Oral health literacy among third-level university students in cork city; Ireland

Abstract

Introduction

Health literacy is considered a social determinant of population health, but also relates to making informed health decisions. Little information is available on the oral health literacy (OHL) among young adults, and this is crucial to inform targeted interventions on oral health and care.

Aims

This study (i) estimates the prevalence of OHL among the third-level university students in Cork City and (ii) identifies determinants of OHL by exploring potential correlates.

Methods

All students in University College Cork (~ 21000) were sent out a previously validated questionnaire through the online Lime Survey in April 2018 (n = 1487). Both descriptive and inferential statistics (chi-squared/correlation) were undertaken. OHL score was calculated as adequate (2.1–3.0), marginal (1.1–2.0) or inadequate (0.0–1.0) in regard to the scores attained by the individuals.

Results

Adequate OHL prevalence was 23%. OHL was significantly correlated with age (r = 0.10), major discipline (r = − 0.13) and frequency of dental visits (r = − 0.08). Male gender, younger age group and those in non-medical schools had significantly higher inadequate OHL.

Conclusion

Approximately, one-in-four third-level university students in Cork City have adequate OHL which is lower compared to the general Irish population but still significantly high in specific groups.

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References

  1. 1.

    WHO | Oral health, general health and quality of life. Who.int. 2018 [cited 2 July 2018]. Available from: http://www.who.int/bulletin/volumes/83/9/editorial3090html/en/

  2. 2.

    Benjamin R (2010) Oral health: the silent epidemic. Public Health Rep 125(2):158–159

    Article  Google Scholar 

  3. 3.

    Delgado-Angulo E, Bernabé E (2015) Intergenerational mobility and adult oral health in a British cohort. Community Dent Oral Epidemiol 43(3):255–261

    Article  Google Scholar 

  4. 4.

    Rouxel P, Heilmann A, Aida J et al (2014) Social capital: theory, evidence, and implications for oral health. Community Dent Oral Epidemiol 43(2):97–105

    Article  Google Scholar 

  5. 5.

    Kunitomo M, Ekuni D, Mizutani S et al (2016) Association between knowledge about comprehensive food education and increase in dental caries in Japanese university students: a prospective cohort study. Nutrients. 8(3):114

    Article  Google Scholar 

  6. 6.

    Broadbent J, Thomson W, Boyens J, Poulton R (2011) Dental plaque and oral health during the first 32 years of life. J Am Dent Assoc 142(4):415–426

    Article  Google Scholar 

  7. 7.

    Thomson W, Williams S, Broadbent J et al (2010) Long-term dental visiting patterns and adult oral health. J Dent Res 89(3):307–311

    CAS  Article  Google Scholar 

  8. 8.

    Aldossary A, Harrison V, Bernabé E (2014) Long-term patterns of dental attendance and caries experience among British adults: a retrospective analysis. Eur J Oral Sci 123(1):39–45

    Article  Google Scholar 

  9. 9.

    Vilella KD, Alves SG, de Souza JF et al (2016) The Association of Oral Health Literacy and Oral Health Knowledge with social determinants in pregnant Brazilian women. J Community Health 41(5):1027–1032

    Article  Google Scholar 

  10. 10.

    (2005) The invisible barrier: literacy and its relationship with oral health. J Public Health Dent 65(3):174–182

  11. 11.

    Ueno M, Takeuchi S, Oshiro A, Kawaguchi Y (2013) Relationship between oral health literacy and oral health behaviours and clinical status in Japanese adults. J Dent Sci 8:170–176

    Article  Google Scholar 

  12. 12.

    Nutbeam D (2000) Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 15(3):259–267

    Article  Google Scholar 

  13. 13.

    Sørensen K, Pelikan J, Röthlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E, Falcon M, Mensing M, Tchamov K, van den Broucke S, Brand H, HLS-EU Consortium (2015) Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health 25(6):1053–1058

    Article  Google Scholar 

  14. 14.

    Nielsen-Bohlman L (2004) Health literacy. National Academies Press, Washington, D.C

    Google Scholar 

  15. 15.

    Nouri S, Rudd R (2018) Health literacy in the “oral exchange”: an important element of patient– provider communication.

  16. 16.

    Lee JY, Rozier RG, Lee SY, Bender D, Ruiz RE (2007) Development of a word recognition instrument to test health literacy in dentistry: the REALD-30-a brief communication. J Public Health Dent 67:94–98

    Article  Google Scholar 

  17. 17.

    Kickbusch I, Maag D (2008) Health literacy. In: Heggenhougen K, Quah S (eds) International encyclopedia of public health. Academic Press, San Diego, pp 204–211

    Google Scholar 

  18. 18.

    Pleasant A, Kuruvilla S (2008) A tale of two health literacies: public health and clinical approaches to health literacy. Health Promot Int 23:152–159

    Article  Google Scholar 

  19. 19.

    European Commission. Together for health: a strategic approach for the EU 2008-2013. Available from: http://ec.europa.eu/health/ph_overview/Documents/strategy_wp_en.pdf

  20. 20.

    Glassman P, National Network of Libraries of Medicine (NNLM) (2013) Culture in the context of health literacy. In: Eberle Michelle, ed. Health Literacy and Community Engagement Coordinator. NNLM. Available at: https://nnlm.gov/outreach/consumer/hlthlit.html; Accessed July 2018

  21. 21.

    Guo Y, Logan H, Dodd V, Muller K, Marks J, Riley J (2014) Health literacy: a pathway to better oral health. Am J Public Health 104(7):e85–e91

    Article  Google Scholar 

  22. 22.

    Mariño R, Ghanim A, Morgan M, Barrow S (2016) Cultural competency and communication skills of dental students: clinical supervisors’ perceptions. Eur J Dent Educ 21(4):e101–e108

    Article  Google Scholar 

  23. 23.

    Dental Health Foundation Ireland (2012) White paper on the implementation of Oral health promotion.

  24. 24.

    Strategic Plan 2017–2022 | University College Cork [Internet]. University College Cork. 2018 [Cited 24 July 2018]. Available fro m: https://www.ucc.ie/en/strategicplanning/2017/. Accessed July 2018

  25. 25.

    Chew LD, Griffin JM, Partin MR, Noorbaloochi S, Grill JP, Snyder A, Bradley KA, Nugent SM, Baines AD, VanRyn M (2008) Validation of screening questions for limited health literacy in a large VA outpatient population. J Gen Intern Med 23(5):561–566

    Article  Google Scholar 

  26. 26.

    Locker D, Miller Y (1994) Evaluation of subjective oral health-status indicators. J Public Health Dent 54(3):167–176

    CAS  Article  Google Scholar 

  27. 27.

    Peek CW, Gilbert GH, Duncan RP, Heft MW, Henretta JC (1999) Patterns of change in self- reported oral health among dentate adults. Med Care 37(12):1237–1248

    CAS  Article  Google Scholar 

  28. 28.

    Woelber J, Deimling D, Langenbach D, Ratka-Krüger P (2011) The importance of teaching communication in dental education. A survey amongst dentists, students and patients. Eur J Dent Educ 16(1):e200–e204

    Article  Google Scholar 

  29. 29.

    O’ Connor T. Health Literacy in Ireland: Benchmarking the Present State of the Art and Examining Future Challenges and Opportunities [Internet]. 2012 [cited 7 July 2018]. Available from: https://www.nala.ie/sites/default/files/publications/health_literacy_in_ireland_nala_2012.pdf

  30. 30.

    Healthy Ireland – a framework for improved health and wellbeing [Internet]. 2019 [cited 6 July 2018]. Available from: https://health.gov.ie/wp-content/uploads/2014/03/HealthyIrelandBrochureWA2.pdf

  31. 31.

    Sharda AJ, Shetty S (2008) A comparative study of oral health knowledge, attitude and behavior of first and final year dental students of Udaipur city, Rajasthan. J Oral Health Commun Dent 2(3):46–54

    Article  Google Scholar 

  32. 32.

    Sullivan KM (2019) OpenEpi:Sample Size for X-Sectional,Cohort,and Clinical Trials. Openepi.com. [cited 15 November 2019]. Available from: https://www.openepi.com/SampleSize/SSCohort.htm

  33. 33.

    World Health Organisation Regional Office for Europe Health (2020) A European policy framework supporting action across government and society for health and well-being. World Health Organisation Regional Office for Europe, Copenhagen, p 2012

    Google Scholar 

  34. 34.

    Healthy Ireland in the Health Services National Implementation Plan 2015–2017. 2017 [cited 1 November 2019]. Available from: https://www.hse.ie/eng/about/who/healthwellbeing/healthy-ireland/healthy-ireland-in-the-health-services-implementation-plan-2015-2017.pdf

  35. 35.

    NALA’s policy work in health literacy - Nala. Nala. 2019 [cited 1 November 2019]. Available from: https://www.nala.ie/policy/nalas-policy-work-in-health-literacy/

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Correspondence to Mekha Ann Mathew.

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Mathew, M.A., Kabir, Z. Oral health literacy among third-level university students in cork city; Ireland. Ir J Med Sci (2021). https://doi.org/10.1007/s11845-021-02505-6

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Keywords

  • Health literacy
  • Ireland
  • Oral health literacy
  • Oral health promotion
  • Public health