying Liu
- Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA.
| | - Esther Adeniran
- Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, Tennessee, USA
| | - Kesheng Wang
- Department of Family and Community Health, School of Nursing, Health Sciences Center, West Virginia University, Morgantown, West Virginia, USA
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Steinvik LM, Svartdal F, Johnsen JAK. Delay of Dental Care: An Exploratory Study of Procrastination, Dental Attendance, and Self-Reported Oral Health. Dent J (Basel) 2023; 11:dj11020056. [PMID: 36826201 PMCID: PMC9955773 DOI: 10.3390/dj11020056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 11/15/2022] [Accepted: 02/06/2023] [Indexed: 02/22/2023] Open
Abstract
Delay of dental care is a problem for dental public health. The present study explored the relationship between procrastination and dental attendance, focusing on delay in seeking dental care. This hypothetical relation was compared to other avoidance-related factors affecting dental attendance. In addition, an inquiry into the reasons for delaying dental care was conducted. Students (n = 164) answered an internet-based questionnaire on socio-demographic factors, dental health, dental attendance, delay of dental care, reasons for the delay, procrastination (IPS), dental anxiety (MDAS), perceived stress (PSS) and oral health self-efficacy (OHSES). The study found no significant relation between procrastination and delay in dental care. However, procrastination was related differently to past, present, and future dental attendance and seemed to relate to oral health behavior. Delay of dental care was associated with higher dental anxiety and lower oral health self-efficacy. The cost of dental care was the most frequently given reason for the delay of dental care. Further research on the delay of dental care and dental attendance is warranted in understanding the behavior, implementing interventions, and improving the utilization of public dental care.
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Affiliation(s)
- Lene M. Steinvik
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Frode Svartdal
- Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
| | - Jan-Are K. Johnsen
- Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsø, Norway
- Correspondence: ; Tel.: +47-776-49-131
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Ichihashi T, Goto A, Myagmar-Ochir E, Haruyama Y, Muto T, Kobashi G. Association between the interval of worksite dental check-ups and dental and medical expenditures: a single-site, 12-year follow-up study in Japan. BMJ Open 2022; 12:e063658. [PMID: 36223958 PMCID: PMC9562720 DOI: 10.1136/bmjopen-2022-063658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES The purpose of this study was to identify the effective intervals of worksite dental check-ups to reduce cumulative dental expenditures (CDEs) and cumulative medical expenditures (CMEs), based on 12 years of follow-up dental check-ups. SETTING, DESIGN AND PARTICIPANTS A longitudinal study was conducted between 2002 and 2014 fiscal years. A total of 2691 full-time employees (2099 males and 592 females) aged 20-59 years in a manufacturing company in Japan were recruited. PRIMARY AND SECONDARY OUTCOME MEASURES Based on the follow-up of 12-year dental check-ups, the interval of dental check-ups visits was classified into the following categories: 'Once per year' as the regular group, 'At least once per 2 years' as the subregular group and others as the irregular group. CDEs and CMEs per capita were examined by the three groups of dental check-ups interval after adjustment for sex, age, occupation and total CMEs at baseline. For sensitivity analysis, decayed teeth, missing teeth and Community Periodontal Index were added as adjustment factors. RESULTS Compared with the irregular group, the pooled CDEs (including dental check-ups fee) per capita in the subregular group (OR 0.91, 95% CI 0.85 to 0.98) and regular group (OR 0.87, 95% CI 0.81 to 0.93) were significantly lower overall. The younger adults in the subregular group and younger-aged and middle-aged adults in the regular group had significantly lower CDEs. Sensitivity analysis confirmed these findings. CONCLUSIONS Our findings suggest that regular and subregular worksite dental check-ups were related to reduction of CDEs. It is important to promote a yearly interval between dental check-ups.
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Affiliation(s)
- Toru Ichihashi
- Lion Foundation for Dental Health, Sumida-ku, Tokyo, Japan
- Department of Public Health, Dokkyo Medical University, Shimotsuga-gun, Tochigi, Japan
| | - Ayae Goto
- Lion Foundation for Dental Health, Sumida-ku, Tokyo, Japan
| | | | - Yasuo Haruyama
- Integrated Research Faculty for Advanced Medical Sciences, Dokkyo Medical University, Shimotsuga-gun, Tochigi, Japan
| | - Takashi Muto
- Department of Public Health, Dokkyo Medical University, Shimotsuga-gun, Tochigi, Japan
| | - Gen Kobashi
- Department of Public Health, Dokkyo Medical University, Shimotsuga-gun, Tochigi, Japan
- Integrated Research Faculty for Advanced Medical Sciences, Dokkyo Medical University, Shimotsuga-gun, Tochigi, Japan
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Rajeh MT. Gender Differences in Oral Health Knowledge and Practices Among Adults in Jeddah, Saudi Arabia. Clin Cosmet Investig Dent 2022; 14:235-244. [PMID: 35957700 PMCID: PMC9359402 DOI: 10.2147/ccide.s379171] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Accepted: 07/29/2022] [Indexed: 02/02/2023] Open
Affiliation(s)
- Mona T Rajeh
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Correspondence: Mona T Rajeh, Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia, Tel +966 502500888, Email
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11
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Nguyen DP, McQuistan MR, Qian F, Hernández M, Macek MD, Chi DL. The interactive effects of oral health literacy and acculturation on dental care use among Hispanic adults. J Public Health Dent 2022; 82:295-302. [PMID: 35644999 PMCID: PMC9546387 DOI: 10.1111/jphd.12529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 04/19/2022] [Accepted: 05/06/2022] [Indexed: 11/30/2022]
Abstract
Objective Assess whether there is an interactive effect between oral health literacy and acculturation on dental care use for Hispanic adults. Methods Self‐identifying Hispanic adults participated in this observational study (N = 338). Oral health literacy (low vs. high) was measured using the Comprehensive Measure of Oral Health Knowledge (CMOHK). Acculturation (low vs. high) was measured using the Short Acculturation Scale for Hispanics (SASH) and operationalized a second way by the language in which the survey was completed (English or Spanish). The outcome was dental care use in the past year (yes/no). Confounder‐adjusted modified Poisson regression models were run to generate risk ratios (RR) and to test the hypothesis that participants with high oral health literacy and high acculturation would be more likely to have used dental care in the past year than participants with low oral health literacy and low acculturation. Results About 65% of participants used dental care in the past year. The final models failed to show that participants with high oral health literacy and high acculturation were more likely to have used dental care than other participants. However, in the language proxy interaction model, participants with high oral health literacy and low acculturation were significantly more likely to have used dental care than participants with low oral health literacy and low acculturation. Conclusion There may be an interaction between oral health literacy and acculturation when modeling dental care use for Hispanic adults that should be further explored.
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Affiliation(s)
- Daisy Patiño Nguyen
- Department of Oral Health Sciences University of Washington School of Dentistry Seattle Washington USA
| | - Michelle R. McQuistan
- Department of Preventive and Community Dentistry The University of Iowa College of Dentistry Iowa City Iowa USA
| | - Fang Qian
- Iowa Oral Health Institute The University of Iowa College of Dentistry Iowa City Iowa USA
| | - Marcela Hernández
- Department of Family Dentistry The University of Iowa College of Dentistry Iowa City Iowa USA
| | - Mark D. Macek
- Department of Dental Public Health University of Maryland School of Dentistry Baltimore Maryland USA
| | - Donald L. Chi
- Department of Oral Health Sciences University of Washington School of Dentistry Seattle Washington USA
- Department of Health Systems and Population Health University of Washington School of Public Health Seattle Washington USA
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12
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Lee CJ, Ho MH, Joo JY, Montayre J, Lin YK, Chang CC, Liu MF. Gender differences in the association between oral health literacy and oral health-related quality of life in older adults. BMC Oral Health 2022; 22:205. [PMID: 35614446 PMCID: PMC9131657 DOI: 10.1186/s12903-022-02237-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 05/18/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND Poor oral health affects quality of life; oral health literacy studies are increasing as it plays an essential role in promoting oral health. However, little is known regarding the gender differences in oral health literacy and oral health-related quality of life (OHRQoL) among older adults. This study aimed to explore the gender differences in oral health literacy and OHRQoL among community-dwelling older adults in Taiwan. METHODS A cross-sectional study design with convenience sampling was undertaken to recruit participants at two community service centres. Data were collected using a structured survey consisted of the demographic characteristics, instrumental activities of daily living, nutrition assessment, oral health literacy and OHRQoL. The logistic regression was used to examine the gender differences in the relationship between oral health literacy and OHRQoL. RESULTS A total of 202 participants completed the survey. Of which 56.4% (n = 114) were female. Logistic regression analyses showed that after controlling for age, instrumental activities of daily living, nutrition, education level, and average monthly income, better oral health literacy was associated with better oral health quality of life (p = 0.006) in men. CONCLUSIONS The relationship between oral health literacy and OHRQoL was only significant for men. No significant relationship between women's oral health literacy and their OHRQoL. However, good OHRQoL is an integral part of overall health, but it is affected by differences in oral health and the accessibility of healthcare services. We suggest that gender-specific oral health literacy education should be offered through community health-education programs.
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Affiliation(s)
- Chia-Jung Lee
- School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan
| | - Mu-Hsing Ho
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Jee Young Joo
- College of Nursing, Gachon University, Incheon, Korea
| | - Jed Montayre
- School of Nursing and Midwifry, Western Sydney University, Campbelltown, NSW, Australia
| | - Yen-Kuang Lin
- Graduate Institute of Athletics and Coaching Science, National Taiwan Sport University, Taoyuan, Taiwan
| | - Chia-Chi Chang
- School of Gerontology Health Management, College of Nursing, Taipei Medical University, 250 Wuxing St., Taipei, 11031, Taiwan. .,College of Nursing, and College of Interdisciplinary Studies, Taipei Medical University, Taipei, Taiwan.
| | - Megan F Liu
- School of Gerontology Health Management, College of Nursing, Taipei Medical University, 250 Wuxing St., Taipei, 11031, Taiwan.
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Torres Lopes R, Neves ÉTB, da Costa Dutra L, Ferreira FM, Paiva SM, Granville-Garcia AF. Impact of oral health literacy and psychoactive substances on tooth loss in adolescents. Oral Dis 2022. [PMID: 35535705 DOI: 10.1111/odi.14249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/14/2022] [Accepted: 05/05/2022] [Indexed: 11/28/2022]
Abstract
The aim of the present study was to investigate associations between tooth loss, and oral health literacy, the use of multiple psychoactive substances, and the reason for the last dental appointment in adolescents. A cross-sectional study was conducted with a representative sample of 746 adolescents aged 15 to 19 years in Campina Grande, Brazil. Parents/guardians answered a sociodemographic questionnaire. The adolescents answered the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), the Alcohol, Smoking and Substance Involvement Screening Test, and an oral health questionnaire from the National Oral Health Survey. The adolescents were then examined by two examiners who had undergone training and calibration exercises for the diagnosis of tooth loss due to caries (K> 0.80). Associations between variables were investigated using robust logistic regression analysis for complex samples (α = 5%). The prevalence of tooth loss was 17.4%. Oral health literacy (OR = 0.93; 95% CI: 0.89-0.97) was inversely associated with tooth loss, while multiple psychoactive substance use (OR = 2.01; 95% CI: 1.09-3.69) and last dental visit for treatment/symptoms (OR = 3.05; 95% CI: 1.73-5.36) were directly associated with tooth loss. Oral health literacy, multiple psychoactive substance use, and reason for last dental appointment exerted an influence on tooth loss among adolescents.
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Affiliation(s)
- Roanny Torres Lopes
- Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil
| | | | - Laio da Costa Dutra
- Graduate Program in Dentistry, State University of Paraiba (UEPB), Campina Grande, Paraiba, Brazil
| | - Fernanda Morais Ferreira
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
| | - Saul Martins Paiva
- Graduate Program in Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil
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Thakur VS, Kankar PK, Parey A, Jain A, Kumar Jain P. Numerical analysis of WaveOne Gold and 2Shape endodontic files during root canal treatment. Proc Inst Mech Eng H 2022; 236:329-340. [DOI: 10.1177/09544119211068950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study aims to develop and analyse a finite element model of the endodontic nickel-titanium (NiTi) instrument during the root canal treatment (RCT). The 3D model of the tooth and the endodontic instrument has been created using computer-aided design software. The nonlinear explicit dynamic analysis in the CAE package (ANSYS) has been used to analyse the mechanical behaviour of endodontic instruments such as total deformation, equivalent elastic strain, and equivalent stress during canal preparation. The mechanical behaviour of three commercially available endodontic NiTi alloy instruments such as WaveOne Gold (WOG), 2Shape 1 (TS1) and 2Shape 2 (TS2) endodontic files was evaluated using FEA. Consequently, the effect of deformation, equivalent stress and equivalent elastic strain on endodontic files during cleaning and shaping are investigated and compared. The results show that the total deformation and equivalent elastic strain are maximum in the TS1 endodontic file in comparison to TS2 and WOG files.
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Affiliation(s)
- Vinod Singh Thakur
- Department of Mechanical Engineering, Indian Institute of Technology Indore, Indore, Madhya Pradesh, India
| | - Pavan Kumar Kankar
- Department of Mechanical Engineering, Indian Institute of Technology Indore, Indore, Madhya Pradesh, India
| | - Anand Parey
- Department of Mechanical Engineering, Indian Institute of Technology Indore, Indore, Madhya Pradesh, India
| | - Arpit Jain
- Department of Oral Medicine and Radiology, College of Dental Science and Hospital, Rau, Indore, Madhya Pradesh, India
| | - Prashant Kumar Jain
- PDPM Indian Institute of Information Technology, Design and Manufacturing, Jabalpur, Madhya Pradesh, India
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15
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Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. Impact of a Dental Storybook on Parents' Knowledge of Children's Oral Health: A Randomized Controlled Trial. Patient Prefer Adherence 2022; 16:2271-2285. [PMID: 36034330 PMCID: PMC9415471 DOI: 10.2147/ppa.s370430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 08/12/2022] [Indexed: 11/23/2022] Open
Abstract
PURPOSE To evaluate the effectiveness of a dental storybook on parents' knowledge about oral health of their children and to assess their perception of its effect in reducing dental anxiety levels among their children, as well as improving their oral health knowledge. PATIENTS AND METHODS This was a two-arm parallel, single-blind, randomized controlled trial (RCT) which was performed at the pediatric dental clinics in the Dental University Hospital, King Saud University, Riyadh, Saudi Arabia. Parents of 88 children (6-8 years old) were included in the present study. Parents and their children were randomly divided into two groups as follows: the intervention group (received the storybook and verbal oral hygiene instructions) and the control group (only received verbal oral hygiene instructions; same information included in the book). Three dental visits, including screening, examination/cleaning and treatment, were provided for each child. In the screening visit, baseline parental oral health knowledge was evaluated for all parents. Afterward, parental oral health knowledge was re-evaluated in the examination visit. In the treatment visit, a parental perception questionnaire was administered to parents following treatment to evaluate their satisfaction regarding the use of the storybook in reducing anxiety levels among their children. RESULTS There was a significant improvement in the total knowledge score at the follow-up visit in the intervention group compared to the control group (P<0.0001). Overall, the majority of parents perceived the storybook as a useful source of information, and they found it to be effective in reducing dental anxiety levels among their children. CONCLUSION The dental storybook is an effective educational tool that can help parents become more knowledgeable about their children's oral health. Moreover, parents perceived the storybook as an effective tool for enhancing their oral health knowledge and lowering their children's dental anxiety.
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Affiliation(s)
- Alrouh M Alsaadoon
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
- Correspondence: Alrouh M Alsaadoon, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, 11545, Saudi Arabia, Email
| | - Ayman M Sulimany
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Hebah M Hamdan
- Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Ebtissam Z Murshid
- Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Nagarajappa R, Mahapatra I, Satyarup D, Mohanty S. Oral Health Literacy – Adult Questionnaire: Psychometric Properties and its Influence on Oral Health Status of School Teachers in Bhubaneswar, India. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.021] [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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17
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Charophasrat S, Thitasomakul S, Tianviwat S. Development and Validation of Oral Health Literacy Questionnaire for Thai Adults. J Int Soc Prev Community Dent 2021; 11:685-694. [PMID: 35036378 PMCID: PMC8713500 DOI: 10.4103/jispcd.jispcd_155_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/17/2021] [Accepted: 07/28/2021] [Indexed: 11/04/2022] Open
Abstract
AIM The purpose of the study was to develop a valid and reliable oral health literacy questionnaire for the Thai adults. It measures functional, communicative, and critical competency, covering four competencies according to the context of daily living, namely, oral health service, home and community, marketplace, and community public forums. MATERIALS AND METHODS A cross-sectional study was carried out in 420 Thai adults who were the dental clients of an oral health service system. Subjects were recruited into the study by multistage stratified random sampling. Data were collected by interviewing using the newly developed oral health literacy questionnaire. After checking for the completeness and correctness of the data, the validity and reliability of the questionnaire were analyzed by calculation of the sensitivity, specificity, and positive predictive and negative predictive values. Receiving-operating characteristic (ROC) curve was performed and showed the area under ROC that indicates the diagnostic performance of the questionnaire. RESULTS High reliability was found as Cronbach's alpha = 0.878 and the validity proved by known-group method, presented as ability to classify subjects as having adequate, or inadequate oral health literacy was also high, given the sensitivity = 0.853, the specificity = 0.848, and the area under ROC curve = 0.858. CONCLUSION The newly developed oral health literacy questionnaire for Thai adults was valid and reliable.
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Affiliation(s)
| | - Songchai Thitasomakul
- Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hatyai, Songkhla, Thailand
| | - Sukanya Tianviwat
- Evidence-Based Dentistry for Oral Health Care and Promotion Research Unit, Department of Preventive Dentistry, Prince of Songkla University, Hatyai, Songkhla, Thailand
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18
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Rath A, Wong M, Pannuti CM, Hesarghatta Ramamurthy P, Fernandes B, Shelton A, Muttalib KA. Cross-cultural adaptation and validation of Malay version of Rapid Estimate of Adult Literacy in Dentistry (MREALD-30) among Orang Asli population in Malaysia. BMC Oral Health 2021; 21:519. [PMID: 34641831 PMCID: PMC8513292 DOI: 10.1186/s12903-021-01866-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 09/28/2021] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND The aim of this study was to adapt, translate and validate the Rapid Estimate of Adult Literacy in Dentistry (MREALD-30) instrument for the Orang Asli population in Malaysia. METHODS After translation and cross-cultural adaptation, interviews were conducted with 326 participants of the Temuan tribe from village Kampung Tering in Johol, Negeri Sembilan, Malaysia. The instrument's validity was assessed using the scores of MREALD-30, which were compared based on occupation, monthly household income, educational attainment, general literacy, use of dental services, and three dental outcomes. A questionnaire containing socio-behavioral information and validated Malay Oral Health Impact Profile (M-OHIP-14) was also administered. The reliability of the MREALD-30 was assessed by re-administering it to 30 subjects after two weeks. Its correlations evaluated convergent and discriminative validity of MREALD-30 with the level of education and dental visiting habits, monthly household income, respectively. Predictive validity was assessed with M-OHIP-14, while construct validity was evaluated by exploratory factor analysis using the Rasch model. RESULTS The internal consistency of the MREALD-30 measured by Cronbach's alpha was 0.89. The test-retest reliability was excellent (ICC 0.95, k = 0.85). MREALD-30 exhibited good construct validity. Rasch analysis showed two factors, and infit mean-square statistics for MREALD-30 were all within the desired range of 0.50-2.0. The discriminant validity and predictive validity were statistically significant (p < 0.05). CONCLUSIONS MREALD-30 showed very strong reliability, good construct, discriminant, and predictive validity, but poor convergent validity. Overall, it showed good psychometric properties and can be used in these community settings.
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Affiliation(s)
- Avita Rath
- Faculty of Dentistry, SEGi University, No. 9 Jalan Teknologi PJU5, 47810, Kota Damansara, Selangor, Malaysia.
| | - Melissa Wong
- Faculty of Dentistry, SEGi University, No. 9 Jalan Teknologi PJU5, 47810, Kota Damansara, Selangor, Malaysia
| | | | | | - Bennete Fernandes
- Faculty of Dentistry, SEGi University, No. 9 Jalan Teknologi PJU5, 47810, Kota Damansara, Selangor, Malaysia
| | | | - Khairiyah Abdul Muttalib
- Faculty of Dentistry, SEGi University, No. 9 Jalan Teknologi PJU5, 47810, Kota Damansara, Selangor, Malaysia
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Ju X, Jamieson LM, Mejia GC, Mittinty MN. Effect of oral health literacy on self-reported tooth loss: A multiple mediation analysis. Community Dent Oral Epidemiol 2021; 50:445-452. [PMID: 34561880 DOI: 10.1111/cdoe.12699] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 09/06/2021] [Accepted: 09/15/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND This study aims to investigate the mediating pathways of oral health literacy (OHL) and oral health-related behaviours on the relationship between education and self-reported tooth loss among Australian adults. METHODS Data used for studying the effects of mediating pathways are from the National Dental Telephone Interview Survey 2013, a random sample survey of Australian adults aged 18+ years. To study the mediating effects, we use counterfactual-based analysis. To decompose the effect of multiple mediator's alternate, to natural effect, methods such as interventional effects have been proposed. In this paper, we use these approaches to decompose the effect between education, OHL and oral health-related behaviours on self-reported tooth loss. Sensitivity analysis was performed for unmeasured confounding with multiple mediators. RESULTS Data were available for 2936 Australian adults. The prevalence of persons with ≥12 self-reported tooth loss was approximately 15%. The average total causal effect from the low education group was nearly 150%, and the interventional indirect effect through OHL and the dependence of oral health-related behaviours on OHL to more than 12 missing teeth were 20% and 120%, respectively, higher than in the high education group. Sensitivity analysis indicated if the difference in the prevalence of unmeasured confounder is as big as 6% the direct effect and the indirect effect remains as observed. CONCLUSIONS An additional two-fifths reduction on having more than 12 missing teeth for Australian adults with lower education level could be achieved if the proportion of lower OHL was decreased and optimal dental behaviours were increased.
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Affiliation(s)
- Xiangqun Ju
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | - Lisa M Jamieson
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, Australia
| | - Gloria C Mejia
- Australian Research Centre for Population Oral Health (ARCPOH), Adelaide Dental School, The University of Adelaide, Adelaide, Australia.,SA Aboriginal Chronic Disease Consortium, Wardliparingga, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, Australia
| | - Murthy N Mittinty
- School of Public Health, The University of Adelaide, Adelaide, Australia
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20
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Silva-Junior MF, Rosário de Sousa MDL, Batista MJ. Health literacy on oral health practice and condition in an adult and elderly population. Health Promot Int 2021; 36:933-942. [PMID: 33277894 DOI: 10.1093/heapro/daaa135] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The objective of this study was to investigate the impact of health literacy (HL) on health practices and oral health outcomes in an adult and elderly population in Brazil. A cross-sectional study nested in a cohort study was followed up over a period of four years (2011 and 2015) and assessed individuals between 23 and 69 years old from Piracicaba, São Paulo, Brazil. Data were collected by means of oral examinations (coronal caries, periodontal disease and visible biofilm) and interviews (socioeconomic, demographic, oral health-related quality of life, health practices and HL). The 14-item Health Literacy Scale (HLS) was used for HL data, which was the main explanatory variable. The result of the sum of the HLS-14 questionnaire for each participant was dichotomized into the median (46 points): 'high' and 'low' HL. Binary/multinomial logistic regressions were performed on health practice and oral health outcomes, controlled by age and sex (Model 1) and age, sex and socioeconomic status (Model 2; p < 0.05). The final sample consisted of 137 subjects and 43.8% (n = 60) presented low HL (LHL). LHL was associated with health practices, such as use of public dental services in Model 1 (odds ratio [OR] = 0.34, 95% CI: 0.14-0.87) and use of dental services for emergency in Model 1 (OR = 2.69, 95% CI: 1.29-5.51) and Model 2 (OR = 2.93, 95% CI: 1.17-7.30). Based on age and sex, LHL was associated with use of public dental service and use of emergency dental visits. Based on age, sex and socioeconomic status, LHL was associated with use of emergency dental visits.
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Affiliation(s)
- Manoelito Ferreira Silva-Junior
- Department of Dentistry, State University of Ponta Grossa, Av. Gen. Carlos Cavalcanti 4748, Ponta Grossa, Paraná, 84030-900, Brazil
| | - Maria da Luz Rosário de Sousa
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira 901, Piracicaba, São Paulo, 13414-018, Brazil
| | - Marília Jesus Batista
- Department of Community Dentistry, Piracicaba Dental School, University of Campinas, Av. Limeira 901, Piracicaba, São Paulo, 13414-018, Brazil.,Department of Health Sciences and Pediatric Dentistry, Faculty of Medicine Jundiaí, R. Francisco Teles 250, Jundiaí, São Paulo, 13202-550, Brazil
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Liu HZ, Lyu X, Liu Y, Han Z, Ye J. Validation of the Chinese version of the Short-Form Health Literacy in Dentistry (HeLD) scale. Community Dent Oral Epidemiol 2021; 49:550-556. [PMID: 34245045 DOI: 10.1111/cdoe.12675] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 06/22/2021] [Accepted: 06/28/2021] [Indexed: 12/24/2022]
Abstract
OBJECTIVES As an important part of health literacy, oral health literacy has been adapted to dental practice and research. The 14-item short version of the Health Literacy in Dentistry (HeLD) scale demonstrated excellent reliability, validity and precision when tested among English-speaking populations. However, an appropriate and reliable assessment of this scale in other language contexts remains lacking. The reliability and validity of the Chinese version of HeLD (HeLD-C) for the Chinese population must therefore be examined. METHODS The short version of HeLD was translated into Chinese, and one item was deleted because of its unsuitability for the Chinese healthcare system. The psychometric properties of HeLD-C were evaluated in a sample of 404 Chinese participants aged from 19 to 72 years. The item selection analyses were performed by comparing the difference of each item between the high- and low-score groups. The internal consistency reliability was assessed using the Cronbach's alpha coefficient. Construct validity was assessed using exploratory structural equation modelling. For the criterion validity, correlations between the HeLD-C and the criterion validity scales, including the eHealth Literacy Scale (eHEALS), oral hygiene maintenance habits, and oral health status were tested using Pearson's correlation. RESULTS Results of item selection reveal significant differences among all items between the high- and low-score groups (Ps < .001). The internal consistency reliability of HeLD-C was measured using Cronbach's α (0.92), whereas its construct validity was measured using χ2 [df] (3.30), comparative fit index (0.95), Tucker-Lewis index (0.94), root mean square error of approximation (0.08), and standardized root mean square residual (0.05). The criterion validity analyses show that HeLD-C is correlated with the criterion validity scales, including eHEALS, oral hygiene maintenance habits and oral health status (Ps < .001). CONCLUSIONS Chinese version of HeLD is a reliable and valid instrument for measuring the oral health literacy of the Chinese adult population.
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Affiliation(s)
- Hong-Zhi Liu
- Computational Social Science Laboratory, Nankai University, Tianjin, China.,Department of Social Psychology, Zhou Enlai School of Government, Nankai University, Tianjin, China
| | - Xiaokang Lyu
- Computational Social Science Laboratory, Nankai University, Tianjin, China.,Department of Social Psychology, Zhou Enlai School of Government, Nankai University, Tianjin, China
| | - Ying Liu
- School of Vocational Education, Tianjin University of Technology and Education, Tianjin, China
| | | | - Jingjing Ye
- Department of Social Psychology, Zhou Enlai School of Government, Nankai University, Tianjin, China.,Health Supervision Institute of Xiangshan Municipal Health Bureau, Ningbo, China
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22
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Safari-Moradabadi A, Rakhshanderou S, Ramezankhani A, Ghaffari M. Explaining the concept of oral health literacy: Findings from an exploratory study. Community Dent Oral Epidemiol 2021; 50:106-114. [PMID: 33760244 DOI: 10.1111/cdoe.12637] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 02/16/2021] [Accepted: 03/02/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Identifying those with inadequate oral health literacy is difficult because little is known about its various multiple dimensions. Accordingly, the present research investigated dimensions of the concept using a qualitative approach. METHOD Participants (n = 15) who met inclusion criteria (Including having expertise in the fields of general dental, social dental, and health education and health promotion and having at least 5 years of relevant working experience) were recruited by purposive sampling via the public health and dentistry faculty in Tehran between December 2018 and October 2019. Thematic analysis was used to assess the data. RESULTS A total of 15 specialists (ranging in age from 28 to 61, mean 44) were included in the study. Their working experience averaged 15.5 years (SD = 7.7, Min = 6, Max = 30). Independent analysis of qualitative data by three researchers led to identification of seven themes and 18 sub-categories, including need perception (feeling the need and paying attention to meeting the need), emotional literacy (valuation of oral health, formation of personality and taking care of oral health), planning literacy (planning and goal-orientation), communicative literacy (choice in decision-making, interpersonal communication skill and claiming), behavioural literacy (self-care), cognitive literacy (knowledge, information comprehension, information use, and information analysis) and media literacy (the ability to use up-to-date technologies, the ability to search for and acquire the information, and judgment). CONCLUSIONS Our findings provide insights into the dimensions of oral health literacy. It is hoped that these findings can be used to guide the development of interventions on OHL and that aspects of the concept can help to enhance levels of OHL and help to promote health at societal level.
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Affiliation(s)
- Ali Safari-Moradabadi
- Department of public health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sakineh Rakhshanderou
- Department of public health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Ramezankhani
- Department of public health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohtasham Ghaffari
- Department of public health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Sfeatcu R, Lie SA, Funieru C, Åström AN, Virtanen JI. The reliability and validity of the Romanian rapid estimate of adult literacy in dentistry (RREALD-30). Acta Odontol Scand 2021; 79:132-138. [PMID: 32881604 DOI: 10.1080/00016357.2020.1814405] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVES This study aimed to translate and adapt the Rapid Estimate of Adult Literacy in Dentistry (RREALD-30) instrument for Romanian urban adults and to test its reliability and validity for oral health literacy studies. MATERIAL AND METHODS The study examined urban adult patients (n = 224) who attended the dental school clinic at the Faculty of Dental Medicine, Bucharest. We collected data through face-to-face interviews utilising the REALD-30 instrument. The interviews enquired about the Oral Health Impact Profile (OHIP-14), background characteristics, oral health-related knowledge, visits to dentists and self-rated oral health status. We applied principal component analysis for factor structure and Item Response Theory models to discriminate ability. A structural equation model (SEM) evaluated whether knowledge, perceived oral health, and visits to the dentist mediate the effect of RREALD on OHIP-14. RESULTS Of the 224 participants, 113 (50.4%) were males. The internal consistency of the RREALD-30 measured by Cronbach's alpha was 0.88. The test-retest reliability was excellent (Spearman's correlation coefficient 0.98, ICC 0.90). RREALD-30 exhibited good concurrent and predictive validity. SEM demonstrated that RREALD mediated the effect of visits to dentist on OHIP-14. CONCLUSION The RREALD-30 proved satisfactory psychometric properties and may serve to evaluate dental health literacy among Romanian adults.
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Affiliation(s)
- R. Sfeatcu
- Oral Health and Community Dentistry Department, Faculty of Dental Medicine, Carol Davila University, Bucharest, Romania
| | - S. A. Lie
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - C. Funieru
- Preventive Dentistry Department, Faculty of Dental Medicine, Carol Davila University, Bucharest, Romania
| | - A. N. Åström
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - J. I. Virtanen
- Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
- Institute of Dentistry, University of Turku, Turku, Finland
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Tseng W, Pleasants E, Ivey SL, Sokal-Gutierrez K, Kumar J, Hoeft KS, Horowitz AM, Ramos-Gomez F, Sodhi M, Liu J, Neuhauser L. Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication among Dental Providers in California. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 18:E216. [PMID: 33396682 PMCID: PMC7795206 DOI: 10.3390/ijerph18010216] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 12/24/2020] [Accepted: 12/28/2020] [Indexed: 11/16/2022]
Abstract
Studies demonstrate that dental providers value effective provider-patient communication but use few recommended communication techniques. This study explored perspectives of California dental providers and oral health literacy experts in the United States on use of communication techniques. We conducted a qualitative key informant interview study with 50 participants between November 2019 and March 2020, including 44 dental providers (dentists, hygienists, and assistants) in public or private practice in California and 6 oral health literacy (OHL) experts. We undertook thematic analysis of interview transcripts and descriptive statistics about interviewees from pre-surveys. Dental providers reported frequently speaking slowly, and using simple language and models/radiographs to communicate with patients, while infrequently using interpretation/translation, illustrations, teach-back, or motivational interviewing. Providers reported using only 6 of the 18 American Medical Association's (AMA) recommended communication techniques and only 3 of the 7 AMA's basic communication techniques. A majority of providers indicated using one of five oral health assessment and educational strategies. Key barriers to effective communication included limited time, financial incentives promoting treatment over prevention, lack of OHL training, limited plain-language patient education materials, and patients with low OHL knowledge. Dental organizations should prioritize supporting dental providers in effective patient communication practices. Standardizing OHL continuing education, creating an evidence-based OHL toolkit for dental teams, ensuring accessible interpretation/translation services, and incentivizing dental providers to deliver education could improve oral health literacy and outcomes.
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Affiliation(s)
- Winston Tseng
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Elizabeth Pleasants
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Susan L. Ivey
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Karen Sokal-Gutierrez
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Jayanth Kumar
- Office of Oral Health, California Department of Public Health, Sacramento, CA 95899, USA;
| | - Kristin S. Hoeft
- Department of Preventive & Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, CA 94143, USA;
| | - Alice M. Horowitz
- Department of Behavioral Health & Community Health, School of Public Health, University of Maryland, College Park, MD 20742, USA;
| | - Francisco Ramos-Gomez
- Division of Pediatric Dentistry, School of Dentistry, University of California, Los Angeles, CA 90095, USA;
| | - Miku Sodhi
- Shasta Cascade Health Centers, McCloud, CA 96057, USA;
| | - Jessica Liu
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
| | - Linda Neuhauser
- Health Research for Action, School of Public Health, University of California, Berkeley, CA 94720, USA; (E.P.); (S.L.I.); (K.S.-G.); (J.L.); (L.N.)
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Taylor H, Holmes AM, Blackburn J. Prevalence of and factors associated with unmet dental need among the US adult population in 2016. Community Dent Oral Epidemiol 2020; 49:346-353. [PMID: 33274505 DOI: 10.1111/cdoe.12607] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 11/12/2020] [Accepted: 11/15/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Understanding and addressing contributing factors to unmet dental need is an important public health challenge. This study investigated the prevalence of, and factors associated with, self-reported unmet dental need using a nationally representative sample of US adults. METHODS This was a cross-sectional study using the Medical Expenditures Panel Survey (MEPS) from 2016. The weighted prevalence of unmet dental need was estimated among individuals aged 18 years or older. Chi-squared and multivariate logit regression with marginal effects (ie absolute risk differences) were used to measure the association of unmet dental need with respondent characteristics. RESULTS The prevalence of adults reporting unmet dental need was 6% (95% CI: 5.5 to 6.5). Adults with dental insurance were 1.7 percentage points (95% CI: -2.8 to -0.6) less likely to report unmet dental needs than adults without dental insurance. Those with middle income were 2.3 percentage points (95% CI: 1.2 to 3.4), those with low income were 3.3 percentage points (95% CI: 1.7 to 5.0), and those with poor/negative/near-poor income were 4.2 percentage points (95% CI: 2.7 to 5.7) more likely to report an unmet dental need than adults with high income. Both Hispanics (-1.7 percentage points [95% CI: -2.8 to -0.6]) and non-Hispanic Blacks (-1.1 percentage points [95% CI: -2.1 to -0.1]) were less likely to report an unmet dental need than whites. Smoking, education, general health status, chronic disease and marital status were also significantly associated with reporting an unmet dental need. CONCLUSIONS Future policies should continue to address cost and coverage barriers to adult dental care, as these remain significant barriers to access, particularly for low-income adults. Future research should evaluate the reasons adults report unmet dental need and explore how adults' judgment of dental need compares to providers' clinical judgment. Additionally, research that explores how race and ethnicity affect perceptions of unmet dental need is warranted.
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Affiliation(s)
- Heather Taylor
- Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA
| | - Ann M Holmes
- Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA
| | - Justin Blackburn
- Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA
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Adil AH, Eusufzai SZ, Kamruddin A, Wan Ahmad WMA, Jamayet NB, Karobari MI, Alam MK. Assessment of Parents' Oral Health Literacy and Its Association with Caries Experience of Their Preschool Children. CHILDREN (BASEL, SWITZERLAND) 2020; 7:E101. [PMID: 32824693 PMCID: PMC7464453 DOI: 10.3390/children7080101] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 08/11/2020] [Accepted: 08/14/2020] [Indexed: 11/30/2022]
Abstract
(1) Purpose: To assess the oral health literacy (OHL) of parents and its association with the caries experience of their preschool children attending the Hospital University Sains Malaysia (HUSM), Kota Bharu, Kelantan, Malaysia. (2) Materials and Methods: This is a descriptive cross-sectional study involving a systematic random sampling method, using a sample of 230 parent/preschool child dyads. Among 230 parents, 24 were males and 206 were females (mean age 31.43 ± 5.82); among 230 children, 92 were boys and 138 were girls (mean age 4.82 ± 1.04) attending the pedodontics clinic, HUSM, who participated and met the inclusion criteria. A structured, self-administered oral health literacy questionnaire including sociodemographic factors was used in this study. A child's oral examination was performed to check the dmft (decayed, missing, filled teeth) status. Statistical analysis was done using descriptive and Spearman's correlation analysis and multivariate regression analysis. (3) Results: The mean dmft score of children in relation to the OHL level of parents showed a significant difference (p < 0.00). The mean dmft score of children in relation to the OHL level of parents showed the following relationships: Inadequate (7.49 ± 4.10) followed by marginal (3.28 ± 2.67) and then adequate (0.55 ± 1.55). The incidence of caries amongst children in relation to parental employment was more associated with unemployed parents (6.11 ± 4.43) than with employed parents (2.79 ± 3.65). The caries experience amongst children in relation to education of their parents revealed a significant difference (p < 0.001), and the mean dmft score was high amongst preschool children with primary school qualified parents (10.7 ± 4.10) followed by high school (7.04 ± 3.68), vocational (5.81 ± 3.57), diploma (2.61 ± 2.81), and university (1.29 ± 2.27), respectively. The results revealed a valid significant difference (negative correlation, rs = -0.753 **) between the OHL of parents with the dmft score of their preschool children. The age and gender of parents was not significantly associated with OHL, whereas ethnicity (positive correlation, rs = 0.283 **), education (positive correlation, rs = 0.865 **), and employment (negative correlation, rs = -0.490 **) were found to be significant. Conclusion: We conclude that there is a significant association between the OHL of parents with the dmft score of their preschool children. The logistic regression showed that after adjustment for sociodemographic factors, parents' gender (OR = 0.067, 95% CI: 0.012-0.360), parents' employment status (OR = 3.247, 95% CI: 0.897-11.754), parents' OHL score (OR = 0.042, 95% CI: 0.016-0.114), and child age (OR = 2.195, 95% CI: 1.249-3.857) were significantly associated with dental caries in children. Our study concluded that parents' employment status, age, gender, OHL, and child's age were significantly associated with the caries experience of their preschool children.
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Affiliation(s)
- Abdul Habeeb Adil
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Sumaiya Zabin Eusufzai
- Dental Public Health Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Aimi Kamruddin
- Pedodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Wan Muhamad Amir Wan Ahmad
- Biostatistics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Nafij Bin Jamayet
- Prosthodontics Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Mohmed Isaqali Karobari
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kota Bharu 16150, Kelantan, Malaysia;
| | - Mohammad Khursheed Alam
- Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka, Aljouf 72345, Saudi Arabia;
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Brega AG, Jiang L, Johnson RL, Wilson AR, Schmiege SJ, Albino J. Health Literacy and Parental Oral Health Knowledge, Beliefs, Behavior, and Status Among Parents of American Indian Newborns. J Racial Ethn Health Disparities 2020; 7:598-608. [PMID: 32385848 PMCID: PMC8053009 DOI: 10.1007/s40615-019-00688-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 12/16/2019] [Accepted: 12/19/2019] [Indexed: 01/24/2023]
Abstract
OBJECTIVE To examine the relationship between health literacy (HL) and parental oral health knowledge, beliefs, behavior, and self-reported oral health status (OHS) among parents of American Indian (AI) children. METHODS This analysis used baseline data from a randomized controlled trial that tested an oral health intervention with parents of AI newborns. Participants were recruited in parent-child dyads (N = 579). Parents completed items assessing sociodemographic characteristics, HL, and parental oral health knowledge, beliefs, behavior, and self-reported OHS. We examined the correlation of HL with each oral health construct, controlling for parent age and income. RESULTS On average, parents felt quite confident in their HL skills, performed well on questions assessing parental oral health knowledge, and endorsed beliefs likely to encourage positive parental oral health behaviors (e.g., confidence that one can successfully engage in such behaviors). Parents with more limited HL had significantly less knowledge, perceived cavities to be less severe, perceived more barriers and fewer benefits to recommended oral health behaviors, were less confident they could engage in these behaviors, and were more likely to believe their children's oral health was under the control of the dentist or a matter of chance (P values < 0.001). Limited HL was not associated with behavior (P > 0.05) but was linked to worse self-reported OHS (P = 0.040). CONCLUSIONS HL was associated with parental oral health knowledge, beliefs, and self-reported OHS. Oral health education interventions targeting AI families should facilitate development of knowledge and positive oral health beliefs among parents with more limited HL skills.
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Affiliation(s)
- Angela G Brega
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO, 80045, USA.
| | - Luohua Jiang
- Department of Epidemiology, School of Medicine, University of California Irvine, 205B Irvine Hall, Irvine, CA, 92697, USA
| | - Rachel L Johnson
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO, 80045, USA
| | - Anne R Wilson
- Department of Pediatric Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, 13123 East 16th Avenue, Aurora, CO, 80045, USA
| | - Sarah J Schmiege
- Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13001 East 17th Place, Aurora, CO, 80045, USA
| | - Judith Albino
- Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, 13055 East 17th Avenue, Aurora, CO, 80045, USA
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Das D, Menon I, Gupta R, Arora V, Ashraf A, Ahsan I. Oral health literacy: A practical strategy towards better oral health status among adult population of Ghaziabad district. J Family Med Prim Care 2020; 9:764-770. [PMID: 32318417 PMCID: PMC7113944 DOI: 10.4103/jfmpc.jfmpc_1049_19] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Revised: 01/24/2020] [Accepted: 01/31/2020] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND AND AIMS Despite tremendous considerable effort by health professionals to promote oral health to create beautiful smiles, gap between oral health knowledge and practice undoubtedly still remains. Thus the aim of this study was to assess the Oral health literacy level and its impact on socioeconomic and oral health status among adult population in Ghaziabad district. METHODS A total of 600 study subjects aged 18-64 years from all 4 blocks of Ghaziabad visiting various outreach programmes using a multistage random sampling technique were included in the study. A specially designed questionnaire assessed the demographic variables. Oral health literacy level (OHL) was assessed with help of a bilingually adapted Hindi OHL tool. Clinical examination was recorded using WHO (World Health Organization) Oral Health Assessment Form 2013. RESULTS The mean age of the study subjects was 43.9 ± 14.36 years. Majority 300 (50%) study subjects had inadequate oral health literacy level followed by Marginal oral health literacy level which was seen among 180 (30%) subjects and 120 (20%) subjects had adequate oral health literacy level. Oral health literacy level was slightly higher among females as compared to male subjects although the results were not statistically significant. A statistically significant difference was found between oral health literacy and oral health status as well as socioeconomic status. (P value ≤ 0.05). CONCLUSION A significant association between OHL and oral health status was found stating Oral health literacy as an efficient role in influencing oral health outcome of any individual.
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Affiliation(s)
- Dipshikha Das
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
| | - Ipseeta Menon
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
| | - Ritu Gupta
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
| | - Vikram Arora
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
| | - Asifa Ashraf
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
| | - Iram Ahsan
- Department of Public Health Dentistry, I.T.S Centre for Dental Studies and Research, Delhi- Meerut Road, Murad Nagar, Ghaziabad, Uttar Pradesh, India
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Nurash P, Kasevayuth K, Intarakamhang U. Learning programmes and teaching techniques to enhance oral health literacy or patient-centred communication for healthcare providers: A systematic review. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2020; 24:134-144. [PMID: 31675468 DOI: 10.1111/eje.12477] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 10/07/2019] [Accepted: 10/30/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To investigate the learning programmes and teaching techniques used in interventions to enhance oral health literacy (OHL) or patient-centred communication (PCC) for healthcare providers. MATERIALS AND METHODS A systematic review of OHL and PCC were obtained from four electronic databases (PubMed, ScienceDirect, ProQuest and Scopus) was undertaken. These searches covered the period from January 2008 to December 2017. The quality assessment tool was the Joanna Briggs Institute Critical Appraisal tool for systematic reviews of effectiveness. RESULTS The final review included nine studies amongst a total of 1475 studies. They showed three learning programmes (workshops, training and community-based rotation) and 17 related teaching techniques to promote OHL and PCC. The most commonly used learning programmes to enhance OHL and PCC for healthcare providers were workshops, and the teaching techniques included feedback and reflection. The intervention periods of the programmes took 20 minutes to half a day. The three studies did not have a follow-up, whilst the rest showed a follow-up range of 2 months to 3 years. Interestingly, there was one study, which applied double follow-ups to show the effectiveness of the programme. CONCLUSION Either workshops or training programmes with a combination of teaching techniques were effective in terms of enhancing their OHL or PCC. The more frequent follow-up might increase the long-term effectiveness of the learning programme.
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Affiliation(s)
- Pariyawit Nurash
- Behavioral Science Research Institute, Srinakharinwirot University, Bangkok, Thailand
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Taoufik K, Divaris K, Kavvadia K, Koletsi-Kounari H, Polychronopoulou A. Development of a Greek Oral health literacy measurement instrument: GROHL. BMC Oral Health 2020; 20:14. [PMID: 31941482 PMCID: PMC6964004 DOI: 10.1186/s12903-020-1000-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2019] [Accepted: 01/03/2020] [Indexed: 11/23/2022] Open
Abstract
Background Oral health literacy is an important construct for both clinical and public health outcomes research. The need to quantify and test OHL has led to the development of measurement instruments and has generated a substantial body of recent literature. A commonly used OHL instrument is REALD-30, a word recognition scale that has been adapted for use in several languages. The objective of this study was the development and testing of the Greek language oral health literacy measurement instrument (GROHL). Methods Data from 282 adult patients of two private dental clinics in Athens, Greece were collected via in-person interviews. Forty-four words were initially considered and tested for inclusion. Item response theory analysis (IRT) and 2-parameter logistic models assessing difficulty and discriminatory ability were used to identify an optimal scale composition. Internal consistency was examined using Cronbach’s alpha and test-retest reliability was measured using intraclass correlation coefficient (ICC) in a subset of 20 participants over a two-week period. Convergent validity was tested against functional health literacy screening (HLS) items, dental knowledge (DK), oral health behaviors (OHBs), oral health-related quality of life (OHRQoL; OHIP-14 index), as well as self-reported oral and general health status. Results From an initial item pool of 44 items that were carried forward to IRT, 12 were excluded due to no or little variance, 10 were excluded due to low item-test correlation, and 2 due to insignificant contribution to the scale, i.e., difficulty parameter estimate with p > 0.05. The twenty remaining items composed the final index which showed favorable internal consistency (alpha = 0.80) and test-retest reliability (ICC = 0.95). The summary score distribution did not depart from normality (p = 0.32; mean = 11.5; median = 12; range = 1–20). GROHL scores were positively correlated with favorable oral hygiene behaviors and dental attendance, as well as HLS, DK and education level. Conclusion The GROHL demonstrated good psychometric properties and can be used for outcomes research in clinical and public health settings.
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Affiliation(s)
- Konstantina Taoufik
- Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
| | - Kimon Divaris
- Department of Pediatric Dentistry, School of Dentistry, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.,Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA
| | - Katerina Kavvadia
- Department of Pediatric Dentistry, School of Dentistry, University of Louisville, Louisville, KY, USA
| | - Haroula Koletsi-Kounari
- Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Argy Polychronopoulou
- Department of Community and Preventive Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
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Afshar MK, Torabi M, Bahremand M, Afshar MK, Najmi F, Mohammadzadeh I. Oral Health Literacy and Related Factors among Pregnant Women Referring to Health Government Institute in Kerman, Iran. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
| | - Molook Torabi
- Kerman University of Medical Sciences, Iran; Kerman University of Medical Sciences, Iran
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Márquez-Arrico CF, Almerich-Silla JM, Montiel-Company JM. Oral health knowledge in relation to educational level in an adult population in Spain. J Clin Exp Dent 2019; 11:e1143-e1150. [PMID: 31824595 PMCID: PMC6894911 DOI: 10.4317/jced.56411] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Accepted: 11/04/2019] [Indexed: 12/19/2022] Open
Abstract
Background To analyze the relationship between oral health knowledge and educational level among an adult population in Spain, and between oral health knowledge and subjects’ oral hygiene practices, dietary habits, toxic habits, and oral quality of life. Material and Methods This transversal study used the Comprehensive Measure of Oral Health Knowledge (CMOHK) questionnaire to evaluate subjects’ knowledge and understanding of oral health, and the World Health Organization oral health questionnaire for adults to evaluate dietary, oral hygiene, toxic habits, and oral quality of life. Participants (n=400) gave their informed consent and data release permission before taking part in the study, which was approved by the University of Valencia Ethics Committee (certificate No.: H145160675341). Statistical analysis was performed using SPSS v22.0 software, applying Student’s t-test, ANOVA, and chi2 test, with significance set at p<0.05. Results Oral health knowledge results were: low 41.5% and high 58.5%. An association was found between educational level and oral health knowledge (Chi2: p=0.000). Oral hygiene habits presenting an association with higher levels of oral health knowledge were dental floss use, a higher number of teeth present, and lower prevalence of partial prostheses. A significant association was found between oral quality of life and oral health knowledge. Conclusions Oral health knowledge is associated with the individual subject’s educational level. But oral health knowledge is not necessarily reflected in the practice of healthy habits. Key words:Oral health literacy, oral health habits, oral health knowledge, CMOHK.
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Development and validation of the Dental Nutrition Knowledge Competency Scale for low-income women. Public Health Nutr 2019; 23:691-700. [PMID: 31588884 DOI: 10.1017/s1368980019002714] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE To develop and validate a Dental Nutrition Knowledge Competency Scale to assess dental health-related nutrition knowledge of low-income women. DESIGN This is a cross-sectional study. A literature search for foods/dietary practices related to dental caries was conducted and the items were incorporated into an initial questionnaire. A panel of ten nutrition experts evaluated it for its content, readability and relevance, and a focus group of six low-income women determined its readability and comprehension. Then the questionnaire was administered to 150 low-income women. Construct validity was evaluated by item difficulty, item discrimination and factor analysis. Internal consistency reliability was tested via Cronbach's α. In a sub-sample of forty women, test-retest reliability was established. Paired-sample t tests were conducted to examine differences between test scores at the two time points, 2 weeks apart. SETTINGS Community centres in low-income housing in Central Texas, USA. PARTICIPANTS A total of 150 low-income women, aged 18-50 years; annual household income <250 % of the federal poverty level. RESULTS Item difficulty and discrimination analysis resulted in elimination of eight questions. Factor analysis identified twenty-four items that loaded on three factors related to knowledge. These included foods/dietary practices that affect dental caries, added sugars in foods and on food labels, and recommended frequency of oral hygiene practices. The subscales and the completed scale exhibited good internal consistency (mean 0·7 (sd 0·97)) and test-retest reliability (mean 0·8 (sd 0·013)). CONCLUSIONS The Dental Nutrition Knowledge Competency Scale is a validated and reliable instrument to assess nutrition knowledge related to dental health in low-income women.
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Sistani MMN, Virtanen J, Yazdani R, Murtomaa H. Association of oral health behavior and the use of dental services with oral health literacy among adults in Tehran, Iran. Eur J Dent 2019; 11:162-167. [PMID: 28729786 PMCID: PMC5502558 DOI: 10.4103/ejd.ejd_332_16] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objective: To assess the association of oral health behavior (OHB) and the use of dental services with oral health literacy (OHL) among Iranian adults. Methods: This was a cross-sectional population study of a random sample of 1031 adults aged 18–65 in Tehran, Iran. We collected data on tooth brushing frequency, the consumption of sugary snacks and beverages, and time since last dental visit. To measure OHL, we used a validated OHL adults’ questionnaire (OHL-AQ). In addition to descriptive analysis, we used multiple logistic regression models to assess the association of OHB and the most recent dental visit with OHL while controlling for socioeconomic and demographic factors. Results: The participants’ mean age was 36.3 (standard deviation 12.9), and 51% were women. Of the participants, 81.3% reported brushing their teeth daily (≥1/day), 37.6% consumed sugary snacks or beverages between meals less than once daily (<1/day), and 36.8% used dental services within the past 6 months. In the adjusted models, high OHL scores significantly correlated with daily (≥1/day) tooth brushing (odds ratio [OR] = 1.97, 95% confidence interval [CI]: 1.30–2.98), the consumption of sugary snacks or beverages (<1/day between meals) (OR = 1.56, 95% CI: 1.13–2.15) and the recent use of dental services (≤6 months) (OR = 1.59, 95% CI: 1.15–2.21), respectively. Conclusions: OHL relates significantly to improved OHB and the use of dental services. Oral health promotion programs should, therefore, take into account improvements in adults’ OHL, particularly in countries with developing health-care services.
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Affiliation(s)
- Mohammad Mehdi Naghibi Sistani
- Department of Community Oral Health, Oral Health Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Jorma Virtanen
- Department of Community Dentistry, Research Unit of Oral Health Sciences, University of Oulu; Medical Research Center, Oulu University Hospital, Oulu, Finland.,Medical Research Center, Oulu University Hospital, Oulu, Finland
| | - Reza Yazdani
- Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Heikki Murtomaa
- Department of Oral Public Health, Institute of Dentistry, University of Helsinki, Helsinki, Finland
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Jagan P, Fareed N, Battur H, Khanagar S, Manohar B. Conceptual knowledge of oral health among school teachers in South India, India. Eur J Dent 2019; 12:43-48. [PMID: 29657524 PMCID: PMC5883475 DOI: 10.4103/ejd.ejd_93_17] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Objective: To measure conceptual oral health knowledge among school teachers using comprehensive measure of oral health knowledge (CMOHK) instrument. Materials and Methods: A total of 240 school teachers drawn through cluster random sampling from across Sullia taluk. Conceptual knowledge was assessed using Comprehensive measure of oral health knowledge questionnaire. Oral health status was recorded on a World Health Organization oral health assessment Proforma. Results: Overall distribution of CMOHK scores revealed that 106(44%) subjects had good conceptual oral health knowledge, 81(33.7%) subjects had fair and 53(22%) subjects were categorized under poor conceptual knowledge respectively. Statistically significant difference was observed for mean scores for conceptual knowledge in relation to gender (12.8v/s 15.3), in terms of type of school teachers (14.4 v/s 11.2) and in relation to age of the subjects. Primary school teachers exhibited a consistently better CMOHK scores 0.003(0.001-0.011) compared to their high school counterparts 0.003(0.001-0.012). Conclusion: The mean CMOHK score of this group was 12.5±1.3 and is considered to be fair. There is an inverse association between age, educational levels and income in relation to CMOHK scores.
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Affiliation(s)
- P Jagan
- 1Department of Public Health Dentistry, Sri Ramakrishna Dental College and Hospital, Coimbatore, Tamilnadu, India
| | - Nusrath Fareed
- Department of Public Health Dentistry, KVG Dental College and Hospital, Sullia (D.K.), Karnataka, India
| | - Hemanth Battur
- Department of Public Health Dentistry, KVG Dental College and Hospital, Sullia (D.K.), Karnataka, India
| | - Sanjeev Khanagar
- Department of Public Health Dentistry, KVG Dental College and Hospital, Sullia (D.K.), Karnataka, India
| | - Bhat Manohar
- Department of Dentistry, Mysore Medical College, Mysore, Karnataka, India
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Lima LCMD, Neves ÉTB, Dutra LDC, Firmino RT, Araújo LJSD, Paiva SM, Ferreira FM, Granville-Garcia AF. Psychometric properties of BREALD-30 for assessing adolescents' oral health literacy. Rev Saude Publica 2019; 53:53. [PMID: 31432910 PMCID: PMC6703894 DOI: 10.11606/s1518-8787.2019053000999] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 08/24/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To evaluate the psychometric properties of the Brazilian Portuguese version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30) administered to adolescents. METHODS The study included 750 adolescents: 375 aged 12 years and 375 aged 15–19 years, attending public and private schools in Campina Grande, state of Paraíba, Brazil, in 2017. Reliability was measured based on internal consistency and test-retest reliability. Convergent validity was measured based on correlations between BREALD-30 and Functional Literacy Indicator scores. Divergent validity was measured by comparing BREALD-30 scores with sociodemographic variables. For predictive validity, the association between BREALD-30 scores and the presence of cavitated carious lesions was tested using a multiple logistic regression model. All statistical tests were performed with a significance level of 5%. RESULTS BREALD-30 showed good internal consistency for the 12 year olds and 15 to19 year olds (Cronbach’s alpha = 0.871 and 0.834, respectively) and good test-retest reliability [intraclass correlation coefficient (ICC) = 0.898 and 0.974; kappa = 0.804 and 0.808, respectively]. Moreover, item-total correlation was satisfactory for all items. BREALD-30 had convergent validity with the Functional Literacy Indicator for 12 year olds (rs = 0.558, p < 0.001) and for 15 to 19 year olds (rs = 0.652, p < 0.001). Participants with higher oral health literacy levels who attended private schools (p < 0.001), belonged to economic classes A and B2 (p < 0.001), and who had parents with higher education levels (p < 0.001) were included, indicating the divergent validity of the BREALD-30. Participants with lower BREALD-30 scores were more likely to have cavitated carious lesions [12 year olds: odds ratio (OR) = 2.37; 95% confidence interval (95%CI): 1.48–3.80; 15 to 19 year olds: OR = 1.96; 95%CI 1.24–3.11]. CONCLUSIONS BREALD-30 shows satisfactory psychometric properties for use on Brazilian adolescents and can be applied as a fast, simple, and reliable measure of oral health literacy.
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Affiliation(s)
| | | | - Laio da Costa Dutra
- Universidade Estadual da Paraíba. Programa de Pós-Graduação em Odontologia. Campina Grande, PB, Brasil
| | - Ramon Targino Firmino
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Programa de Pós-Graduação em Odontologia. Belo Horizonte, MG, Brasil
| | | | - Saul Martins Paiva
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasil
| | - Fernanda Morais Ferreira
- Universidade Federal de Minas Gerais. Faculdade de Odontologia. Departamento de Odontopediatria e Ortodontia. Belo Horizonte, MG, Brasil
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Kesavan R, Prabhakar R, Chaly P, Saravanan R, Mary AV. Assessment of Oral Health Literacy and Its Relationship with Oral Health Related Behaviour and Socioeconomic Status Among Students of A University in Chennai City. ACTA ACUST UNITED AC 2019. [DOI: 10.13005/bpj/1696] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Health literacy is the ability of a person to understand instructions on prescription, appointment cards, health education pamphlets, doctor’s directions and consent forms. A common reason for misunderstanding health instructions may be the patient’s low health literacy skills. Therefore the present study was conducted with the aim of assessing the oral health literacy and its association with socioeconomic status and Oral health related behaviour among University students in Chennai City. A descriptive cross sectional study was conducted among 362 students of a private University in Chennai City. The subjects were selected using stratified random sampling from different faculty of studies. Oral health literacy was assessed using a validated instrument, the Rapid Estimate of Adult Literacy in Dentistry (REALD-30). The overall mean REALD-30 score of the participants was 19.13+5.6. The mean REALD-30 scores were lowest among students in the low socioeconomic status and highest among those in high class. The Mean REALD-30 scores among participants who rinsed their mouth were higher than those who did not rinse. About 46% had oral pain or discomfort during the past one year and their mean OHL score was significantly higher than those who did not had any pain or discomfort. The present study concludes that the overall oral health literacy of the study population is moderate and it does have a relationship with socioeconomic status and oral health behaviour although the different educational categories don’t influence it. Further studies are required to establish one to one causal relationship.
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Affiliation(s)
- R. Kesavan
- Department of Public Health Dentistry, Thai Moogambigai Dental College and Hospital, Dr.MGR Educational and Research Institute (Deemed to be University), Chennai, India
| | - Ramachandra Prabhakar
- Department of Orthodontics, Thai Moogambigai Dental College and Hospital, Dr.MGR Educational and Research Institute (Deemed to be University), Chennai, India
| | - Preetha Chaly
- Department of Public Health Dentistry, Meenakshi Ammal Dental College and Hospital, Chennai, India
| | - R. Saravanan
- Department of Orthodontics, Thai Moogambigai Dental College and Hospital, Dr.MGR Educational and Research Institute (Deemed to be University), Chennai, India
| | - A. Vinita Mary
- Department of Public Health Dentistry, Thai Moogambigai Dental College and Hospital, Dr.MGR Educational and Research Institute (Deemed to be University), Chennai, India
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Bress LE, Horowitz AM, Capobianco DM, Fleming DE, Kleinman DV. Assessing Dental Hygiene Students' and Community Caregivers' Knowledge of Strategies for Caries Prevention. J Dent Educ 2019; 83:351-358. [PMID: 30692188 DOI: 10.21815/jde.019.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 08/30/2018] [Indexed: 11/20/2022]
Abstract
With dental caries being a common chronic disease in children and adults, oral health literacy is needed to improve oral health and prevent caries. If oral health providers themselves are confused about preventive strategies, they cannot effectively educate the public or other health care providers. The aim of this study was to assess University of Maryland dental hygiene students' understanding of and ability to communicate caries preventive strategies to low-income populations during a community service-learning program in 2013 and 2014. Fifty baccalaureate degree dental hygiene students were asked to complete surveys before and after receiving a presentation on caries preventive strategies and after an outreach event, and 77 low-income caregivers were asked to complete surveys before and after receiving oral health education from the students. The key knowledge question on all surveys asked respondents to select the "single best way to prevent tooth decay" (i.e., provide caries prevention) from a list that included the following items: limit sweets, going to the dentist, brushing teeth, using fluoride toothpaste, flossing, drinking fluoridated water, fluoride varnish, and sealants. Of the 50 students, 41 completed all three surveys, for a response rate of 82%; all 77 caregivers (100%) completed the survey before the counseling session, and 37 (48%) completed the survey afterwards. While the results showed a significant knowledge increase for the students that drinking fluoridated water is the best caries prevention strategy, only 44% of them correctly ranked that option first even on the final survey, and only 8% of the caregivers ranked that option first even after counseling. These results suggested that neither the students nor the caregivers understood the benefits of community water fluoridation (CWF), even after the interventions. In spite of their low knowledge scores, it was encouraging that 86-92% of the caregivers reported that the students demonstrated respect for them and spent an appropriate amount of time with them and that they understood the information the students communicated. In discussions after the surveys, the students reported that they had received inconsistent messages from faculty members regarding the benefits of CWF, which resulted in their confusion. These results led the authors to revise their program's instruction to increase the students' knowledge of caries prevention strategies.
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Affiliation(s)
- Lisa E Bress
- Lisa E. Bress is Assistant Professor, University of Maryland School of Dentistry; Alice M. Horowitz is Research Associate Professor, University of Maryland School of Public Health; Diana M. Capobianco is Owner and Founder of Growing Smiles Dental Practice, Bel Air, MD; Deborah E. Fleming is Academic Manager, Colgate Oral Pharmaceuticals, Inc.; and Dushanka V. Kleinman is Associate Dean for Research, University of Maryland School of Public Health.
| | - Alice M Horowitz
- Lisa E. Bress is Assistant Professor, University of Maryland School of Dentistry; Alice M. Horowitz is Research Associate Professor, University of Maryland School of Public Health; Diana M. Capobianco is Owner and Founder of Growing Smiles Dental Practice, Bel Air, MD; Deborah E. Fleming is Academic Manager, Colgate Oral Pharmaceuticals, Inc.; and Dushanka V. Kleinman is Associate Dean for Research, University of Maryland School of Public Health
| | - Diana M Capobianco
- Lisa E. Bress is Assistant Professor, University of Maryland School of Dentistry; Alice M. Horowitz is Research Associate Professor, University of Maryland School of Public Health; Diana M. Capobianco is Owner and Founder of Growing Smiles Dental Practice, Bel Air, MD; Deborah E. Fleming is Academic Manager, Colgate Oral Pharmaceuticals, Inc.; and Dushanka V. Kleinman is Associate Dean for Research, University of Maryland School of Public Health
| | - Deborah E Fleming
- Lisa E. Bress is Assistant Professor, University of Maryland School of Dentistry; Alice M. Horowitz is Research Associate Professor, University of Maryland School of Public Health; Diana M. Capobianco is Owner and Founder of Growing Smiles Dental Practice, Bel Air, MD; Deborah E. Fleming is Academic Manager, Colgate Oral Pharmaceuticals, Inc.; and Dushanka V. Kleinman is Associate Dean for Research, University of Maryland School of Public Health
| | - Dushanka V Kleinman
- Lisa E. Bress is Assistant Professor, University of Maryland School of Dentistry; Alice M. Horowitz is Research Associate Professor, University of Maryland School of Public Health; Diana M. Capobianco is Owner and Founder of Growing Smiles Dental Practice, Bel Air, MD; Deborah E. Fleming is Academic Manager, Colgate Oral Pharmaceuticals, Inc.; and Dushanka V. Kleinman is Associate Dean for Research, University of Maryland School of Public Health
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Pereira Cruvinel AF, Cusicanqui Méndez DA, Campos Chaves G, Gutierres E, Lotto M, Marchini Oliveira T, Cruvinel T. The Brazilian validation of a health literacy instrument: the newest vital sign. Acta Odontol Scand 2018; 76:587-594. [PMID: 30045650 DOI: 10.1080/00016357.2018.1484511] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVE This study aimed to perform the cross-cultural adaptation and validation of the NVS for Brazilian Portuguese. MATERIAL AND METHODS Two hundred and fifty adults responded to the adapted version of the NVS, the Brazilian version of the Rapid Estimate of Adult Literacy in Dentistry (BREALD-30), ten questions of the National Functional Literacy Index (NFLI), and a questionnaire about demographic and oral health-related aspects. Statistical analysis determined the internal consistency, stability, difficulty of items, and convergent/discriminant/predictive validities of the NVS. p < .05 was considered significant. RESULTS The NVS displayed a good internal consistency (Cronbach's alpha = 0.79) and a fair stability (ICC = 0.57; 0.39-0.70 95% CI). Seventy-two percent of participants answered the easier question (#5) correctly, whereas only 28.4% were successful in responding the most difficult question (#1). The convergent validity of the NVS was demonstrated by its significant correlation with the BREALD-30 (Rs = 0.601, p < .001) and NFLI (Rs = 0.544, p < .001). The observation of higher NVS scores among health professionals, white and more educated people confirmed the discriminant validity of the instrument. Moreover, health literacy was a significant predictor of self-reported oral health and reason for dental utilization. CONCLUSION The NVS demonstrated adequate psychometric properties to be applied in Brazilian oral health epidemiological surveys.
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Affiliation(s)
| | | | - Giuliana Campos Chaves
- Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Eliézer Gutierres
- Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Matheus Lotto
- Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Thaís Marchini Oliveira
- Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
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Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health 2018; 18:172. [PMID: 30355347 PMCID: PMC6201552 DOI: 10.1186/s12903-018-0640-1] [Citation(s) in RCA: 105] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Accepted: 10/15/2018] [Indexed: 11/10/2022] Open
Abstract
Background Health literacy has been found to be a strong predictor of an individuals’ health, health behavior and health outcomes. Lower literacy has been linked to problems with the use of preventive services, delayed diagnoses of medical conditions, poor adherence to medical instructions, poor self-management skills, increased mortality risks, poor health outcomes, and higher health care costs. The aim of this study is to determine the relationship between oral health literacy (OHL) and oral health status among patients attending a University-affiliated dental clinic. Methods A convenience sample of participants was drawn from the dental patients presenting at School of Dental Medicine (SODM), Case Western Reserve University (CWRU). Information about the subjects’ demographic details, income, family size, insurance type and smoking history were collected using a data collection form. Data about the patients’ periodontal and caries risk assessment, caries experience and periodontal status was extracted from the patients’ electronic dental records. The Comprehensive Measure of Oral Health Knowledge (CMOHK) was used to record the oral health literacy. The median CMOHK score was 18, and this was used to categorize the sample into limited OHL (≤18) and adequate OHL (> 18) groups. A multivariate logistic regression model was built to examine the associations between the various independent variables and OHL levels. Results Data of 150 respondents were analyzed. More than half of the participants were female (55.3%) and the majority were Caucasian (60%). The average age of participants was 53.3 years [standard deviation (SD) 16.8]. Higher percentage of African Americans and individuals with low education had limited OHL levels (p < 0.05). The mean decayed, missing, and filled teeth (DMFT) score for this population was 7.33 ± 2.68. Subjects with limited OHL had significantly higher mean values for missing teeth (p < 0.05) and lower mean values for filled teeth (p < 0.05) as compared with subjects with adequate OHL Significantly, higher percentage of subjects with limited OHL had severe periodontitis as compared with those with adequate OHL (p = 0.04). Multivariate analysis found that the periodontal status was significantly associated with the OHL scores (p = 0.015). Conclusion Subjects with limited OHL levels had poorer periodontal health. Improving the OHL of patients may help in the efforts to improve the adherence to medical instructions, self-management skills and the overall treatment outcomes. Future research could focus on assessing the impact of OHL interventions on the oral health, which could be valuable for clinical practitioners.
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Affiliation(s)
- Jagan Kumar Baskaradoss
- Division of Dental Public Health, Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, P.O.Box: 24923, -13110, Safat, Kuwait.
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Henderson E, Dalawari P, Fitzgerald J, Hinyard L. Association of Oral Health Literacy and Dental Visitation in an Inner-City Emergency Department Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1748. [PMID: 30111688 PMCID: PMC6121363 DOI: 10.3390/ijerph15081748] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 08/07/2018] [Accepted: 08/09/2018] [Indexed: 12/01/2022]
Abstract
To examine the association between oral health literacy (OHL) with sociodemographic variables and dental visitation in adults presenting to an urban emergency department (ED). Methods: This was a cross-sectional study of a convenience sample of 556 adults aged 18⁻90. Interview data from the study were used to collect self-reported sociodemographic characteristics and dental visitation history. The OHL of the study participants was measured using the Health Literacy in Dentistry scale (HeLD-14), and the score was dichotomized into low and high OHL. Bivariate associations between sociodemographic variables and OHL were conducted using chi-square tests, and logistic regression was used to examine the association between OHL and dental visitation within the past year. Results: Sixty percent of participants reported having visited a dentist within the past year. Over two-thirds of the sample was classified as having low OHL. Low OHL was more common in non-White races, less-educated, single, unemployed, and lower-income individuals, and those without a primary care physician or dental insurance (p < 0.05). Patients with low oral health literacy were 39% less likely to have visited the dentist in the past year (OR = 0.61; 95% CI 0.38, 0.96). Conclusions: This study highlights significant disparities in OHL. Interventions targeted toward the unique needs of underserved populations should be developed to improve health outcomes.
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Affiliation(s)
- Emmett Henderson
- Center for Health Outcomes Research, Saint Louis University, Saint Louis, MO 63104, USA.
| | - Preeti Dalawari
- Department of Surgery, Division of Emergency Medicine, Saint Louis University, Saint Louis, MO 63110, USA.
| | - Jennifer Fitzgerald
- Department of Surgery, Division of Emergency Medicine, Saint Louis University, Saint Louis, MO 63110, USA.
| | - Leslie Hinyard
- Center for Health Outcomes Research, Saint Louis University, Saint Louis, MO 63104, USA.
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Mohammadi TM, Malekmohammadi M, Hajizamani HR, Mahani SA. Oral health literacy and its determinants among adults in Southeast Iran. Eur J Dent 2018; 12:439-442. [PMID: 30147413 PMCID: PMC6089060 DOI: 10.4103/ejd.ejd_429_17] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES The present study aimed to assess oral health literacy level and its related factors among adult patients visiting Kerman Dental School. MATERIALS AND METHODS This cross-sectional study was conducted in Kerman Dental School clinic, among the first-time adult visitors. Individuals were selected randomly from volunteers who signed study consent forms. Background information and oral health literacy levels were acquired through the oral health literacy-adult questionnaire. Statistical analysis including the Chi-square test and independent t-test served for statistical evaluation of the study data. RESULTS Participants were 264 adults which consisted of 72.3% women and the mean age of 37 ± 8 years old. The mean oral health literacy score was 12.07 (out of 17), and 62.5% of the participants had an adequate oral health literacy level. There was a significant relationship between oral health literacy scores with gender, high level of education, and oral health behavior. CONCLUSION The study participants had a good level of oral health literacy which can be correlated with their educational status and oral health information sources. An oral health educational program for less educated people is recommended.
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Affiliation(s)
- Tayebeh Malek Mohammadi
- Department of Dental Public Health, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahsa Malekmohammadi
- Department of Community Oral Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamid Reza Hajizamani
- Department of Dental Biomaterial, Tehran University of Medical Sciences, Tehran, Iran
| | - Shahla Ayobi Mahani
- Department of Dental Public Health, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
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Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION The association between oral health literacy and missed dental appointments. Baskaradoss JK. JADA 2016;147(11):867-74. SOURCE OF FUNDING Information not available TYPE OF STUDY/DESIGN: Unmatched case-control study that used a convenience nonprobability sampling method.
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Myers-Wright N, Lamster IB, Jasek JP, Chamany S. Evaluation of medical and dental visits in New York City: Opportunities to identify persons with and at risk for diabetes mellitus in dental settings. Community Dent Oral Epidemiol 2017; 46:102-108. [DOI: 10.1111/cdoe.12334] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 08/07/2017] [Indexed: 12/17/2022]
Affiliation(s)
- Noreen Myers-Wright
- Department of Health Policy and Management; Mailman School of Public Health; Columbia University; New York NY USA
| | - Ira B. Lamster
- Department of Health Policy and Management; Mailman School of Public Health; Columbia University; New York NY USA
| | - John P. Jasek
- Bureau of Chronic Disease Prevention and Tobacco Control; New York City Department of Health and Mental Hygiene; New York NY USA
| | - Shadi Chamany
- Division of Prevention and Primary Care; New York City Department of Health and Mental Hygiene; New York NY USA
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Peker K, Köse TE, Güray B, Uysal Ö, Erdem TL. Reliability and validity of the Turkish version of the Rapid Estimate of Adult Literacy in Dentistry (TREALD-30). Acta Odontol Scand 2017; 75:198-207. [PMID: 28093024 DOI: 10.1080/00016357.2016.1278079] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
OBJECTIVE To culturally adapt the Turkish version of Rapid Estimate of Adult Literacy in Dentistry (TREALD-30) for Turkish-speaking adult dental patients and to evaluate its psychometric properties. MATERIAL AND METHODS After translation and cross-cultural adaptation, TREALD-30 was tested in a sample of 127 adult patients who attended a dental school clinic in Istanbul. Data were collected through clinical examinations and self-completed questionnaires, including TREALD-30, the Oral Health Impact Profile (OHIP), the Rapid Estimate of Adult Literacy in Medicine (REALM), two health literacy screening questions, and socio-behavioral characteristics. Psychometric properties were examined using Classical Test Theory (CTT) and Rasch analysis. RESULTS Internal consistency (Cronbach's Alpha = 0.91) and test-retest reliability (Intraclass correlation coefficient = 0.99) were satisfactory for TREALD-30. It exhibited good convergent and predictive validity. Monthly family income, years of education, dental flossing, health literacy, and health literacy skills were found as stronger predictors of patients'oral health literacy (OHL). Confirmatory factor analysis (CFA) confirmed a two-factor model. The Rasch model explained 37.9% of the total variance in this dataset. In addition, TREALD-30 had eleven misfitting items, which indicated evidence of multidimensionality. The reliability indeces provided in Rasch analysis (person separation reliability = 0.91 and expected-a-posteriori/plausible reliability = 0.94) indicated that TREALD-30 had acceptable reliability. CONCLUSION TREALD-30 showed satisfactory psychometric properties. It may be used to identify patients with low OHL. Socio-demographic factors, oral health behaviors and health literacy skills should be taken into account when planning future studies to assess the OHL in both clinical and community settings.
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Affiliation(s)
- Kadriye Peker
- Department of Dental Public Health, Faculty of Dentistry, Istanbul University, Capa, Istanbul, Turkey
| | - Taha Emre Köse
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul University, Capa, Istanbul, Turkey
| | - Beliz Güray
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Istanbul University, Capa, Istanbul, Turkey
| | - Ömer Uysal
- Department of Medical Statistics and Informatics, Medical School, Bezmialem Vakif University, Fatih, Istanbul, Turkey
| | - Tamer Lütfi Erdem
- Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Okan University, Tuzla, Istanbul, Turkey
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Macek MD, Atchison KA, Chen H, Wells W, Haynes D, Parker RM, Azzo S. Oral health conceptual knowledge and its relationships with oral health outcomes: Findings from a Multi-site Health Literacy Study. Community Dent Oral Epidemiol 2017; 45:323-329. [PMID: 28271537 DOI: 10.1111/cdoe.12294] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Accepted: 02/02/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVES In 2010, a health literacy instrument designed to measure oral health conceptual knowledge was introduced. This developmental work was limited in that it included a relatively small and homogeneous study population and few oral health measures against which to test concurrent validity. The purpose of the present investigation is to expand upon the earlier work by utilizing a larger study sample and additional outcome variables. METHODS Data for this report came from the Multi-site Oral Health Literacy Research Study (MOHLRS), a large, cross-sectional survey conducted at two university-based dental clinics in the United States. MOHLRS included multiple assessments administered during face-to-face interviews. Conceptual knowledge was measured with the Comprehensive Measure of Oral Health Knowledge (CMOHK). Questions about self-efficacy, utilization, and dental beliefs and attitudes were also asked. Covariates included recruitment site, age, gender, race/ethnicity, education level, and languages spoken. RESULTS Overall, 18% of 909 adult participants exhibited "low" conceptual knowledge. CMOHK scores were significantly associated with three health literacy instruments, the REALM, Short-test of functional health literacy in adults (TOFHLA), and confidence filling out forms. In both bivariate and multivariable analyses, CMOHK scores were also significantly associated with dental beliefs and attitudes and self-efficacy to prevent both dental caries and periodontal disease. CMOHK scores were not associated with utilization, measured either as having a dental visit or a dental cleaning in the last year. CONCLUSIONS The present investigation provides additional support for the CMOHK's validity. Researchers are encouraged to incorporate oral health conceptual knowledge into their theoretical frameworks, especially as it relates to beliefs and self-efficacy.
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Affiliation(s)
- Mark D Macek
- University of Maryland School of Dentistry, Baltimore, MD, USA
| | - Kathryn A Atchison
- University of California, Los Angeles, School of Dentistry, Los Angeles, CA, USA
| | - Haiyan Chen
- University of Maryland School of Dentistry, Baltimore, MD, USA
| | - William Wells
- Schaefer Center for Public Policy, University of Baltimore, Baltimore, MD, USA
| | - Don Haynes
- Schaefer Center for Public Policy, University of Baltimore, Baltimore, MD, USA
| | - Ruth M Parker
- Emory University School of Medicine, Atlanta, GA, USA
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Pippi R, Bagnato F, Ottolenghi L. Oral Health Literacy: How much Italian people know about the dental hygienist. J Clin Exp Dent 2017; 9:e13-e20. [PMID: 28149457 PMCID: PMC5268122 DOI: 10.4317/jced.52950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2016] [Accepted: 04/28/2016] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND People with poor OHL have the highest level of oral diseases and the worst oral treatment results. The main aim of the present study was to investigate the degree of knowledge of the role of the dental hygienist in patients who go to a public dental facility for the first time. MATERIAL AND METHODS A semi-structured questionnaire was administered to the patients with the "face-to-face" mode during a 12-month period. The principal component analysis, the general linear model and the chi-square test were used for the statistical analysis. RESULTS A total number of 900 questionnaires were completed. Sixty-seven per cent of patients know that a specific degree is needed to practice dentistry and 93.1% of them know that a specific educational qualification is required to practice the dental hygienist profession. Sixty-three per cent of the subjects were aware of dental hygienist's activities. There is no patient preference of gender as far as both dentist (84.11%) and dental hygienist (85.11%) are concerned. Seventy-five per cent of patients claimed to know what "dental hygiene" means and 65% of them believed that a good level of oral hygiene was important for oral disease prevention. Both qualification and marital status of patients are significantly associated with the patient's level of knowledge of the dental hygienist profession. Patients with "High" scholastic qualifications showed significantly higher scores than those with "Low" qualifications. Married patients have less knowledge than widows/widowers, while divorced patients have greater knowledge than widows/widowers. CONCLUSIONS Patients' educational qualification itself only partially justifies the apparent high level of knowledge of patients about the dental hygienist's role. Key words:Oral disease prevention, dental professional qualification, public dental knowledge, patient educational qualification, dental hygienist, oral heath literacy, public dental facility.
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Affiliation(s)
- Roberto Pippi
- Associate Professor, Oral Surgery Unit, Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University of Rome
| | - Flavia Bagnato
- Dental hygienist, Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University of Rome
| | - Livia Ottolenghi
- Full Professor, Preventive and Community Dentistry, Department of Odontostomatological and Maxillo Facial Sciences, Sapienza University of Rome
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Holtzman JS, Atchison KA, Macek MD, Markovic D. Oral Health Literacy and Measures of Periodontal Disease. J Periodontol 2016; 88:78-88. [PMID: 27523517 DOI: 10.1902/jop.2016.160203] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Existing evidence demonstrating a relationship between health literacy (HL) and periodontal health is insufficient to identify how providers can help patients manage periodontal disease. This study assesses associations between HL measures (word recognition, numeracy, and conceptual knowledge) and signs of periodontal disease. METHODS This study included 325 new patients at a dental school clinic and employed an oral HL (OHL) survey, full-mouth radiographs, and clinical examination. Evaluations included the relationship between each HL measure versus number of teeth, bleeding score, plaque score, and periodontal severity with linear and ordinal logistic regression models before and after adjusting for covariates. RESULTS Among HL measures, the Newest Vital Sign demonstrated a significant relationship with number of teeth and the Short Test of Functional Health Literacy in Adults showed a significant association with plaque score. The short Rapid Estimate of Adult Literacy in Medicine and Dentistry (REALMD-20) showed participants who performed in the highest quartile had nearly two additional teeth, over 5.5% fewer bleeding sites, and nearly 9% fewer teeth with plaque after adjustment for demographic variables, smoking, and diabetes mellitus (DM). Participants who scored in the highest quartile of the Comprehensive Measure of Oral Health Knowledge (CMOHK) had nearly 9% less plaque. CONCLUSIONS Two OHL instruments (REAMLD-20 and CMOHK) provided statistical associations with clinical measures of periodontal health at a level that could be considered of moderate clinical relevancy. Findings suggest dentists may wish to assess familiarity of their patients with dental terminology and knowledge of periodontal disease to provide education on oral hygiene, smoking, and DM.
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Affiliation(s)
- Jennifer S Holtzman
- Currently, Health Resources and Services Administration, Bureau of Health Workforce, Rockville, MD; previously, Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles, Los Angeles, CA
| | - Kathryn A Atchison
- Division of Public Health and Community Dentistry, School of Dentistry, University of California, Los Angeles
| | - Mark D Macek
- Department of Health Promotion and Policy, Division of Health Services Research, University of Maryland Dental School, Baltimore, MD
| | - Daniela Markovic
- Department of Biomathematics, University of California, Los Angeles
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The Association of Oral Health Literacy and Oral Health Knowledge with Social Determinants in Pregnant Brazilian Women. J Community Health 2016; 41:1027-32. [DOI: 10.1007/s10900-016-0186-6] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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U.S. Department of Health and Human Services Oral Health Strategic Framework, 2014–2017. Public Health Rep 2016. [DOI: 10.1177/003335491613100208] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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