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Jiang R, Yu J, Islam R, Li X, Nie E. Dental Caries Prevention Knowledge, Attitudes, and Practice among Patients at a University Hospital in Guangzhou, China. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:1559. [PMID: 37763677 PMCID: PMC10535681 DOI: 10.3390/medicina59091559] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 07/24/2023] [Accepted: 08/22/2023] [Indexed: 09/29/2023]
Abstract
Background and Objectives: This study aimed to assess the knowledge, attitudes, and practice (KAP) of patients regarding dental caries prevention in a university hospital in Guangzhou, China. Materials and Methods: A hospital-based KAP survey was conducted in a cross-sectional manner at the First Affiliated Hospital in Guangzhou, China, from 1 September to 30 September 2022. Questionnaires were distributed to eligible patients, resulting in the participation of 251 individuals. The questionnaire consisted of five sections capturing socio-demographic data and exploring participants' knowledge, attitudes, practice, and accurate preventive dental caries knowledge. Descriptive statistics and a generalized linear model with univariate tests were used for analysis. Results: The study results show that the knowledge score 7.97 (±0.91) and attitudes score 7.67 (±0.89) among the participants were good while the practice score was 6.80 (±0.81) moderate. The majority of participants identified tooth infections (81.3%), bacteria (92%), and sugar (89.2%) as the main causes of gum bleeding and tooth decay. Brushing (96%) and fluoride (80.5%) were also recognized as essential for preventing tooth decay. Of oral diseases, 94% were recognized as potentially affecting overall health. The vast majority ranging from 92.8% to 98%, believed that oral health is crucial to overall health and that regular check-ups and proper brushing habits are beneficial. There is a significant association of gender with age (p = 0.018), occupation (p = 0.050), lifestyle habit (p = 0.012), and knowledge score; whole education is significantly associated with practice score (p = 0.050). Conclusions: The majority of patients exhibited accurate knowledge and attitudes with moderate practice towards dental caries prevention, with socio-demographic factors playing a major role. However, effective implementation of dental health education programs across the healthcare system is still required to further enhance outcomes.
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Affiliation(s)
- Rui Jiang
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Jiali Yu
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Rafiqul Islam
- Department of Restorative Dentistry, Faculty of Dental Medicine, Hokkaido University, Kita 13, Nishi 7, Kita-ku, Sapporo 060-8586, Japan;
| | - Xiang Li
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
| | - Ermin Nie
- Department of Stomatology, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhong Shan Road 2nd, Guangzhou 510080, China; (R.J.); (J.Y.)
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Gushi LL, Sousa MDLRD, Frias AC, Antunes JLF. Fatores associados ao impacto das condições de saúde bucal nas atividades de vida diária de adolescentes, Estado de São Paulo, 2015. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2020; 23:e200098. [DOI: 10.1590/1980-549720200098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 04/01/2020] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Objetivo: Verificar a associação entre impacto nas atividades de vida diária e variáveis sociodemográficas e parâmetros bucais em adolescentes no Estado de São Paulo. Métodos: Estudo transversal com dados de 5.409 adolescentes que participaram da “Pesquisa Estadual de Saúde Bucal de São Paulo - SB”, de 2015. O impacto nas atividades de vida diária foi avaliado pelo índice de impacto das condições de saúde bucal nas atividades de vida diária (em inglês: oral impacts on daily performances [OIDP]), pela prevalência (presença ou ausência de impacto) e pela severidade do impacto (escores do OIDP). Utilizou-se o modelo de regressão binomial negativa inflado de zeros, considerando os pesos amostrais. Foram calculados as razões de prevalências (RP), as razões de médias (RM) e os intervalos de confiança (IC). Resultados: A prevalência de impacto nas atividades de vida diária foi de 37,4%. Após o ajuste, pôde-se observar que o sexo feminino permaneceu com maior prevalência (RP = 1,59; IC95% 1,36 ‒ 1,81) e severidade do impacto (RM = 1,49; IC95% 1,22 ‒ 1,81). Na comparação com brancos, os demais grupos tiveram maior prevalência de impacto. A renda familiar maior que R$ 2.501 (RM = 0,79; IC95% 0,64 ‒ 0,98) e a aglomeração domiciliar (RM = 1,18; IC95% 1,00 ‒ 1,39) foram associadas com a severidade do impacto. Nas condições de saúde bucal, verificou-se que a cárie não tratada (RP = 1,46; IC95% 1,23 ‒ 1,74) e o sangramento gengival (RP = 1,35; IC95% 1,14 ‒ 1,60) permaneceram associados com maior prevalência de impacto. Conclusão: Sexo feminino, ter cor não branca, ter cárie não tratada e sangramento gengival foram associados ao maior impacto nas atividades de vida diária. Ter renda maior que R$ 2.500 e residir em domicílios menos aglomerados associaram-se com menor impacto.
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Prevalence and caries-related risk factors in schoolchildren of 12- and 15-year-old: a cross-sectional study. BMC Oral Health 2019; 19:120. [PMID: 31215489 PMCID: PMC6582601 DOI: 10.1186/s12903-019-0806-5] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 05/31/2019] [Indexed: 11/14/2022] Open
Abstract
Background To assess the prevalence and severity of caries in 12- and 15-year-old schoolchildren, and to analyse the related risk factors. Methods We conducted a cross-sectional study on a random sample of 1843 schoolchildren aged 12 and 15 from Galicia (northwest of Spain). Self-administered questionnaire and dental clinical examination were performed to obtain information about oral health habits, dental caries and oral hygiene. A logistic regression model including dental-caries-related variables was generated for each age group. Results The respective findings for 12- and 15-years-old were as follows: decayed, missing, filled teeth index both for permanent and temporary dentition (DMFT/dmft) of 0.89 (95% CI, 0.87–0.91) and 1.38 (95% CI, 1.33–1.43), respectively; caries prevalence 39.6% (95% CI, 36.3–42.9) and 51.7% (95% CI, 48.0–55.4), respectively. In the 12-year-old group, individuals who occasionally, never or hardly ever brushed their teeth had higher values of caries (OR = 1.83, 95% CI 1.07–3.15, and OR = 9.14, 95% CI1.63–51.17, respectively). Also, the presence of plaque on more than 1/3 gingival was statistically associated with an increase of caries (OR = 2.03; 95% CI, 1.11–3.70), and living in a rural environment was a risk factor (OR = 1.3; 95% CI,1.02–1.80). In the 15-year-old group, higher caries risk was found when brushing was performed once a day (OR = 1.61; 95% CI,1.03–2.50), and among individuals who visited private clinics (OR = 1.77; 95% CI, 1.17–2.66), while electric toothbrush was associated with a lower caries risk (OR = 0.50; 95% CI, 0.29–0.86). Conclusions This study revealed that risk factors of dental caries showed differences in schoolchildren of 12- and 15-year-old. Strongest evidence related to caries in 12-year-old group were found in frequency of toothbrushing and dental plaque. In 15-year old group, electric toothbrush, time since the last visit to the dentist and type of dental care (public/private) had a stronger association with dental caries. Caries prevalence and mean DMFT/dmft increased from 12- to 15-year-old, in spite of improvement in oral hygiene at the age of 15. Electronic supplementary material The online version of this article (10.1186/s12903-019-0806-5) contains supplementary material, which is available to authorized users.
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Corradi-Dias L, Paiva SM, Pretti H, Pordeus IA, Abreu LG. Impact of the onset of fixed appliance therapy on adolescents' quality of life using a specific condition questionnaire: A cross-sectional comparison between male and female individuals. J Orthod 2019; 46:195-204. [PMID: 31144564 DOI: 10.1177/1465312519851220] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To evaluate the impact of the first six months of orthodontic treatment with fixed appliances on the oral health-related quality of life (OHRQoL) of adolescents, comparing boys and girls, using a specific condition questionnaire. DESIGN Cross-sectional. SETTING School of Dentistry of the Federal University of Minas Gerais, Belo Horizonte, Brazil. PARTICIPANTS Adolescents aged 10-17 years. METHODS Forty-six adolescents participated in this study. Adolescents' OHRQoL was evaluated using the Brazilian version of the questionnaire Impact of Fixed Appliances Measure. This questionnaire comprises 43 questions distributed across nine domains: aesthetics; functional limitation; dietary impact; oral hygiene impact; maintenance impact; physical impact; social impact; time constraints; and travel/cost/inconvenience implications. The answer options follow the Likert scale, in the range of 1-5. A higher score indicates a more negative impact on the OHRQoL. Adolescents' malocclusion was assessed using the Dental Aesthetic Index. Information on family income, adolescents' age and tooth extraction was also collected. A directed acyclic graph was used to identify potential confounders. Statistical analysis involved the chi-square test, the Student's t test and the analysis of covariance. The minimal clinically important difference was also calculated. RESULTS Of the 46 participants, 25 were girls and 21 were boys. The female adolescents presented a more negative impact from the orthodontic treatment on the quality of life when compared to the male adolescents (P < 0.001), regardless of the influence of the confounding variables. The most negative repercussions were identified in the domains of oral hygiene (P = 0.002), physical impact (P < 0.001) and social impact (P < 0.001). CONCLUSION The impact of the first six months of orthodontic treatment on OHRQoL is more negative in female individuals than in male individuals. The results of this study may be useful for the oral healthcare provider during the counselling of adolescents undergoing fixed appliance therapy.
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Affiliation(s)
- Larissa Corradi-Dias
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Henrique Pretti
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Isabela Almeida Pordeus
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lucas Guimarães Abreu
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Ross MC, Campbell PM, Tadlock LP, Taylor RW, Buschang PH. Effect of automated messaging on oral hygiene in adolescent orthodontic patients: A randomized controlled trial. Angle Orthod 2018; 89:262-267. [PMID: 30516416 DOI: 10.2319/040618-260.1] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To determine whether automated text messages sent daily to adolescent orthodontic patients improves oral hygiene more than weekly reminders. MATERIALS AND METHODS A blinded, prospective, randomized controlled trial was designed to evaluate the effects of automated messages on oral hygiene. Subjects were recruited from patients undergoing orthodontic treatment at the Texas A&M University College of Dentistry, Department of Orthodontics. They were being treated with a variety of fixed full appliances in both arches. Subjects were randomly assigned to either a once-a-week text message group or a daily text message group. There were 52 females and 27 males who were 12 to 17 years of age. Oral hygiene was measured at the beginning of the study and again 8.6 ± 0.9 weeks later. RESULTS The daily reminder group (N = 42) had significantly greater improvements in oral hygiene compliance than the weekly reminder group (N = 37). The daily score decreases were 48%, 21% and 19% for the bleeding index (BI), plaque index (PI), and gingival index (GI), respectively. The weekly score decreases were 27%, 14% and 13% for the BI, PI, and GI. There were no sex differences in hygiene changes during the study. The 42% of patients who completed the survey at the end of the study wanted more frequent messages and reported that messages related to decreasing treatment time were the most effective, while those related to oral hygiene were the least effective. CONCLUSIONS Daily text messages are more effective at improving oral hygiene than weekly text messages.
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Jung SH, Kim MH, Ryu JI. Inequalities in oral health among adolescents in Gangneung, South Korea. BMC Oral Health 2018; 18:68. [PMID: 29699545 PMCID: PMC5921975 DOI: 10.1186/s12903-018-0533-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Accepted: 04/17/2018] [Indexed: 11/30/2022] Open
Abstract
Background This study aims to evaluate inequality in oral health among adolescents and to explain the mechanisms of such inequalities in Gangneung, South Korea. Methods One thousand two hundred sixty-seven students in their first year from four vocational and three general schools participated in the baseline survey of 2011, and 84.7% of them were surveyed again in 2013. Oral examinations by the same dentist and a self-administered questionnaire were repeated during both waves. Outcome measure for oral health was the existence of untreated dental caries (DT). As socioeconomic position (SEP) indicators, school type (general vs. vocational), father’s and mother’s education, perceived economic status, and Family Affluence Scale (FAS) were measured. Variables measuring oral health related behaviours included tooth brushing frequency, frequency of eating snacks and drinking sodas, smoking, and annual visits to dental clinics. Chi-square tests and panel logistic regression were adopted to examine the associations between dental caries and SEP indicators by STATA version 15.1. Results Having a less educated father and attending a vocational school were significant predictors for untreated caries after controlling for SEP indicators. However, students from general schools, higher SEP by father’s education, perceived economic status, or FAS, or having non-smoking experience or annual visits to dental clinics were more likely to stay caries-free. Conclusions There were socioeconomic inequalities in oral health on an adolescent panel. Given that oral health status during adolescents can persist throughout the course of a person’s life, intervention to tackle such inequalities and school environments are required. Electronic supplementary material The online version of this article (10.1186/s12903-018-0533-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Se-Hwan Jung
- Department of Preventive Dentistry, College of Dentistry, Gangneung-Wonju University, 120 Gangneungdaehag-ro, Gangneung City, Gangwon Province, 25457, South Korea
| | - Myoung-Hee Kim
- Center for Health Equity Research, People's Health Institute, 36 Sadangro 13-gil, 2nd floor, Dongjak-gu, Seoul, 07004, South Korea
| | - Jae-In Ryu
- Department of Preventive and Social Dentistry, College of Dentistry, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
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Rebouças AG, Zanin L, Ambrosano GMB, Flório FM. Individual factors associated to malocclusion in adolescents. CIENCIA & SAUDE COLETIVA 2017; 22:3723-3732. [PMID: 29211177 DOI: 10.1590/1413-812320172211.04972016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Accepted: 03/25/2016] [Indexed: 11/21/2022] Open
Abstract
The study aimed to identify the severity of malocclusions and associated factors among Brazilian adolescents. Data from 5,445 adolescents participating in the Brazilian Oral Health Survey (SBBrasil 2010) were evaluated, of which 4,276 were included in the study based on the inclusion criteria. The dependent variable was severe and very severe malocclusion, according to the Dental Aesthetic Index (DAI > 30). The independent variables were place of residence, macro-region, self-reported ethnicity, income, gender, schooling, access to dental care, untreated caries and front and back teeth loss due to caries. A hierarchical multiple logistical regression analysis was performed, considering the complex cluster sampling plan. Prevalence of severe/very severe malocclusions was 17.5%. After adjustments, black/brown ethnicity group (OR = 1.59, 95% CI: 1.09-2.34), lower household income (OR = 0.67, 95% CI: 0.55-0-82), front (OR = 2.32, 95% CI: 1.14-4.76) and back teeth (OR = 1.45, 95% CI: 1.14-1.84) loss due to caries were associated with the outcome. Therefore, we conclude that black/brown ethnicity, lower household income and greater number of front and back teeth loss due to caries increased the odds for severe/very severe malocclusion.
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Affiliation(s)
- Adriana Gama Rebouças
- Faculdade de Odontologia e Centro de Pesquisas Odontológicas São Leopoldo Mandic. R. Dr. José Rocha Junqueira 13, Ponte Preta. 13045-755 Campinas SP Brasil.
| | - Luciane Zanin
- Faculdade de Odontologia e Centro de Pesquisas Odontológicas São Leopoldo Mandic. R. Dr. José Rocha Junqueira 13, Ponte Preta. 13045-755 Campinas SP Brasil.
| | | | - Flávia Martão Flório
- Faculdade de Odontologia e Centro de Pesquisas Odontológicas São Leopoldo Mandic. R. Dr. José Rocha Junqueira 13, Ponte Preta. 13045-755 Campinas SP Brasil.
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Tarvonen PL, Suominen AL, Yang GS, Ri YS, Sipilä K. Association between oral health habits and dental caries among children in Pyongyang, Democratic People's Republic of Korea. Int J Dent Hyg 2016; 15:e136-e142. [PMID: 27225524 DOI: 10.1111/idh.12230] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2016] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the self-reported oral health habits and their association with the occurrence of dental caries among children in Pyongyang, Democratic People's Republic of Korea (DPRK), after 6 years of activities under the auspices of the Children's Oral Health Promotion Programme (COHPP). METHODS The data were collected in September 2013 in two of the most central districts of Pyongyang City, DPRK. The sample consisted of 492 children aged 10 and 13 years who had participated in the COHPP for 6 years. The children filled in a self-completed, structured questionnaire on oral health habits and were examined clinically by a dentist. The differences in mean (SD) number of decayed primary (dt) and permanent teeth (DT) and their sum (dt + DT) subdivided according to genders, age groups, districts and self-reported oral health habits were evaluated using Mann-Whitney U-test. The associations between self-reported oral health habits and the occurrence of dental caries were evaluated with chi-square test and logistic regression analyses. RESULTS The school-aged children commonly reported healthy oral hygiene habits but sweet snacks were commonly used. The occurrence of dental caries associated statistically significantly with the frequency of sweet snacking (p=0.011) but not with the frequency of tooth brushing (p=0.725) or the use of water for thirst instead of sugary beverages (p=0.189). CONCLUSION A more effective promotion of healthy dietary habits with innovative approaches and close collaboration with different social actors will be needed in future.
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Affiliation(s)
- P-L Tarvonen
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Oral Health Care, Department of Social Services and Health Care, Helsinki, City of Helsinki, Finland
| | - A L Suominen
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland
| | - G S Yang
- Korea Education Fund, Pyongyang, Democratic People's Republic of Korea
| | - Y S Ri
- Dental Faculty, Pyongyang Medical College, Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea
| | - K Sipilä
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.,Oral and Maxillofacial Department, Kuopio University Hospital, Kuopio, Finland.,Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Department of Oral and Maxillofacial Surgery, Medical Research Centre Oulu, Oulu University Hospital, Oulu, Finland
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Fallahi A, Ghofranipour F, Ahmadi F, Malekafzali B, Hajizadeh E. Challenges of Iranian adolescents for preventing dental caries. IRANIAN RED CRESCENT MEDICAL JOURNAL 2014; 16:e15009. [PMID: 25593720 PMCID: PMC4270636 DOI: 10.5812/ircmj.15009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2013] [Revised: 12/25/2013] [Accepted: 02/12/2014] [Indexed: 02/05/2023]
Abstract
BACKGROUND Oral health plays a vital role in people's general health and well-being. With regard to the costly treatments of oral diseases, preventive programs need to be designed for dental caries based on children's perspectives. OBJECTIVES The purpose of this study was to describe and explore challenges for caring dental health based on children's perspectives. PATIENTS AND METHODS A qualitative design with content analysis approach was applied to collect and analyze the perspectives of students about factors influencing oral and dental care. Eighteen Iranian students in 8 guidance schools were chosen through the purposive sampling. Semi-structured interviews were held for data gathering. In order to support the validity and rigor of the data, different criteria such as acceptability, confirmability, and transferability were utilized. RESULTS During data analysis, four main themes developed: "barriers to dental health," "maintaining dental health," "uncertainty in decision-making" and "supportive factors". "Uncertainty in decision-making" and "barriers to dental health" were the main challenges for preventing dental caries among adolescents. CONCLUSIONS "Certainty in decision-making" to maintain dental health depends on overcoming the barriers of dental health. Further research is needed to confirm the findings of this study.
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Affiliation(s)
- Arezoo Fallahi
- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Fazlollah Ghofranipour
- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
- Corresponding Author: Fazlollah Ghofranipour, Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, P. O. Box: 14115-331, Tehran, IR Iran. Tel: +98-2182883669, Fax: +98-2188013030, E-mail:
| | - Fazlollah Ahmadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Beheshteh Malekafzali
- Department of Pediatrics, Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
| | - Ebrahim Hajizadeh
- Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
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Vettore MV, Moysés SJ, Sardinha LMV, Iser BPM. [Socioeconomic status, toothbrushing frequency, and health-related behaviors in adolescents: an analysis using the PeNSE database]. CAD SAUDE PUBLICA 2013; 28 Suppl:s101-13. [PMID: 22714959 DOI: 10.1590/s0102-311x2012001300011] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2011] [Accepted: 07/12/2011] [Indexed: 11/21/2022] Open
Abstract
This study investigated the association between oral and general health-related behaviors and socioeconomic status, and the relationship between health-related behaviors and toothbrushing among adolescents. The database used here was the National School-Based Health Survey (PeNSE), a cross-sectional population-based study in 2009 with students from 27 Brazilian State capitals. Socio-demographic and health-related behavior data were collected. The survey included 49,189 adolescents (47.5% males), the majority of whom were 14 years of age and enrolled in public schools. The associations between toothbrushing frequency and other health-related behaviors and socioeconomic status varied between boys and girls. Associations were observed between health-related habits and toothbrushing frequency in both sexes, but with variations according to socioeconomic status. Planning health promotion interventions for adolescents should take their individual characteristics and family and social context into account.
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Affiliation(s)
- Mario Vianna Vettore
- Instituto de Estudos de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
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Drummond M, Drummond C. Boys and their teeth: a qualitative investigation of boys' oral health in early childhood. J Child Health Care 2012; 16:284-92. [PMID: 22566706 DOI: 10.1177/1367493511435427] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This is a paper based on qualitative focus group interviews with 33 boys in early childhood (ages 5 to 7). The basis of the interviews was originally to understand the way in which boys come to perceive issues around masculinities, physical activity, sport and health. However, given the naturalistic manner of qualitative focus group interviews, additional themes were uncovered around boys' understanding of oral health, in particular the relationship between their teeth and health. At an age where the boys are gaining increasing levels of autonomy in terms of personal hygiene and individual health it appears that dental health is being neglected. The need to address this concern through developing functional health literacy is imperative for boys at this age. Schools are the ideal site in which such an initiative can occur with concomitant knowledge transferred back to the family home.
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Affiliation(s)
- Murray Drummond
- School of Education, Flinders University, Adelaide, Australia.
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Ueno M, Shinada K, Zaitsu T, Yokoyama S, Kawaguchi Y. Effects of an oral health education program targeting oral malodor prevention in Japanese senior high school students. Acta Odontol Scand 2012; 70:426-31. [PMID: 22126622 DOI: 10.3109/00016357.2011.634834] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Previous research has suggested that oral malodor could be a useful motivational tool for increasing the awareness of oral health in adolescents and improving their oral health behaviors. Hence, the aims of this research were: (1) to develop an oral health education program that included oral malodor prevention and (2) to test the effects of the program in Japanese senior high school students by comparing the changes of oral health outcomes between the intervention and control groups. MATERIALS AND METHODS Subjects were 163 Grade 1 and 135 Grade 2 senior high school students in Tokyo, Japan. A novel oral health education program, which incorporated prevention of oral malodor, was developed and conducted on all Grade 1 students (intervention group). Grade 2 students (control group) did not receive the program. Changes in oral health status from baseline to 1-year follow-up were compared between the intervention and control groups. RESULTS The intervention group, compared with the control group, had a significantly higher proportion of students who improved or maintained good oral health status (i.e. dental plaque, gingivitis, tongue coating and oral malodor). Among students in the intervention group, the change was more evident in subjects with detectable oral malodor at the commencement of the program. CONCLUSIONS An oral health education program focusing on the prevention of oral malodor is effective for promoting oral health among Japanese senior high school students. Therefore, embedding such a program in the school oral health curriculum would be beneficial for adolescents.
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Affiliation(s)
- Masayuki Ueno
- Department of Oral Health Promotion, Tokyo Medical and Dental University, Japan.
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Neamatollahi H, Ebrahimi M, Talebi M, Ardabili MH, Kondori K. Major differences in oral health knowledge and behavior in a group of Iranian pre-university students: a cross-sectional study. J Oral Sci 2011; 53:177-84. [PMID: 21712622 DOI: 10.2334/josnusd.53.177] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
To establish efficient methods for self-prevention of oral diseases, assessment of dental health behavior and knowledge in various social classes is necessary. The main purpose of this study was to determine the major differences in oral health knowledge and behavior in a group of Iranian pre-university students. In this cross-sectional study, 591 pre-university students from different regions of Mashhad, Iran were randomly selected to complete a questionnaire consisting of two parts including dental health behavior and knowledge. Scores were recorded and statistical analyses performed to determine the correlation between dental health behavior and knowledge. Data was analyzed with Student's t-test, one-way analysis of variance and Pearson correlation. The mean score of dental health knowledge was significantly lower than the dental health behavior (2.95 ± 0.02 vs. 3.31 ± 0.05, P < 0.001). This difference was observed with gender, birth location and major subject of study. The dental health behavior of Iranian pre-university students was inadequate and their dental health knowledge was at a lower level compared to their behavior. Experimental science students had better oral health behavior compared to other students.
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Affiliation(s)
- Hossain Neamatollahi
- Department of Pediatric Dentistry, Dental Research Center and Dental School of Mashhad University of Medical Sciences, Mashhad, Iran
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Wong MCM, Lau AWH, Lam KF, McGrath C, Lu HX. Assessing consistency in oral health-related quality of life (OHRQoL) across gender and stability of OHRQoL over time for adolescents using Structural Equation Modeling. Community Dent Oral Epidemiol 2010; 39:325-35. [DOI: 10.1111/j.1600-0528.2010.00600.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Yokoyama S, Ohnuki M, Shinada K, Ueno M, Wright FAC, Kawaguchi Y. Oral malodor and related factors in Japanese senior high school students. THE JOURNAL OF SCHOOL HEALTH 2010; 80:346-352. [PMID: 20591100 DOI: 10.1111/j.1746-1561.2010.00512.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Oral malodor (halitosis or bad breath) might be an important motivation tool for improving oral health in adolescents. There are few studies that report the epidemiology of oral malodor in high school students and the relationships with lifestyle and oral health status. This research was conducted to obtain underlying data for introducing an oral health education program which targeted prevention of oral malodor as a motivation tool for changing oral health behavior in high school students. METHODS A questionnaire, school oral examination, and oral malodor measurement were conducted on senior high school students in a Tokyo metropolitan school in 2007. A total of 474 students (male: 219, female: 255) were used for the analysis. RESULTS Over 42% of subjects reported that they had experienced anxiety, or were conscious of oral malodor, on at least 1 occasion. The students who had detectable oral malodor comprised 39.6% of subjects. The binary logistic regression analyses showed that whether or not subjects ate breakfast before the oral examination (p < .05), the presence of plaque (p < .01), and presence of a substantive tongue coating (p < .01) were related to the presence of detectable oral malodor. CONCLUSIONS Cleaning the oral cavity and eating breakfast are important to prevent oral malodor in high school students. This study indicated that school health education incorporating prevention of oral malodor as a motivation tool for oral health promotion could be a valuable procedure to include in high school dental health education programs.
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Affiliation(s)
- Sayaka Yokoyama
- Department of Oral Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.
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Yoshida T, Milgrom P, Mori Y, Nakai Y, Kaji M, Shimono T, Donaldson ANA. Reliability and cross-cultural validity of a Japanese version of the Dental Fear Survey. BMC Oral Health 2009; 9:17. [PMID: 19591677 PMCID: PMC2718877 DOI: 10.1186/1472-6831-9-17] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2008] [Accepted: 07/10/2009] [Indexed: 11/10/2022] Open
Abstract
Background This study established the reliability and cross-cultural validity of a Japanese version of the Dental Fear Survey (DFS). Methods Two studies were carried out in separate populations. The first involved 166 Japanese dental and nursing students and assessed internal consistency and test-retest reliability. The second involved 2,095 Japanese parents or guardians of school children and tested the hypothesis that the conceptual structure of the Japanese translation was consistent with the U.S. version using Structural Equation Modeling (SEM). Results In the first study Cronbach alpha ranged from .94 to .96 and test-retest reliability (Spearman correlation) ranged from .89 to .92. The intra-class correlation coefficients (ICC) was 0.919 (95%CI: 0.892 – 0.940). In the second study SEM was used on the covariance matrix of the 20 questions in a random sample of 600 questionnaires to evaluate the goodness of fit of the theoretical model; and then, in an exploratory manner corrected for specification errors until a model that fit the data well was achieved. Conclusion The Japanese version of the DFS appears reliable and demonstrates cross-cultural validity. The modeling confirms the three factors on which the English language version was based.
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Affiliation(s)
- Toshiko Yoshida
- Center of the Development of Medical and Healthcare Education, Okayama University, 2-5-1, Shikata-cho, Okayama City, Okayama, 700-8525, Japan.
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