Document Type : Original Article

Authors

1 Department of Public Health Dentistry, Lenora Institute of Dental Sciences

2 Department of Public Health Dentistry, Chadalavada Krishna Teja Dental College and Hospital, Tirupathi, Andhra Pradesh, India

Abstract

INTRODUCTION: Health literacy is an important issue in public health. Individuals with low health
literacy skills often have poorer health knowledge and health status than those with higher literacy
level. Research documented on the assessment of oral health literacy in health settings and its
association with oral health outcomes for adolescents was scarce.
AIMS AND OBJECTIVES: The aim of this study is to assess oral health literacy about oral health
status among adolescents attending pre‑university colleges in Mysore , India.
MATERIALS AND METHODS: A cross‑sectional study was conducted over a period of 2 months
among 401 adolescents attending pre‑university colleges. Rapid Estimate of Adult Literacy in Medicine
and Dentistry‑20 (REALMD‑20) and the WHO oral health assessment pro forma for adults (2013)
were used. Data were analyzed using SPSS version 22 and tests employed were Chi‑square test,
ANOVA, and multiple linear regression.
RESULTS: Mean REALMD‑20 score was 10.31 ± 5.7. The study participants belonging to
science course (12.69 ± 5.0) and private pre‑university colleges (11.76 ± 5.8) had significantly
higher REALMD‑20 scores. Mean decayed, missing, and filled teeth among the study participants
was (0.42 ± 0.9). Type of college, course, dental history, and number of dental visits was significantly
associated with oral health literacy while oral health parameters were not significantly associated.
CONCLUSION: Oral health literacy was not significantly associated with oral health status. However,
long‑term studies are recommended to validate the results of the present study.

Keywords

1. Health literacy: Report of the council on scientific affairs. Ad hoc
committee on health literacy for the council on scientific affairs,
American Medical Association. JAMA 1999;281:552‑7.
2. Manganello JA. Health literacy and adolescents: A framework
and agenda for future research. Health Educ Res 2008;23:840‑7.
3. Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF Jr. The
relationship of oral health literacy and self‑efficacy with oral health
status and dental neglect. Am J Public Health 2012;102:923‑9.
4. Hongal S, Torwane NA, Goel P, Chandrashekar BR, Jain M,
Saxena E. Assessing the oral health literacy: A review. Int J Med
Public Health 2013;3:219‑24.
5. Sistani MMN, Yazdani R, Virtanen J, Pakdaman A, Murtomma H.
Determinants of Oral Health: Does Oral Health Literacy Matter.
Available from: http://dx.doi.org/10.1155/2013/249591. [Last
accessed on 2016 Oct 20].
6. Gironda M, Der‑Martirosian C, Messadi D, Holtzman J,
Atchison K. A brief 20‑item dental/medical health literacy
screen (REALMD‑20). J Public Health Dent 2013;73:50‑5.
7. Atchison KA, Gironda MW, Messadi D, Der‑Martirosian C.
Screening for oral health literacy in an urban dental clinic. J Public
Health Dent 2010;70:269‑75.
8. Jones M, Lee JY, Rozier RG. Oral health literacy among adult
patients seeking dental care. J Am Dent Assoc 2007;138:1199‑208.
9. Fransen MP, Van Schaik TM, Twickler TB, Essink‑Bot ML.
Applicability of internationally available health literacy measures
in the Netherlands. J Health Commun 2011;16 Suppl 3:134‑49.
10. World Health Organization. Maternal, Newborn, Child and
Adolescent Health. Available from: http://www.who.int/
maternal_child_adolescent/topics/adolescence/dev/en/. [Last
accessed on 2016 Oct 20].
11. Oral Health Surveys, Basic Methods. 5th ed. Geneva: World Health
Organization; 2013.
12. Suresh K, Chandrashekara S. Sample size estimation and power
analysis for clinical research studies. J Hum Reprod Sci 2012;5:7‑13.
13. Dickson‑Swift V, Kenny A, Farmer J, Gussy M, Larkins S.
Measuring oral health literacy: A scoping review of existing tools.
BMC Oral Health 2014;14:148.
14. Nutbeam D. Health literacy as a public health goal: a challenge
for contemporary health education and communication strategies
into the 21st century. Health Promot Int 2006;15:259‑67.
15. Holtzman JS, Atchison KA, Gironda MW, Radbod R, Gornbein J.
The association between oral health literacy and failed
appointments in adults attending a university‑based general
dental clinic. Community Dent Oral Epidemiol 2014;42:263‑70.
16. Haridas R, Supreetha S, Ajagannanavar SL, Tikare S, Maliyil MJ,
Kalappa AA, et al. Oral health literacy and oral health status
among adults attending dental college hospital in India. J Int Oral
Health 2014;6:61‑6.