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.
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.
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.
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.
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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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/
Benjamin R (2010) Oral health: the silent epidemic. Public Health Rep 125(2):158–159
Delgado-Angulo E, Bernabé E (2015) Intergenerational mobility and adult oral health in a British cohort. Community Dent Oral Epidemiol 43(3):255–261
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
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
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
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
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
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
(2005) The invisible barrier: literacy and its relationship with oral health. J Public Health Dent 65(3):174–182
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
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
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
Nielsen-Bohlman L (2004) Health literacy. National Academies Press, Washington, D.C
Nouri S, Rudd R (2018) Health literacy in the “oral exchange”: an important element of patient– provider communication.
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
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
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
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
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
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
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
Dental Health Foundation Ireland (2012) White paper on the implementation of Oral health promotion.
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
Locker D, Miller Y (1994) Evaluation of subjective oral health-status indicators. J Public Health Dent 54(3):167–176
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
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
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
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
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
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
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
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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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
- Health literacy
- Oral health literacy
- Oral health promotion
- Public health