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Factors associated with oral health literacy among users of primary health care
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Keywords

Health literacy
Oral health
Primary health care

How to Cite

1.
Bado FMR, Oliveira Júnior AJ de, Silva Junior MF, Soares GH, Cortellazzi KL, Mialhe FL. Factors associated with oral health literacy among users of primary health care: a cross-sectional study. Braz. J. Oral Sci. [Internet]. 2023 Jul. 18 [cited 2024 Dec. 4];22(00):e230106. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670106

Abstract

Aim: To analyze associations between sociodemographic factors, self-perception, self-care practices in health with Oral Health Literacy (OHL) levels among users of Primary Health Care (PHC). Methods: A cross-sectional and analytical study was performed in Piracicaba (São Paulo), Brazil, in 2018, with a convenience sample of users of PHC that were aged over 18 years. Data were collected with a questionnaire by a trained dentist in two Family Health Units. The outcome variable was OHL, measured by the OHLA-B instrument, which was dichotomized by median into low (≤8 point) and high (>8 point). The independent variables were sociodemographic conditions (age, sex, self-declared skin color, and education), self-perceived oral health and self-care practices in health (tooth brushing frequency, smoking habits, reason for the last visit to the dentist, and source of health information search). Unadjusted and adjusted analyses were performed between OHL and independent variables for multiple logistic regression model (p≤0.05). Results: The sample consisted of 450 adults. A total of 54.7% had a low OHL. After adjusting for sex and age, OHL was associated with skin color (OR=0.57; 95%CI=0.37-085), educational level (OR=4.92; 95%CI=3.16-7.79), health information from health professionals (OR=2.40; 95%CI=1.42-4.16) and internet (OR=2.88; 95%CI=1.59-5.32), toothbrushing >1 time a day (OR=3.23; 95%CI=1.27-9.92) and smokers (OR=0.42; 95%CI=0.23-0.73). After adjusting for sex, age and income, OHL was associated with (OR=0.63; 95%CI=0.41-096), educational level (OR=4.06; 95%CI=2.57-6.51) and smokers (OR=0.48; 95%CI=0.26-0.84). Conclusions: Low OHL was associated with socioeconomic factors, source of information and smoking. This fact highlights the importance of health professionals to promote OHL.

https://doi.org/10.20396/bjos.v22i00.8670106
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References

- World Health Organization & United Nations Children's Fund (‎UNICEF)‎. A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. World Health Organization; 2018 [cited 2021 Mar 10]. Avaible from: https://apps.who.int/iris/handle/10665/328065.

- Antunes JL, Toporcov TN, Bastos JL, Frazão P, Narvai PC, Peres MA. Oral health in the agenda of priorities in public health. Rev Saude Publica. 2016 Sep;50:57. doi: 10.1590/S1518-8787.2016050007093.

- Gutierrez N, Kindratt TB, Pagels P, Foster B, Gimpel NE. Health literacy, health information seeking behaviors and internet use among patients attending a private and public clinic in the same geographic area. J Community Health. 2014 Feb;39(1):83-9. doi: 10.1007/s10900-013-9742-5.

- Sampaio HA, Carioca AA, Sabry MO, Dos Santos PM, Coelho MA, Passamai MP. Health literacy in type 2 diabetics: associated factors and glycemic control. Cien Saude Colet. 2015 Mar;20(3):865-74. doi: 10.1590/1413-81232015203.12392014.

- Fagnano M, Halterman JS, Conn KM, Shone LP. Health literacy and sources of health information for caregivers of urban children with asthma. Clin Pediatr (Phila). 2012 Mar;51(3):267-73. doi: 10.1177/0009922811421413.

- Nutbeam D. Health promotion glossary. Health Promot. 1986 May;1(1):113-27. doi: 10.1093/heapro/1.1.113.

- World Health Organization. Health Literacy. 9th Global Conference on Health Promotion, Shanghai 2016. WHO; 2016.

- Nutbeam D, Kickbusch I. Advancing health literacy: a global challenge for the 21st century. Health Promot Int. 2000;15(3):183-4. doi: 10.1093/heapro/15.3.183.

- National Center for Education Statistics. What is NAAL? National Assessment of Adult Literacy [cited 2020 Aug 28]. Available from: http://www.nces.ed.gov/naal/.

- Bado FMR, De Checchi MHR, Cortellazzi KL, Ju X, Jamieson L, Mialhe FL. Oral health literacy, self-rated oral health, and oral health-related quality of life in Brazilian adults. Eur J Oral Sci. 2020 Jun;128(3):218-225. doi: 10.1111/eos.12695.

- Mialhe FL, Santos BL, Bado FMR, Oliveira Júnior AJ, Soares GH. Association between oral health literacy and dental outcomes among users of primary healthcare services. Braz Oral Res. 2022 Jan;36:e004. doi: 10.1590/1807-3107bor-2022.vol36.0004.

- Batista MJ, Lawrence HP, Sousa MDLR. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health. 2017 Jul;18(1):60. doi: 10.1186/s12889-017-4443-0.

- Bado FMR, Rebustini F, Jamieson L, Cortellazzi KL, Mialhe FL. Evaluation of the psychometric properties of the Brazilian version of the Oral Health Literacy Assessment in Spanish and development of a shortened form of the instrument. PLoS One. 2018 Nov;13(11):e0207989. doi: 10.1371/journal.pone.0207989.

- Lins RML, Campêlo MCC, Silva LC, da Silva JVF, Borges CD, Moreira ARO, et al. [Methods for measuring oral health literacy in Brazil: an integrative review]. Rev Eletr Acervo Saude. 2020 Dec,12(12):e4993. Portuguese. doi: 10.25248/reas.e4993.2020.

- 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 Aug;36(4):933-42. doi: 10.1093/heapro/daaa135.

- Calvasina P, Lawrence HP, Hoffman-Goetz L, Norman CD. Brazilian immigrants' oral health literacy and participation in oral health care in Canada. BMC Oral Health. 2016 Feb;16:18. doi: 10.1186/s12903-016-0176-1.

- Barasuol JC, Daros BCI, Fraiz FC, Menezes JVNB. Caregiver oral health literacy: relationship with socioeconomic factors, oral health behaviors and perceived child dental status. Community Dent Health. 2020 May;37(2):110-4. doi: 10.1922/CDH_4550Barasuol05.

- Neves ÉTB, Lima LCM, Dutra LDC, Gomes MC, Siqueira MBLD, Paiva SM, et al. Oral health literacy, sociodemographic, family, and clinical predictors of dental visits among Brazilian early adolescents. Int J Paediatr Dent. 2021 Mar;31(2):204-11. doi: 10.1111/ipd.12660.

- SAS Institute Inc, Release 9.4. Cary, North Carolina, USA: SAS Institute; 2010.

Atchison KA, Gironda MW, Messadi D, Der-Martirosian C. Screening for oral health literacy in an urban dental clinic. J Public Health Dent. 2010 Fall;70(4):269-75. doi: 10.1111/j.1752-7325.2010.00181.x.

- Jackson RD, Eckert GJ. Health literacy in an adult dental research population: a pilot study. J Public Health Dent. 2008 Fall;68(4):196-200. doi: 10.1111/j.1752-7325.2007.00063.x.

-Lee JY, Divaris K, Baker AD, Rozier RG, Lee SY, Vann WF Jr. Oral health literacy levels among a low-income WIC population. J Public Health Dent. 2011 Spring;71(2):152-60. doi: 10.1111/j.1752-7325.2011.00244.x.

- Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health. 2018 Oct 24;18(1):172. doi: 10.1186/s12903-018-0640-1.

- Amirchaghmaghi M, Movahhed T, Mozaffari MP, Torkaman F, Ghazi A. Health literacy and its determinants in adult patients referred to dental clinics: a cross sectional study in Mashhad, Iran. Shiraz E-Med J. 2019;20(9):e86582. doi: 10.5812/semj.86582.

- Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Oral health literacy and information sources among adults in Tehran, Iran. Community Dent Health. 2013 Sep;30(3):178-82.

-Macek MD, Atchison KA, Chen H, Wells W, Haynes D, Parker RM, et al. Oral health conceptual knowledge and its relationships with oral health outcomes: findings from a multi-site health literacy study. Community Dent Oral Epidemiol. 2017 Aug;45(4):323-9. doi: 10.1111/cdoe.12294.

- Institute of Medicine. Advancing Oral Health in America. Washington, DC: The National Academies Press; 2011. doi: 10.17226/13086.

- Castro MC, Massuda A, Almeida G, Menezes-Filho NA, Andrade MV, Noronha KVMS, et al. Brazil's unified health system: the first 30 years and prospects for the future. Lancet. 2019 Jul;394(10195):345-56. doi: 10.1016/S0140-6736(19)31243-7.

- Fazli M, Yazdani R, Mohebbi SZ, Shamshiri AR. Oral health literacy and socio-demographics as determinants of oral health status and preventive behavior measures in participants of a pre-marriage counseling program. PLoS One. 2021 Nov;16(11):e0258810. doi: 10.1371/journal.pone.0258810.

- Ueno M, Takeuchi S, Oshiro A, Kawaguchi Y. Relationship between oral health literacy and oral health behaviors and clinica status in Japanese adults. J Dental Sci. 2013;8(2):170-6. doi: 10.1016/j.jds.2012.09.012.

- Fawns-Ritchie C, Starr JM, Deary IJ. Health literacy, cognitive ability and smoking: a cross-sectional analysis of the English Longitudinal Study of Ageing. BMJ Open. 2018 Oct;8(10):e023929. doi: 10.1136/bmjopen-2018-023929.

- Svendsen MT, Bak CK, Sørensen K, Pelikan J, Riddersholm SJ, Skals RK, et al. Associations of health literacy with socioeconomic position, health risk behavior, and health status: a large national population-based survey among Danish adults. BMC Public Health. 2020 Apr;20(1):565. doi: 10.1186/s12889-020-08498-8.

- Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, et al. Associations between health literacy and established predictors of smoking cessation. Am J Public Health. 2013 Jul;103(7):e43-9. doi: 10.2105/AJPH.2012.301062.

- Chang CH, Han ML, Teng NC, Lee CY, Huang WT, Lin CT, et al. Cigarette smoking aggravates the activity of periodontal disease by disrupting redox homeostasis- an observational study. Sci Rep. 2018 Jul;8(1):11055. doi: 10.1038/s41598-018-29163-6.

- Rizqi TR, Thearmontree A. Relationship between health literacy and toothbrushing practice among young adults. J Int Oral Health 2020;12(7):41-6. doi: 10.4103/jioh.jioh_163_19.

- Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2020 Sep;15(3):259-67. doi: 10.1093/heapro/15.3.259.

- Dickson-Swift V, Kenny A, Farmer J, Gussy M, Larkins S. Measuring oral health literacy: a scoping review of existing tools. BMC Oral Health. 2014 Dec;14:148. doi: 10.1186/1472-6831-14-148.

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Copyright (c) 2022 Fernanda Maria Rovai Bado, Alcir José de Oliveira Júnior, Manoelito Ferreira Silva Junior, Gustavo Hermes Soares, Karine Laura Cortellazzi, Fábio Luiz Mialhe

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