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Background: Oral health literacy (OHL) might have an impact on oral health outcomes. Currently, relatively few related studies have been conducted among older people. The aim of this study was to explore the impacts of OHL on oral health outcomes in older adults in a cross-sectional design. Methods: From November to December 2023, through the utilization of the cluster sampling approach, a questionnaire survey was carried out among elderly patients visiting the Prosthodontics Department of West China hospital of Stomatology. Data were collected through the general information questionnaire, the Chinese version of the Oral Health Literacy Scale, the Geriatric Oral Health Assessment Index, and oral examinations. Descriptive statistics, binary logistic regression, and poisson regression were used to analyse the data. Results: A total of 407 valid questionnaires were recovered, with an effective retrieval rate of 98.79%. After adjustment for sociodemographic, economic and oral health behaviours, the results of the binary logistic regression indicated that the correlations between OHL and self-rated oral health were not statistically significant, while OHL was a predictor variable for dental expenditures within the past year (OR = 0.591; 95%CI: 0.371–0.939), and the poisson regression revealed that OHL was a predictor variable of the quality of life (PR = 1.062, 95%CI: 1.030–1.084) and the number of lost teeth (PR = 0.917, 95%CI: 0.865–0.972). Conclusions: This study showed that OHL was closely associated with recent dental expenditure, oral health-related quality of life and the number of lost teeth. These findings could contribute to the planning and development of oral health education programs aimed at enhancing the OHL among the elderly population. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to investigate the current status of oral healthy literacy (OHL) among the elderly in Hangzhou and analyze its influencing factors. Methods: A convenience sampling method was used to select 222 elderly people living in Hangzhou from August 2022 to January 2023. The General Information Questionnaire, the Simplified Version of the Oral Health Literacy Scale (HeLD-14), the Social Support Rating Scale (SSRS), and the General Self-Efficacy Scale (GSES) were employed to investigate and analyze the influencing factors of OHL in the elderly. Results: The total OHL score of the elderly was 37 (31, 41) points, and the results of regression analysis showed that the monthly household income, place of residence, history of oral health education, and social support entered the regression equation as influencing factors of elderly OHL, which were the influencing factors of OHL in the elderly, explaining 24.4% of the variance. Conclusion: The OHL of the elderly in Hangzhou is at a moderate level, and medical staff should implement targeted health education for the elderly with different family incomes and places of residence, publicize the role of oral health education, and improve the level of social support on oral health, to improve the OHL level of the elderly. [ABSTRACT FROM AUTHOR]

Background: Understanding the interactions among predictors of dental trust in children is important for designing effective interventions in pediatric dental care. Aim: This study aimed to develop and validate a conceptual model to evaluate factors influencing dental trust in children. Design: This cross-sectional study included 267 parent-child dyads. Data collection tools included a sociodemographic data form, the Turkish Oral Health Literacy Assessment Task (TOHLAT-P), the Dental Trust Scale (DTS), the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and the Early Childhood Oral Health Impact Scale (ECOHIS). The conceptual model explored the factors influencing dental trust in children by incorporating endogenous and exogenous variables. Path analysis was conducted to test model fit. Results: Dental trust was significantly associated with parental oral health literacy (β = −0.20; P < 0.001), dental anxiety (β = −0.18; P < 0.001), and oral health-related quality of life (β = −0.15; P < 0.001). The path analysis confirmed the validity of the proposed model, showing significant pathways between these variables and dental trust in children. Conclusions: This study presents a validated model illustrating the relationships between parental and child-related factors and dental trust in children. These findings underscore the importance of addressing these factors in clinical strategies to enhance dental trust and improve pediatric dental outcomes. [ABSTRACT FROM AUTHOR]

Objectives: One approach for improving oral health is focusing on oral health literacy (OHL). In this study, we aimed to investigate the association between OHL and oral health‐related quality of life (OHRQoL) and to identify relevant OHL intervention targets that can be used to improve oral health. Methods: We performed a cross‐sectional questionnaire study among 1889 10th grade female students in the Eastern Province of the Kingdom of Saudi Arabia (KSA). We then assessed OHL using the Arabic version of the short version of the Health Literacy in Dentistry scale (A‐HeLD‐14). OHRQoL was assessed using the 14‐item oral health impact profile (OHIP‐14). Information on socio‐demographics and oral health‐related behaviours (e.g., toothbrushing, sugary diet consumption and dental attendance) was also collected. The relationship between OHL and OHRQoL was investigated using binary logistic regression adjusted for sociodemographic information and oral health‐related behaviours. Results: In both the adjusted and unadjusted models, poor OHL was significantly associated with OHRQoL problems (odds ration [OR] = 2.90, p < 0.001). Having any OHL problem was significantly associated with having an OHRQoL problem (p < 0.001). The ORs were highest for the domains of financial barriers (OR = 2.49, p < 0.001) and receptivity (OR = 2.16, p < 0.001). Conclusion: Interventions targeted at individuals with low OHL are crucial to improving OHRQoL in the population. The most relevant interventions concern (a) dedicating time and attention to oral health and (b) financial barriers. [ABSTRACT FROM AUTHOR]

Background/Objectives: School teachers need to have a better understanding of oral health aspects as schools serve as an effective environment for learning. Educators hold a significant position in conveying the importance they attribute to oral health in their lives. According to the World Health Organization, school teachers should include oral health promotion activities to evaluate students' oral health, track injuries, illnesses, and absenteeism related to oral health, advocate oral health prevention, and serve as role models. The aim of this study was to evaluate the conceptual understanding of oral health among primary school teachers in Riyadh, Saudi Arabia. Methods: Data for this study were collected from 404 primary school teachers using a structured and pre-validated comprehensive measure of oral health knowledge (CMOHK) questionnaire. Results: The distribution of CMOHK scores indicated that 247 (61.2%) participants demonstrated good conceptual knowledge, 95 (23.5%) participants exhibited fair knowledge, and 62 (15.3%) participants were classified as having poor knowledge. The male group exhibited lower values for the CMOHK score in comparison with the female group; however, these findings were not statistically significant. The findings indicated that the group of government school teachers exhibited higher values for the dependent variable CMOHK score compared to their private school counterparts. Conclusions: The average CMOHK score observed in this study is regarded as fair. It is crucial for school teachers to possess strong oral health knowledge, as they significantly influence the oral health knowledge and behaviors of children. [ABSTRACT FROM AUTHOR]

Aims: To assess the role of oral health literacy (OHL) in demand for oral healthcare services for missing teeth replacement among adult patients who are visiting the outpatient department of a teaching hospital, Andhra Pradesh, India. Settings and Design: This cross-sectional study was conducted in a dental teaching institute, Andhra Pradesh, southern part of India. Materials and Methods: Based on the inclusion and exclusion criteria, a sample of adult participants was selected through systematic random method from the patients who visited the outpatient department. Data from 740 participants were included in the final analysis. A prevalidated questionnaire adopted from Oral Health Literacy Adult Questionnaire (OHL-AQ) was used for data collection and american dental association (ADA) type IV clinical examination was used for recording missing teeth. Statistical Analysis Used: Bivariate tests such as the Chi-square test, Mann-Whitney's test, and multinomial logistic regression analysis were used to assess the predictors for the demand for the replacement of missing teeth. Results: The overall demand for replacement of missing teeth was 46.22%. 37.88% of participants had adequate OHL, 24.72% had marginal OHL, and 37.4% had inadequate OHL. Demand for replacement was more in females than males (57.6% vs. 35.6%), which was statistically significant (P = 0.00). Participants with missing anterior teeth had nearly twice the demand for prosthodontic care (P = 0.046). Participants with adequate OHL had 3.63 times more demand for prosthodontic replacement of missing teeth (odds ratio = 3.63 and P = 0.002). Conclusion: OHL has a positive role in the demand for prosthodontic replacement of missing teeth along with gender and anterior missing teeth. Oral health policies should incorporate strategies to improve OHL. [ABSTRACT FROM AUTHOR]

Background: Oral health literacy (OHL) has an important role as a medium for health promotion and efforts to prevent oral diseases through oral health behavior changes. Purpose: This study aims to determine OHL and its correlation with oral health knowledge, attitude, and oral health practice among college students. Methods: This cross-sectional study was conducted on 583 students of Jenderal Soedirman University in 2020, as the students come from different provinces in Indonesia. The Indonesian Oral Health Literacy Questionnaire was used to assess OHL. A self-designed questionnaire was used to assess oral health knowledge, attitude, and oral health practice. Results: Most students had good OHL, knowledge, and attitude toward oral health (90.7%, 84.6%, and 90.5% respectively). A Pearson correlation test showed a correlation between OHL and oral health knowledge (p = 0.044) and attitude (p = < 0.001). The Fisher exact tests showed a correlation between OHL and snacking frequency, tooth-brushing frequency, tooth-brushing time, and toothbrush changing time. The better the OHL, the better the knowledge and attitude. There was no correlation between OHL and sweet food eating frequency, the use of cleansing aids, dentist visit frequency, and the first action taken when experiencing toothache. Conclusion: OHL has a correlation with oral health knowledge and attitude. However, OHL is only related to some oral health practice indicators. The results of this study are expected to be taken into consideration when formulating strategies to improve oral health within the university. [ABSTRACT FROM AUTHOR]

Abstract Objective This study aimed to investigate the current status of oral healthy literacy (OHL) among the elderly in Hangzhou and analyze its influencing factors. Methods A convenience sampling method was used to select 222 elderly people living in Hangzhou from August 2022 to January 2023. The General Information Questionnaire, the Simplified Version of the Oral Health Literacy Scale (HeLD-14), the Social Support Rating Scale (SSRS), and the General Self-Efficacy Scale (GSES) were employed to investigate and analyze the influencing factors of OHL in the elderly. Results The total OHL score of the elderly was 37 (31, 41) points, and the results of regression analysis showed that the monthly household income, place of residence, history of oral health education, and social support entered the regression equation as influencing factors of elderly OHL, which were the influencing factors of OHL in the elderly, explaining 24.4% of the variance. Conclusion The OHL of the elderly in Hangzhou is at a moderate level, and medical staff should implement targeted health education for the elderly with different family incomes and places of residence, publicize the role of oral health education, and improve the level of social support on oral health, to improve the OHL level of the elderly.

Aims: To assess the role of oral health literacy (OHL) in demand for oral healthcare services for missing teeth replacement among adult patients who are visiting the outpatient department of a teaching hospital, Andhra Pradesh, India. Settings and Design: This cross-sectional study was conducted in a dental teaching institute, Andhra Pradesh, southern part of India. Materials and Methods: Based on the inclusion and exclusion criteria, a sample of adult participants was selected through systematic random method from the patients who visited the outpatient department. Data from 740 participants were included in the final analysis. A prevalidated questionnaire adopted from Oral Health Literacy Adult Questionnaire (OHL-AQ) was used for data collection and american dental association (ADA) type IV clinical examination was used for recording missing teeth. Statistical Analysis Used: Bivariate tests such as the Chi-square test, Mann-Whitney’s test, and multinomial logistic regression analysis were used to assess the predictors for the demand for the replacement of missing teeth. Results: The overall demand for replacement of missing teeth was 46.22%. 37.88% of participants had adequate OHL, 24.72% had marginal OHL, and 37.4% had inadequate OHL. Demand for replacement was more in females than males (57.6% vs. 35.6%), which was statistically significant (P = 0.00). Participants with missing anterior teeth had nearly twice the demand for prosthodontic care (P = 0.046). Participants with adequate OHL had 3.63 times more demand for prosthodontic replacement of missing teeth (odds ratio = 3.63 and P = 0.002). Conclusion: OHL has a positive role in the demand for prosthodontic replacement of missing teeth along with gender and anterior missing teeth. Oral health policies should incorporate strategies to improve OHL.

Abstract Background Understanding the interactions among predictors of dental trust in children is important for designing effective interventions in pediatric dental care. Aim This study aimed to develop and validate a conceptual model to evaluate factors influencing dental trust in children. Design This cross-sectional study included 267 parent-child dyads. Data collection tools included a sociodemographic data form, the Turkish Oral Health Literacy Assessment Task (TOHLAT-P), the Dental Trust Scale (DTS), the Children’s Fear Survey Schedule-Dental Subscale (CFSS-DS), and the Early Childhood Oral Health Impact Scale (ECOHIS). The conceptual model explored the factors influencing dental trust in children by incorporating endogenous and exogenous variables. Path analysis was conducted to test model fit. Results Dental trust was significantly associated with parental oral health literacy (β = −0.20; P

Background: Oral health literacy (OHL) has an important role as a medium for health promotion and efforts to prevent oral diseases through oral health behavior changes. Purpose: This study aims to determine OHL and its correlation with oral health knowledge, attitude, and oral health practice among college students. Methods: This cross-sectional study was conducted on 583 students of Jenderal Soedirman University in 2020, as the students come from different provinces in Indonesia. The Indonesian Oral Health Literacy Questionnaire was used to assess OHL. A self-designed questionnaire was used to assess oral health knowledge, attitude, and oral health practice. Results: Most students had good OHL, knowledge, and attitude toward oral health (90.7%, 84.6%, and 90.5% respectively). A Pearson correlation test showed a correlation between OHL and oral health knowledge (p = 0.044) and attitude (p = < 0.001). The Fisher exact tests showed a correlation between OHL and snacking frequency, tooth-brushing frequency, tooth-brushing time, and toothbrush changing time. The better the OHL, the better the knowledge and attitude. There was no correlation between OHL and sweet food eating frequency, the use of cleansing aids, dentist visit frequency, and the first action taken when experiencing toothache. Conclusion: OHL has a correlation with oral health knowledge and attitude. However, OHL is only related to some oral health practice indicators. The results of this study are expected to be taken into consideration when formulating strategies to improve oral health within the university.

Abstract Background Direct and indirect associations have been identified among health literacy, health behavior, and health status. Thus, we aimed to investigate the influence of oral health literacy and behaviors in parents on their children's oral health status. Moreover, we aimed to analyze the mentioned mediating effects through oral health behavior management. Methods Oral health information of 1,102 preschool children aged 3 to 6 years was collected from five primary schools in Jinjiang District, Chengdu City, Sichuan Province, China. The decay-missing-filled teeth (DMFT) index and soft scale plaque index (PI) were used by professional dentists aided by school teachers to assess caries and periodontal health among the children. Simultaneously, we conducted a questionnaire-based survey among the parents to determine their oral health literacy and health behavior and their children's oral health behavior. The probit model, instrumental variables, and mediation effect model were used to evaluate the association of parents' oral health literacy and behavior with their children's oral health status. Results The DFMT index was 1.58 among the children, with zero caries in 646 (58.6%) children. The PI was 0.68, with zero gum disease in 517 (46.9%). The univariate analysis suggested that the parents' health literacy and behavior were correlated with their children's oral health status (P

Abstract Objective Oral health is a critical area in healthy aging. Oral health literacy (OHL) plays an important role in improving oral health behaviors and oral health status. However, few studies have investigated OHL among community-dwelling older adults and the influential mechanism of OHL on oral health behaviors has not been clarified. The aim of this study is to explore the interaction pathways through which OHL influences oral health behaviors among community-dwelling older adults. Methods This is a cross-sectional study. 429 community-dwelling older adults were recruited by a convenience sampling method from the activity service center in Zhenjiang, Southern China. The data were collected between September and November 2021 using the Oral Health Literacy Adult Questionnaire (OHL-AQ) and other sophisticated scale assessments. A theoretical model based on the information-motivation-behavioral skills model (IMB model) and previous research was developed and then validated using a structural equation model with AMOS v24.0. Results The proposed model revealed a good fit to the data (χ2/df = 3.349, goodness of fit index = 0.957, adjusted goodness of fit index = 0.921, root mean squared error of approximation = 0.074, comparative fit index = 0.955, normed fit index = 0.938). Oral health information (β = 0.23) and motivation (β = 0.56) positively affected OHL. OHL (β = 0.20) and motivation (β = 0.25) positively affected self-efficacy; self-efficacy (β = 0.98) had a direct effect on oral health behavior. OHL had an indirect effect on oral health behaviors through self-efficacy (β = 0.19). Motivation can both directly influence oral health behavior (β = 0.18) and indirectly influence oral health behavior through OHL and self-efficacy(β = 0.35). Conclusions The study findings make a valuable contribution to the influential mechanism of OHL on oral health behaviors. OHL improved oral health behaviors through self-efficacy among community-dwelling older adults. Oral health information directly affected OHL. Motivation directly affected oral health behaviors as well as influence oral health behaviors by changing OHL.

Purpose: Research in medical settings has consistently demonstrated that health literacy is essential for patient adherence and comprehension to medical/dental instructions including prescriptions and improving positive holistic health outcomes. Despite its recognized importance, the role of literacy in dentistry has received limited focus. This study aimed to assess the level of oral health literacy among professionals in a multinational company, using the Rapid Estimate of Adult Literacy in Dentistry-30 (REALD-30) as the measurement tool. Methods: A convenience sample of 111 adults was recruited from a dental camp held at two locations within an IT firm. Oral health literacy was measured and analysed using the REALD-30 scale. Participants also participated in interviews to collect sociodemographic information, dental visit history, dental needs, global oral health ratings, dental knowledge, practices, and comprehension. Additionally, clinical examinations were conducted to record the DMFT index (Decayed; D component, Missing; M component, and Filled; F component Teeth), as well as the presence of dental stains and calculus. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 13. Results: REALD-30 scores ranged from a low of 8 to a high of 25. Participants who had decayed, missing, or filled teeth, or a DMFT score higher than one, exhibited lower oral health literacy compared to the reference group. Similarly, lower oral health literacy was observed in participants with dental stains or calculus. Conclusions: Effective communication with patients is crucial for delivering high-quality dental care. The study concluded that a significant proportion of the highly educated professional group of people has less oral health literacy, which may obstruct their basic ability to understand and process the fundamental oral health information.

Abstract Background Oral Health Literacy (OHL), defined as an ability to obtain, understand, and apply information related to oral health, plays a crucial role in promoting effective oral health outcomes and behaviors. Given the pressing need to enhance oral health among older adults, this scoping review aims to summarize the impact of OHL on oral health behaviors and outcomes in this population. Methods The authors performed an electronic search up through July 22, 2024. Among the 2,226 articles identified, the authors included studies in which the investigators evaluated the association between OHL and oral health behaviors or outcomes restricted to individuals aged 60 years and older. Thematic analysis was used to develop the domain for oral health behaviors or outcomes. Results Among the 10 studies analyzed, significant correlations were identified between OHL and various oral health indicators, including periodontitis, the number of remaining teeth, dental prosthesis use, oral hygiene, oral health-related quality of life among men, as well as dissatisfaction with oral health (p

Background: Direct and indirect associations have been identified among health literacy, health behavior, and health status. Thus, we aimed to investigate the influence of oral health literacy and behaviors in parents on their children's oral health status. Moreover, we aimed to analyze the mentioned mediating effects through oral health behavior management. Methods: Oral health information of 1,102 preschool children aged 3 to 6 years was collected from five primary schools in Jinjiang District, Chengdu City, Sichuan Province, China. The decay-missing-filled teeth (DMFT) index and soft scale plaque index (PI) were used by professional dentists aided by school teachers to assess caries and periodontal health among the children. Simultaneously, we conducted a questionnaire-based survey among the parents to determine their oral health literacy and health behavior and their children's oral health behavior. The probit model, instrumental variables, and mediation effect model were used to evaluate the association of parents' oral health literacy and behavior with their children's oral health status. Results: The DFMT index was 1.58 among the children, with zero caries in 646 (58.6%) children. The PI was 0.68, with zero gum disease in 517 (46.9%). The univariate analysis suggested that the parents' health literacy and behavior were correlated with their children's oral health status (P < 0.01). Parents' oral health behavior significantly affected their children's oral health status. Simultaneously, a stronger correlation was observed upon using parents' health literacy as an instrumental variable to assess the endogeneity, indicating endogeneity problems. Parents' health-related behaviors exerted a mediating effect on children's oral health, with parents helping children brush their teeth demonstrating the strongest effect. Conclusion: Parents' oral health-related behaviors can affect their children's oral health status. We recommend enhancing parents' oral health literacy to improve children's oral health status. [ABSTRACT FROM AUTHOR]

Objective: Oral health is a critical area in healthy aging. Oral health literacy (OHL) plays an important role in improving oral health behaviors and oral health status. However, few studies have investigated OHL among community-dwelling older adults and the influential mechanism of OHL on oral health behaviors has not been clarified. The aim of this study is to explore the interaction pathways through which OHL influences oral health behaviors among community-dwelling older adults. Methods: This is a cross-sectional study. 429 community-dwelling older adults were recruited by a convenience sampling method from the activity service center in Zhenjiang, Southern China. The data were collected between September and November 2021 using the Oral Health Literacy Adult Questionnaire (OHL-AQ) and other sophisticated scale assessments. A theoretical model based on the information-motivation-behavioral skills model (IMB model) and previous research was developed and then validated using a structural equation model with AMOS v24.0. Results: The proposed model revealed a good fit to the data (χ2/df = 3.349, goodness of fit index = 0.957, adjusted goodness of fit index = 0.921, root mean squared error of approximation = 0.074, comparative fit index = 0.955, normed fit index = 0.938). Oral health information (β = 0.23) and motivation (β = 0.56) positively affected OHL. OHL (β = 0.20) and motivation (β = 0.25) positively affected self-efficacy; self-efficacy (β = 0.98) had a direct effect on oral health behavior. OHL had an indirect effect on oral health behaviors through self-efficacy (β = 0.19). Motivation can both directly influence oral health behavior (β = 0.18) and indirectly influence oral health behavior through OHL and self-efficacy(β = 0.35). Conclusions: The study findings make a valuable contribution to the influential mechanism of OHL on oral health behaviors. OHL improved oral health behaviors through self-efficacy among community-dwelling older adults. Oral health information directly affected OHL. Motivation directly affected oral health behaviors as well as influence oral health behaviors by changing OHL. [ABSTRACT FROM AUTHOR]

Background: Oral Health Literacy (OHL), defined as an ability to obtain, understand, and apply information related to oral health, plays a crucial role in promoting effective oral health outcomes and behaviors. Given the pressing need to enhance oral health among older adults, this scoping review aims to summarize the impact of OHL on oral health behaviors and outcomes in this population. Methods: The authors performed an electronic search up through July 22, 2024. Among the 2,226 articles identified, the authors included studies in which the investigators evaluated the association between OHL and oral health behaviors or outcomes restricted to individuals aged 60 years and older. Thematic analysis was used to develop the domain for oral health behaviors or outcomes. Results: Among the 10 studies analyzed, significant correlations were identified between OHL and various oral health indicators, including periodontitis, the number of remaining teeth, dental prosthesis use, oral hygiene, oral health-related quality of life among men, as well as dissatisfaction with oral health (p < 0.05). However, the results were conflicting across the studies, indicating variability in the strength and nature of these associations. Additionally, OHL was shown to significantly influence oral health-related behaviors, especially the tooth brushing frequency (p < 0.05). Conclusions: This review highlights a scarcity of studies addressing OHL in older populations, suggesting that OHL has been deprioritized in efforts to improve oral health for this vulnerable group. Key gaps include the need for age-appropriate OHL assessment tools, stronger evidence linking OHL to specific oral health behaviors and outcomes, and the integration of OHL into broader health initiatives and research in older group. These areas are critical to advancing our understanding and improving oral health outcomes among older adults. [ABSTRACT FROM AUTHOR]

Introduction: Oral health is significantly linked with systemic health. Nurses play a crucial role in patient education. Improving oral health literacy in nursing students can pave the way for the seamless integration of oral health into nursing practice. Objective: This study aimed to evaluate an interprofessional co‐designed oral‐systemic health learning intervention using a pre‐and‐post study design that measured oral health literacy levels among Year 2 undergraduate nursing students. Methods: Evaluation was measured using the validated Comprehensive Measure of Oral Health Knowledge questionnaire before and after the semester‐long education intervention. Data were analyzed using independent and paired t‐tests and an analysis of variance one‐way analysis of variance. Results: A total of 78 out of 164 students (82% female, 42% aged 21–24, and 52% speaking English as a first language) participated in the pre‐ and post‐study surveys. Statistically significant improvement was noted in pre‐and‐post total oral health literacy scores (Pre 14.92 [3.85] vs.. Post 15.85 [3.74], p = 0.031). Students showed the highest proficiency in the domain of oral disease prevention, while oral cancer knowledge was the least mastered domain. Those without English as their first language and those with secondary education as the highest qualification showed the greatest improvement in oral health literacy scores post‐intervention. Conclusions: This study highlights the efficacy of an interprofessional co‐designed oral‐systemic educational intervention in increasing oral health literacy among undergraduate nursing students. This intervention marks a preliminary step towards integrating oral health into future nursing practice. Further research is warranted to explore the enduring impact of these interventions on their future clinical endeavors. [ABSTRACT FROM AUTHOR]

Background: Health literacy is known as an important determinant of health and a causal factor in health differences between population groups. The purpose of this study was to investigate the relationship between oral health literacy and oral health status of pregnant women referring to dental clinics of Shiraz University of Medical Sciences.Methods and Materials: The current research was a cross-sectional study on 250 pregnant women aged 18 to 36 years who referred to health care centers covered by Shiraz University of medical sciences. All participants were evaluated in terms of literacy and oral health performance using OHL-AQ standard questionnaire, and oral health status were evaluated by DMFT and OHI indices. SPSS version 22 software was used for data analysis.Results: The participants were 250 pregnant mothers with an average age of 27.26 ± 4.63. In terms of education and job status, the group with a bachelor's degree with 46.8% and working mothers with 63.6% participated the most. The score of health literacy was 11/47±3/68 (moderate) and the score of health performance was 22/17±3 (moderate). The score of the DMFT index was 8/7±4/8 and the score of the OHI index was 1/17±0/64. A significant and inverse relationship was found between health literacy and health performance with oral and dental health status (P

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

Background: Dental health problems frequently encountered in pregnant women, which require immediate treatment, include gingivitis gravidarum, periodontitis, epulis gravidarum, and caries. One of the prevention efforts for these disorders is to provide assistance to mothers before and during pregnancy. This assistance can be done by empowering health cadres. It is necessary to have community empowerment cadres in the health sector. Purpose: This study aims to determine the influence of oral health literacy of cadres in delivering information on maternal oral health efforts before and during pregnancy. Method: This study employed a quasi-experimental research design. The total of samples taken in this research was 70 people. The sampling method used a purposive sampling technique. The research sample was divided into two groups, namely the control group and the treatment group. Both groups were given a pre-test. Following the pre-test, the treatment group received cadre training. Both groups were then asked to complete a post-test at the end. Data were collected using the questionnaire. Result: The p-value was 0.000 < 0.05, indicating a significant difference in the mean oral health literacy values between the treatment group and the control group. Conclusion: There is a significant difference in the value of oral health literacy and maternal dental health efforts before and during pregnancy.

Background: ChatGPT holds promise in oral health education, provided valid concerns are proactively examined and addressed. Hence, this study was conducted to evaluate ChatGPT responses to patients’ most common queries about their oral health. Methods: A cross-sectional study was conducted to gather a dataset of oral health-related queries from patients attending a dental institution. The dataset was preprocessed and formatted to remove any irrelevant or duplicate queries. Then, we supplied the dataset to ChatGPT to generate responses. We asked two dental public health experts to independently review the ChatGPT responses for clarity, accuracy, relevance, comprehensiveness, consistency, acceptance, and bias using a 5-point Likert scale. The intraclass correlation coefficient (ICC) was used to evaluate interrater reliability. Scores were summarized using descriptive statistics. Results: A total of 563 oral health-related queries were gathered from 120 patients. After removing the irrelevant or duplicate queries, 105 were included in the final dataset. The ICC value of 0.878 (95% confidence interval range from 0.841 to 0.910) showed good reliability between the reviewers. The majority of ChatGPT responses had a clear understanding (95.24%), were scientifically accurate and relevant to the query (87.62%), were comprehensive (83.81%), were consistent (84.76%), and were acceptable without any edits (86.67%). The reviewers strongly agreed that only 40.96% of the responses had no bias. The overall score was high with a mean value of 4.72 ± 0.30. The qualitative analysis of comments on ChatGPT responses revealed that the responses were rather long and more comprehensive. Conclusions: ChatGPT generated clear, scientifically accurate and relevant, comprehensive, and consistent responses to diverse oral health-related queries despite some significant limitations.

Abstract Background Pregnancy is a unique period of women’s lives, and oral health is an important public health indicator during this period. Pregnant women have increased vulnerability to oral health problems. The study aimed to describe oral health knowledge, literacy and behavior of pregnant women in a northeastern province of Thailand. Methods A descriptive study was used. Twenty pregnant women who attended antenatal care clinics of eight public hospitals in the province were recruited by use of purposive sampling. They participated voluntarily in individual interview. The Health Belief Model was used as conception framework. All data were transcribed and subjected to content analysis. Results Five categories emerged: Misbelief and lack of knowledge, Oral health problems and dental care seeking, Oral health information from different persons, Self-care management of oral health, and Fear of and anxiety towards dental treatment. The findings showed that low knowledge of need for treatment, little importance to oral health and low priority of dental needs affect the demand for dental care. Fear of and anxiety towards dental treatment were the results of negative past experiences of neglecting dental care. Some women perceived health benefits of practicing self-care of oral health during pregnancy. Conclusion The findings help to better understand the oral health issues of pregnant women and provide baseline information for oral health promotion. Such promotion and culturally appropriate care should be integrated in maternal health education classes.

Inadequate comprehension of healthcare information contributes to poor health outcomes. Ethnic minorities are one of the populations most affected by low health and oral health literacy (OHL). The hypothesis of the current study was that an oral health education program (OHEP) can improve the OHL, oral health awareness and behaviors of refugees. We also hypothesized that there will be a difference between OHL in English and native language in the Pre-intervention phase. Fifty-two adult refugees participated in an educational program that included a comprehensive and culturally sensitive PowerPoint presentation and hands-on learning activities on oral health topics. The study used a cross-sectional pre-post study design. Before the program (Pre-intervention group), participants completed 2 surveys: Sociodemographic Survey and Oral Health Perceptions of Refugees in a bilingual format, and the Estimate of Oral Health Literacy-Bilingual40 (EOHL-BL40) in English, and in the participants' native language. Immediately after an OHEP (Post-intervention group), participants completed the EOHL-BL40 survey in English only. Two weeks after OHEP (Follow-up intervention), participants completed again the Sociodemographic Survey and Oral Health Perceptions of Refugees and the Estimate of Oral Health Literacy-Bilingual40 (EOHL-BL40) in English only. The mean percentage of words understood on Pre-intervention EOHL-BL40 survey were significantly higher in native languages (47.3% ±3.7%) compared with survey in English (15.3% ±1.2%, P < 0.001). Post-intervention scores, immediately after educational program, were higher (28.6% ±2.4%), P < 0.001) for survey in English compared with the Pre-intervention (15.3% ±1.2%). The follow-up (2 weeks later) scores (25.5% ±2.4) were slightly lower than Post-intervention but still significantly higher (P < 0.001) than Pre-intervention. Results for both Sociodemographic Survey and Oral Health Perceptions of Refugees surveys were similar: the OHEP positively affected oral health awareness and oral health behaviors. Results of the study suggested that OHEP may improve oral health literacy, oral health awareness, and personal oral hygiene practices of refugees. [ABSTRACT FROM AUTHOR]

Introduction: This study reports on the process evaluation of an oral health promotion intervention for educators (principals and teachers) at early childhood development (ECD) centres within a low‐socioeconomic community in South Africa. This approach was based on the premise that oral health literacy plays a significant role in shaping personal health and serves as an impetus to influence change in others. Methods: Using a cross‐sectional, descriptive study design, 91 educators participated in the oral health intervention as part of their 1‐year ECD training programme. The pre‐test questionnaire measured perceived dental status, oral health‐related knowledge, attitudes and practices and impact of oral health problems on oral health‐related quality of life (OHRQoL). The post‐test questionnaire evaluated the usefulness of the oral health workshop to participants, intentions for personal change as well as for the inclusion of oral health in their ECD centre programme. Results: Participants reported: having their natural teeth (80%), being happy with their mouth (56.2%), having oral problems (34%), inadequate oral hygiene practices (43%), dental visits when symptomatic (74%), a compromised OHRQoL and inadequate knowledge of oral problems experienced. Oral health promotion activities at ECD centres were limited, with only 34% reporting on toothbrushing programmes. Following the intervention, participants reported positively on aspects such as, the value of the workshop for themselves and their ECD centres, intentions for personal change to hygiene practices (56%), dietary practices (76%) and dental visits (63%). The incorporation of oral health education in their ECD centres was mentioned by most educators. Daily toothbrushing was noted by up to 40% while some highlighted their engagement with parents. Conclusion: Building oral health literacy among educators has the potential for personal change and serves as an impetus to introduce oral health promotion programmes at ECD centres. The findings may be used to advocate for oral health partnerships with established community‐based structures to increase access to oral care in ECD centres in underserved communities. [ABSTRACT FROM AUTHOR]

Purpose: The number of older people with poor oral health diagnosed with cancer is increasing rapidly. However, integration of oral health in cancer care for older people to prevent or minimize oral health complications of cancer treatments is uncommon, except in head and neck oncology. The aim of this review is to describe the need, role of, and factors influencing the integration of oral health(care) into the treatment of older people with cancer. Methods: MEDLINE, CINAHL, PubMed, Scopus, and Web of Science databases were searched for papers published in the last 10 years that focus on oral health in older people diagnosed with cancer, the impact of oral health on cancer therapy, and integrated oral health in cancer treatment. Results: From 523 related papers, 68 publications were included and summarized as follows: (1) oral complications associated with cancer therapies, (2) the need for oral healthcare in older people with cancer, (3) the role of integration of oral health in cancer care, and (4) influencing factors such as ageism, interprofessional education and collaborations, oral healthcare workforce, oral health literacy, and financial considerations. Conclusion: Integration of oral healthcare is highly recommended for the overall well-being of older people with cancer to prevent, minimize, and manage complications in cancer treatment. However, oral healthcare has not been integrated in cancer care yet, except for head and neck cancers. This review identified a notable gap in the literature, highlighting the need for research on integration of oral healthcare in geriatric oncology. [ABSTRACT FROM AUTHOR]

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). 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. 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). 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. [ABSTRACT FROM AUTHOR]

Background: ChatGPT holds promise in oral health education, provided valid concerns are proactively examined and addressed. Hence, this study was conducted to evaluate ChatGPT responses to patients' most common queries about their oral health. Methods: A cross-sectional study was conducted to gather a dataset of oral health-related queries from patients attending a dental institution. The dataset was preprocessed and formatted to remove any irrelevant or duplicate queries. Then, we supplied the dataset to ChatGPT to generate responses. We asked two dental public health experts to independently review the ChatGPT responses for clarity, accuracy, relevance, comprehensiveness, consistency, acceptance, and bias using a 5-point Likert scale. The intraclass correlation coefficient (ICC) was used to evaluate interrater reliability. Scores were summarized using descriptive statistics. Results: A total of 563 oral health-related queries were gathered from 120 patients. After removing the irrelevant or duplicate queries, 105 were included in the final dataset. The ICC value of 0.878 (95% confidence interval range from 0.841 to 0.910) showed good reliability between the reviewers. The majority of ChatGPT responses had a clear understanding (95.24%), were scientifically accurate and relevant to the query (87.62%), were comprehensive (83.81%), were consistent (84.76%), and were acceptable without any edits (86.67%). The reviewers strongly agreed that only 40.96% of the responses had no bias. The overall score was high with a mean value of 4.72 ± 0.30. The qualitative analysis of comments on ChatGPT responses revealed that the responses were rather long and more comprehensive. Conclusions: ChatGPT generated clear, scientifically accurate and relevant, comprehensive, and consistent responses to diverse oral health-related queries despite some significant limitations. [ABSTRACT FROM AUTHOR]

Background: The need for online adaptations of research instruments became more pronounced amidst the COVID-19 pandemic. This study sought to modify the REALD-30 for online application (eREALD-30) and evaluate its content validity and internal reliability among medical and dental students in Nigeria. Methods: The eREALD-30 required participants to identify if each of the listed words were related to dentistry by ticking either a 'yes' or 'no' response with the option to mark 'don't know' for words they were unsure about. Scores ranged from 0 to 30. Five oral health experts reviewed the eREALD-30 for cultural appropriateness, while content validity was evaluated by 10 medical and dental students. Internal reliability was assessed with 320 students recruited from 15 medical and dental schools spanning the country's six geopolitical zones. These students also completed an oral health status assessment tool. Data collection utilized an online survey platform. Validity of the eREALD-30 was determined through correlation analysis between eREALD-30 scores and the oral health status assessment tool. Furthermore, binary logistic regression analysis was employed to explore the assocations between participants' oral health status and their oral health literacy, adjusting for age, sex, and level of medical and dental education. Results: Out of the respondents, 178 (55.6%) exhibited poor oral health literacy, while 205 (64.1%) reported having good oral health status. Those with good oral health literacy demonstrated significantly higher odds of having good oral health status (OR: 1.61; 95% CI: 1.02–2.54; p = 0.04). However, individuals with good oral health literacy had increased odds of good oral health status after adjusting for confounding factors,, though this association did not retain statistical significance (AOR: 1.39; 95% CI: 0.86–2.24; p = 0.17). The eREALD-30 displayed strong internal consistency (Cronbach alpha = 0.933), indicating its reliability in assessing oral health literacy levels, alongside a high content validity score of 0.90. Conclusion: The study finding suggests that the e-version of the REALD-30 was reliable and valid for use among medical and dental students in Nigeria. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background and Objectives: Literacy in oral health is essential for promoting and preventing oral health issues. Evaluating oral health literacy enables the identification of opportunities to implement interventions at both policy and practice levels, aiming to improve oral health outcomes for individuals and populations. This review aims to conduct a systematic review focused on the association between oral health literacy and oral conditions. Materials and Methods: The search strategy aimed to retrieve both published and unpublished literature. The databases searched include PubMed, Scopus, Google Scholar, Web of Science, CINAHL, ProQuest, EBSCO-APA PsycInfo, and Shodhganga. After the search, all retrieved citations were examined to determine whether they meet the inclusion requirements. When possible, quantitative data was combined and analysed through a meta-analysis. The methodological validity of the included studies was critically evaluated using the JBI critical evaluation tool. The effect size was provided as a risk ratio or odds ratio for dichotomous data, while standard mean differences was used to depict it for continuous data. Statistics were used to evaluate study heterogeneity. In cases where statistical pooling is not possible, the findings were reported descriptively. Results: This review incorporated data from 9,044 participants across 22 crosssectional studies. The results indicated an association between inadequate oral health literacy and individuals experiencing dental caries [OR: 0.36(95% CI 0.15, 0.89) Thirteen studies, 4857 participants], Periodontal pocket [OR: 0.38 (95% CI 0.24, 0.62) five studies, 2651 participants], and tooth loss [OR: 0.57(95% CI 0.45, 0.72) 2 studies, 1281 participants]. However, it's important to note that the studies included in this review were identified as having a high risk of methodological bias. Conclusion: Oral health Literacy is associated with poor oral health conditions; however, the quality of evidence is low. [ABSTRACT FROM AUTHOR]

Abstract Background The Arabic version of the short form of the Health Literacy in Dentistry scale (HeLD) had not yet been developed in previously published studies. This study aims to test the reliability and validity of an Arabic version of the short form of the HeLD questionnaire. Methods The short version of HeLD was translated into Arabic and the psychometric properties were evaluated in a sample of 1,889 female students in their first year of secondary school. Test–retest reliability was assessed using the intra-class correlation coefficient (ICC), and internal consistency reliability was assessed using Cronbach’s alpha. Content validity was investigated by creating a correlation matrix between the individual items of the HeLD-14, and criterion validity was determined using Pearson’s correlation between the HeLD-14 score and an overall oral health rating. Sensitivity analysis was assessed by testing the associations of the HeLD-14 score with oral health-related behaviours and residential area. Results The Arabic version of HeLD-14 (A-HeLD-14) had acceptable ICC (0.54) and excellent internal consistency (Cronbach’s alpha: 0.92). The correlations between the items of the A-HeLD-14 varied from 0.3 to 0.9. The A-HeLD-14 showed a statistically significant correlation with the overall oral health rating (r = 0.37, p

Ratchawipa Nakphu,1 Nipaporn Urwannachotima,2 Pagaporn Pantuwadee Pisarnturakit2 1Geriatric Dentistry and Special Patients Care Program, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; 2Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandCorrespondence: Pagaporn Pantuwadee Pisarnturakit, Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Patumwan, Bangkok, 10330, Thailand, Tel/Fax +662 218 8545, Email pagaporn.p@chula.ac.thPurpose: This study aimed to determine the intention of older adults to use silver diamine fluoride (SDF) for treating tooth decay.Patients and Methods: A group of Thai-speaking individuals between the ages of 60 and 90 were asked to participate in the study. They were provided with information about SDF and then asked to complete a questionnaire based on the Theory of Reason Action (TRA). The questionnaire consisted of 23 questions divided into seven constructs aimed at determining the determinants of the intention to use SDF. These constructs were behavioral belief, evaluation of behavioral outcome, normative belief, motivation to comply, attitude towards behavior, subjective norm, and intention. The responses were rated on a 4-point Likert scale ranging from 1 (Strongly disagree) to 4 (Strongly agree). The characteristics and TRA scores of the participants were analyzed and compared based on their intention to use SDF, using the Chi-square test and t-test. Multiple logistic regression was employed to determine the determinants of the intention to use SDF.Results: The study involved 588 participants, with an average age of 65.3 years (SD= 5.53). Of the participants, 52.7% were women, 58.1% were unemployed or retired, 80.8% lived with family, 63.4% had less than sixth-grade education, 62.9% had a monthly family income of less than 10,000 baht, and 63.6% had underlying diseases. The study found that 82.7% of the participants intended to use SDF for dental caries treatment, with an average score of 2.86 out of 4. The study also found that age, family income, underlying diseases, dental health problems, and fear of the dentist significantly affected their intention. Behavioral beliefs and evaluations of behavioral outcomes significantly affected the intention to use SDF treatment.Conclusion: Most older adults in the study intended to use SDF for dental caries treatment.Keywords: dental caries, older adults, intention, oral health literacy, silver diamine fluoride, Theory of Reason Action

Abstract Background The need for online adaptations of research instruments became more pronounced amidst the COVID-19 pandemic. This study sought to modify the REALD-30 for online application (eREALD-30) and evaluate its content validity and internal reliability among medical and dental students in Nigeria. Methods The eREALD-30 required participants to identify if each of the listed words were related to dentistry by ticking either a ‘yes’ or ‘no’ response with the option to mark ‘don’t know’ for words they were unsure about. Scores ranged from 0 to 30. Five oral health experts reviewed the eREALD-30 for cultural appropriateness, while content validity was evaluated by 10 medical and dental students. Internal reliability was assessed with 320 students recruited from 15 medical and dental schools spanning the country’s six geopolitical zones. These students also completed an oral health status assessment tool. Data collection utilized an online survey platform. Validity of the eREALD-30 was determined through correlation analysis between eREALD-30 scores and the oral health status assessment tool. Furthermore, binary logistic regression analysis was employed to explore the assocations between participants’ oral health status and their oral health literacy, adjusting for age, sex, and level of medical and dental education. Results Out of the respondents, 178 (55.6%) exhibited poor oral health literacy, while 205 (64.1%) reported having good oral health status. Those with good oral health literacy demonstrated significantly higher odds of having good oral health status (OR: 1.61; 95% CI: 1.02–2.54; p = 0.04). However, individuals with good oral health literacy had increased odds of good oral health status after adjusting for confounding factors,, though this association did not retain statistical significance (AOR: 1.39; 95% CI: 0.86–2.24; p = 0.17). The eREALD-30 displayed strong internal consistency (Cronbach alpha = 0.933), indicating its reliability in assessing oral health literacy levels, alongside a high content validity score of 0.90. Conclusion The study finding suggests that the e-version of the REALD-30 was reliable and valid for use among medical and dental students in Nigeria.

Background/Objectives: School teachers need to have a better understanding of oral health aspects as schools serve as an effective environment for learning. Educators hold a significant position in conveying the importance they attribute to oral health in their lives. According to the World Health Organization, school teachers should include oral health promotion activities to evaluate students’ oral health, track injuries, illnesses, and absenteeism related to oral health, advocate oral health prevention, and serve as role models. The aim of this study was to evaluate the conceptual understanding of oral health among primary school teachers in Riyadh, Saudi Arabia. Methods: Data for this study were collected from 404 primary school teachers using a structured and pre-validated comprehensive measure of oral health knowledge (CMOHK) questionnaire. Results: The distribution of CMOHK scores indicated that 247 (61.2%) participants demonstrated good conceptual knowledge, 95 (23.5%) participants exhibited fair knowledge, and 62 (15.3%) participants were classified as having poor knowledge. The male group exhibited lower values for the CMOHK score in comparison with the female group; however, these findings were not statistically significant. The findings indicated that the group of government school teachers exhibited higher values for the dependent variable CMOHK score compared to their private school counterparts. Conclusions: The average CMOHK score observed in this study is regarded as fair. It is crucial for school teachers to possess strong oral health knowledge, as they significantly influence the oral health knowledge and behaviors of children.

Background: The Arabic version of the short form of the Health Literacy in Dentistry scale (HeLD) had not yet been developed in previously published studies. This study aims to test the reliability and validity of an Arabic version of the short form of the HeLD questionnaire. Methods: The short version of HeLD was translated into Arabic and the psychometric properties were evaluated in a sample of 1,889 female students in their first year of secondary school. Test–retest reliability was assessed using the intra-class correlation coefficient (ICC), and internal consistency reliability was assessed using Cronbach's alpha. Content validity was investigated by creating a correlation matrix between the individual items of the HeLD-14, and criterion validity was determined using Pearson's correlation between the HeLD-14 score and an overall oral health rating. Sensitivity analysis was assessed by testing the associations of the HeLD-14 score with oral health-related behaviours and residential area. Results: The Arabic version of HeLD-14 (A-HeLD-14) had acceptable ICC (0.54) and excellent internal consistency (Cronbach's alpha: 0.92). The correlations between the items of the A-HeLD-14 varied from 0.3 to 0.9. The A-HeLD-14 showed a statistically significant correlation with the overall oral health rating (r = 0.37, p < 0.001). The median A-HeLD-14 score was significantly higher in participants who brushed their teeth frequently (51.31), visited the dentist regularly (52.00), consumed fresh fruit frequently (51) and consumed soda or energy drinks infrequently (51.00) than participants who brushed their teeth infrequently (41.50), visited the dentist irregularly (49.00), consumed fresh fruit infrequently (47) and consumed soda or energy drinks frequently (48.00). Conclusion: The A-HeLD-14 instrument demonstrates sufficient validity, reliability, and sensitivity for measuring oral health literacy among the Arabic-speaking population. [ABSTRACT FROM AUTHOR]

Background and Aim: Oral health literacy (OHL) is an important component of health literacy that is indicated by various constructs of reading, writing, speaking, listening comprehension, and decision‑making. Validity and reliability are essential for the accuracy and precision of any questionnaire‑based qualitative study. Our aim was to perform a factor analysis of the OHL‑AQ scale among patients of Shimla visiting a tertiary institution, for a better understanding of the OHL‑AQ scale generalizability in our population. A cross‑sectional study was conducted on patients visiting the outpatient department of public health dentistry. Materials and Methods: Data collection procedure included information obtained from the subject that was recorded on a structured proforma using the Oral Health Literacy‑Adults Questionnaire (OHL‑AQ) developed by Sistani et al. in 2013. Exploratory factor analysis was done in Statistical Package for the Social Sciences (SPSS) 22, and confirmatory factor analysis was done in Jeffreys’s Amazing Statistics Program (JASP) 0.16.3. Convergent validity was determined from the average variance extracted (AVE), and composite reliability (CR) was determined from the rotation component matrix. Discriminant validity was determined by the heterotrait–monotrait matrix ratio of correlation (HTMT). The confirmatory factor analysis results are based on the categories of model fit with various model indices within the recommended accepted levels. Results: The most important to be considered is the root mean square error of approximation (RMSEA = 0.04). The χ² value was 82.254 and χ² /df was 1.61 with a P value <0.004, which indicates a good fit. Similarly, the goodness of fit index (GFI) was 0.96. Conclusion: Exploratory factor analysis based on correlation matrix reported adequate construct and discriminant validity for this study. Confirmatory factor analysis based on the covariance matrix provided an adequate model fit within the study data. Thus, the OHL‑AQ scale has adequate validity and reliability in our study population, though further studies are indicated in other populations and its operationalization is based on predictive validity. [ABSTRACT FROM AUTHOR]

Background and Objectives: It is important to note that Oral Health Literacy (OHL) not only pertains to dental health but also has a broader impact on overall quality of life. Therefore, this cross-sectional study aimed to assess the level of OHL in the adult population of Tehran, Iran. Materials and Methods: A sample of 700 Iranian adults (Tehran), aged 18-64 years, participated in this study (October 2021 and March 2022). A researcher-developed questionnaire was used to collect data on demographic variables and OHL. The questionnaire consisted of four domains: cognitive, behavioral, media, and communication skills. The data was analyzed by software SPSS 19. Data analysis included descriptive statistics, independent-samples t-tests, one-way analysis of variance (ANOVA), chi-square tests, and multiple regression analysis. Statistical significance was set at P < 0.05. Results: The average age of the subjects was 35.50±8.87 years, ranging from 18 to 61 years. The mean OHL score was 67.62±15.53, indicating a moderate level of OHL. Among the dimensions of the questionnaire, cognitive skills received the highest scores and Communicative skill lowest. The results revealed significant associations between OHL and demographic variables. Multiple regression analysis showed that income, education level (academic and below diploma), and marital status (married) significantly predicted OHL. Conclusion: This study highlights the need for improved OHL in the Iranian adult population. The findings suggest that educational interventions targeting loweducated individuals and specific demographic groups could help enhance OHL. Efforts should be directed towards improving communication skills in oral health settings. [ABSTRACT FROM AUTHOR]

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

Objectives: Emphasizing the significance of optimal oral health for enhancing overall well-being, this study aimed to investigate oral health knowledge, self-assessed oral health behaviors, and oral hygiene practices within the Croatian general population. Materials and Methods: A cross-sectional observational study was conducted online, utilizing a questionnaire collecting sociodemographic characteristics and inquiring about respondents' oral health knowledge, self-assessed oral health status, oral hygiene habits, and use of oral hygiene products. Collected data underwent both descriptive and regression analyses to unveil patterns and relationships within the dataset. Results: The respondents showed a high level of knowledge about oral health (median score 9, IQR 7.00–10.00, maximum possible score 10), with significant factors for higher knowledge being engaged in dental professions; above-average socioeconomic status; and the use of an electric brush, dental floss, and interdental brushes (p ˂ 0.05). Insufficient knowledge, on the other hand, was associated with bleeding gums and daily smoking (p ˂ 0.05). Although 69.4% of respondents considered their oral health to be very good, 32.5% reported tooth decay, and 38.2% reported tooth sensitivity. The majority (62.0%) cited regular check-ups as the reason for their last visit to the dentist, with 74.1% feeling no anxiety or discomfort during these visits. Daily toothbrush use was widespread (97.8%), but only 34.1% and 19.1% of respondents reported using floss and/or interdental brushes daily. A remarkable 69.0% of respondents indicated that low oral health literacy and low prioritization contribute to suboptimal oral health. Conclusions: While respondents demonstrated commendable oral health knowledge, the prevalence of reported issues suggests a potential gap between perception and actual oral health status. To address this, targeted educational interventions focusing on comprehensive oral hygiene practices and debunking misconceptions should be prioritized in Croatia. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

Copyright of Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract Background Poor oral health literacy has been proposed as a causal factor in disparities in oral health outcomes. This study aims to investigate oral health literacy (OHL) in a socially and culturally diverse population of Australian adults visiting a public dental clinic in Western Sydney. Methods A mixed methods study where oral health literacy was assessed using the Health Literacy in Dentistry scale (HeLD-14) questionnaire and semi-structured interviews explored oral health related knowledge, perceptions and attitudes. Interviews were analysed using a thematic approach. Results A sample of 48 participants attending a public dental clinic in Western Sydney was recruited, with a mean age of 59.9 (SD16.2) years, 48% female, 50% born in Australia, 45% with high school or lower education, and 56% with low-medium OHL. A subgroup of 21 participants with a mean age of 68.1 (SD14.6) years, 40% female, 64% born in Australia, 56% with a high school or lower education, and 45% with low-medium OHL completed the interview. Three themes identified from the interviews included 1) attitudes and perceptions about oral health that highlighted a lack of agency and low prioritisation of oral health, 2) limited knowledge and education about the causes and consequences of poor oral health, including limited access to oral health education and finally 3) barriers and enablers to maintaining good oral health, with financial barriers being the main contributor to low OHL. Conclusions Strategies aimed at redressing disparities in oral health status should include improving access to oral health information. The focus should be on the impact poor oral health has on general health with clear messages about prevention and treatment options in order to empower individuals to better manage their oral health.

Abstract Background To accomplish the purpose of health education and health promotion programs, schools are the most effective place for delivering health information to children. The main purpose of our research was to inform, gather evidence and contribute to developing knowledge regarding the OHL, knowledge, and attitude among school teachers towards oral health in Najran region of Saudi Arabia. Methods A questionnaire-based cross-sectional study was conducted in Najran region of Saudi Arabia for 6 months. A stratified cluster random sampling of 252 teachers was taken to represent all the teachers of Najran region of Saudi Arabia. The questionnaire contains 2 parts, sociodemographic part that include age, gender, education, teaching level, and income of the participants. The second part contains 25 items that assess the OHL (HelD-14 questions), knowledge (6 questions), and attitude (5 questions) of the participants. SPSS software version 26 was used to enter and analyze the data (IBM SPSS, Chicago, IL, USA software version 26.0). Multiple Logistic regression was applied to check the relationship between OHL and the associated factors. The Chi-square test was applied to evaluate knowledge of study participants. The level of significance was set up at p