Association of Health Literacy and Socioeconomic Status with Oral Health Among Older Adults in Ghana: A Moderation Analysis of Social Capital

2021 ◽  
pp. 073346482110283
Author(s):  
Padmore Adusei Amoah ◽  
Adwoa Owusuaa Koduah ◽  
Razak M. Gyasi ◽  
Kingsley Atta Nyamekye ◽  
David R. Phillips

We examined the moderating role of social capital (SC) in the association of socioeconomic status (SES) and health literacy (HL) with oral health (OH) status and the intentions to use OH services (IUOHS) among older Ghanaians. Data were derived from a cross-sectional survey ( n = 522) and analyzed using ordinal and binary logistic regressions. Bridging SC moderated the relationship between HL and oral health status ( B = 0. 0.117, p < .05) and the association of SES with IUOHS (adjusted odds ratio [AOR] = 1.144; 95% confidence interval [CI] = [1.027, 3.599]). Trust modified the association between HL and IUOHS (AOR = 1.051; 95% CI = [1.014, 3.789]). Bonding SC moderated the association between SES and oral health status (B = 0.180, p < .05). However, bonding SC negatively modified the association between SES and IUOHS (AOR = 0.961; 95% CI = [0.727, 0.997]). Cognitive and structural SC modify the associations of SES and HL with OH and IUOHS.

2021 ◽  
Vol 31 (4) ◽  
pp. 263-270
Author(s):  
Shahab Papi ◽  
◽  
Manijeh Izadi ◽  
Leila Behboodi ◽  
Zahra Taheri-Kharameh ◽  
...  

Introduction: Oral health plays an important role in determining food intake patterns, meeting nutritional needs, and consequently keeping the health of the elderly and their quality of life. Health literacy is also one of the biggest determinants that significantly impacts disease prevention in the elderly. Objective: This study aimed to determine oral health status and the relationship between health literacy and nutritional status in the elderly referring to health centers in Tabriz City, Iran. Materials and Methods: This research is a cross-sectional analytical study performed on 300 older people in Tabriz in 2020. Data collection tools included the geriatric oral health assessment index, seniors in the community: risk evaluation for eating and nutrition, health literacy for Iranian adults, and demographic information questionnaire. To analyze the data, descriptive statistics were used to sort out the data. The Shapiro-Wilk test was used to check the data normality, and then simple and multiple linear regression analyses were performed to evaluate the relationship between variables and control the effect of intervening variables. The level of significance in this study was considered less than 0.05. Results: The Mean±SD age of the elderly was 69.7±6.7 years. The number of men and women participating in this study was equal. A total of 257 people (85.7%) were married. The results showed that the oral health status of 51% of the elderly was below mean, 65.33% of the elderly were illiterate, and 69.33% were severely malnourished. Based on the results of multiple regression, the nutritional status of the individuals was a predictor of the oral health score of the elderly (Β=-13.5, 95% CI; -11.3, -15.69, P=0.001). So, people with malnutrition, mildly malnourished, and severely malnourished had lower oral health scores than healthy individuals with the control of the other variables. The R2 value in this study was 0.59. Conclusion: According to the study results and the relationship between malnutrition and oral health, it is necessary to conduct studies on the factors affecting malnutrition in the elderly by intervening on the factors affecting malnutrition, changing the oral health status of the elderly, and improving their quality of life.


Author(s):  
Prakash Poudel ◽  
Rhonda Griffiths ◽  
Amit Arora ◽  
Vincent W. Wong ◽  
Jeff R. Flack ◽  
...  

This study assessed self-reported oral health status, knowledge, and behaviours of people living with diabetes along with barriers and facilitators in accessing dental care. A cross sectional survey of 260 patients from four public diabetes clinics in Sydney, Australia was undertaken using a 35-item questionnaire. Data were analysed using SPSS software with descriptive and logistic regression analyses. More than half (53.1%) of respondents reported having dental problems which negatively impacted their related quality of life. Less than half (45%) had adequate oral health knowledge. Only 10.8% reported receiving any oral health information in diabetes care settings, which had higher odds of demonstrating adequate oral health knowledge (AOR, 2.60; 95% CI, 1.06–6.34). Similarly, 62.7% reported seeing a dentist in the last 12 months. Having private health insurance (AOR, 3.70; 95% CI, 1.85–7.40) had higher odds of seeing a dentist in the past 12 months. Dental costs were a major contributor to avoiding or delaying dental visit. Patients living with diabetes have unmet oral health needs particularly around the awareness of its importance and access to affordable dental services. Diabetes care providers can play a crucial role in this area by promoting oral health to their patients.


2014 ◽  
Vol 94 (3) ◽  
pp. 411-416 ◽  
Author(s):  
Susan M. Bridges ◽  
Divya S. Parthasarathy ◽  
Hai Ming Wong ◽  
Cynthia K.Y. Yiu ◽  
Terry K. Au ◽  
...  

2018 ◽  
Vol 3 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Mohammed Al-Thani ◽  
Al-Anoud Al-Thani ◽  
Abdulla Al-Emadi ◽  
Walaa Al-Chetachi ◽  
Benjamin Vinodson ◽  
...  

Background The national oral health survey-Qatar was carried out in 2011 in an attempt to establish the baseline information about oral health status among youth. This article describes the oral health status of 12 and 15-year-old students in Qatar. Methods Cross-sectional survey data were analyzed for 12 (N=1060) and 15 (N=1064) year-old students. The caries status based on decayed, missing, filled teeth or DMFT=0 (no caries) & DMFT≥1 (caries present). Mean indices among nationalities and sex were compared by student’s t-test. Analysis of variance (ANOVA) was used to compare means by the type of the school. Logistic regression was used to examine associations among available variables. Results In the overall sample, 53.3% (n=565) of 12-year-olds and 55.4% (n=589) of 15-year-olds had varying levels of dental caries. The odds of dental caries were higher among girls compared to boys aged 12 years (OR=1.3, CI=1.0-1.6, P=0.05) as well as 15 years old (OR=1.28, CI=1.01-1.6, P=0.04) respectively. By nationality, Qatari students had a higher mean DMFT value (1.3 ± 1.2) compared to non-Qataris (0.82 ± 1.1). The public/independent attendees had higher mean DMFT values (1.31 ± 1.2) compared to the other two school categories. Fifteen-year-old students had lower odds (OR=0.81, CI- 0.68-0.97, P=0.02) of gingival bleeding and higher odds (OR=1.68, CI=1.4-2.1, P<0.001) of calculus compared to 12-year-olds. Dental fluorosis was found among 15% of 12 years old and 16.6% of 15 years old. The odds of fluorosis were higher among 15 years old but this relationship was not significant (OR=1.1, CI=0.88-1.4, P=0.36). Lower odds of bleeding teeth (OR=0.81, CI=0.68-0.97, P=0.02) and higher odds of calculus were found among 15 years old (OR=1.68, CI=1.4-2.1, P<0.001) compared to 12 years. Conclusions The results provide directions to further strengthen the oral health strategies through various evidence-based interventions.Background


Author(s):  
Azlan Jaafar ◽  
Normaliza Ab Malik ◽  
Aws Hashim Ali Al-Kadhim

Oral health literacy is the ability of an individual in making an appropriate decision to achieve optimum oral health. This study aimed to assess the oral health literacy and oral health status of undergraduate university students. This is a cross sectional study conducted among students from various faculties in USIM. A written consent was obtained before the administration of OHLI-M questionnaire via Google form. Oral examination was conducted after completing the questionnaire. A descriptive data analysis was performed to determine the adequacy of oral health literacy and oral health status among the students. A total of 280 students participated in this study. The mean age was 22 years old (SD=1.17) with the majority of them being female (82.1%) and coming from urban residences (57.1%). The prevalence of dental caries and periodontal disease was 58.9% (95% CI= 53.2 to 64.6) and 13.2% (95% CI= 9.6 to 17.1) respectively. Students with adequate oral health literacy had better oral health status. Those with inadequate oral health literacy had a high percentage of dental caries.


2020 ◽  
Vol 10 (1) ◽  
pp. 393-395 ◽  
Author(s):  
Anubha Agarwal ◽  
Jaya Chaturvedi ◽  
Jyotsna Seth ◽  
Ranjeeta Mehta

Author(s):  
Xin Xu ◽  
Yuan Zhao ◽  
Danan Gu ◽  
Yaolin Pei ◽  
Bei Wu

The role of health behaviors in oral health conditions in individuals of extremely old age remains understudied. This study included 185 participants aged 100 years or older from the Nanjing Centenarians Study (NCS) to examine the associations between health behaviors and oral health and investigate the potential moderating role of education and living arrangements in such relationships. The oral health status as an outcome included the self-reported oral health status and edentulous status. Health behavior variables included smoking, eating fruits, eating vegetables, participating in leisure activities, and practicing oral hygiene behaviors. Sociodemographic characteristics and health status were considered as confounders. Descriptive statistics, ordinal regression, and logistic regression models were used to address the research questions. Results showed that better oral health was reported by centenarians who were non-smokers, participated in more leisure activities, and practiced higher frequency of oral hygiene behaviors. Those who ate fruits daily and practiced more frequently oral hygiene behaviors were more likely to be dentate. The positive association of oral hygiene behaviors was stronger for centenarians who were formally educated and co-resided with family members. The results suggest that effective interventions should consider health behaviors and living arrangements in this growing population to improve their oral health status.


2019 ◽  
Vol 20 (1) ◽  
pp. 51-70 ◽  
Author(s):  
M J Malebana

This paper investigated the relationship between social capital and entrepreneurial intention using the theory of planned behaviour (TPB). The study was carried out by means of a cross-sectional survey and included 329 final-year commerce students at a rural university in the Limpopo province. A structured questionnaire was used to collect the data. The results show that social capital is significantly related to entrepreneurial intention, the attitude towards becoming an entrepreneur and perceived behavioural control. The findings indicate that the TPB is a valuable model for understanding the relationship between social capital and entrepreneurial intention. The results indicate that individuals are more likely to form intentions to start a business when they think that their decision to do so would be approved of by those close to them, when entrepreneurial activity is positively valued in the society, when they know other people who are entrepreneurs and successful entrepreneurs, and believe that they would be supported by those close to them when starting a business. This study contributes to the body of knowledge by shedding light on the role of social capital in the formation of entrepreneurial intention in a South African context.


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