Role of school as supportive entity for positive oral health behaviour of adolescents in south-western Nigeria

2020 ◽  
Author(s):  
Folake Barakat Lawal ◽  
Gbemisola Aderemi Oke

Abstract Background The school is primed as an avenue for promoting health among adolescents. Conversely, the high unmet dental needs among school-going adolescents raises concern about the role of schools in this task. This study therefore assessed the role of schools in promoting positive oral health behaviour among adolescents through Capabilities, Opportunities, Motivation (COM-B) model in a Low-Income-Country.Methods Two thousand and ninety-seven students aged 12-18 years were recruited from 30 randomly selected Secondary Schools in a cross sectional study conducted in Ibadan, Nigeria. Data on Capabilities; Oral Health Knowledge (K), Attitude (A), Practices (P) and Motivation of the students as well as oral health promotional (OHP) activities (Opportunities) in the schools were assessed through a questionnaire. A checklist was used to assess availability of OHP materials and the schools’ tuck shops for sale of healthy food (Opportunities). Data were analyzed with STATA version 14.Results The mean KAP score was 43.8 (± 11.4)%. Oral health education was the only activity reported and this was in 8 (26.7%) schools; only 331 (15.8%) students had been educated about their oral health. There were no oral health promotional materials in the schools. About half 1161 (55.4%) were motivated to participate in school oral health program. All the tucks shops had cariogenic foods and drinks for sale. Students who had better KAP scores - Capabilities (OR = 1.2, 95%CI = 1.0-1.5, p = 0.018) or had been educated about oral health - Opportunities (OR = 1.5, 95%CI = 1.2-2.0, p < 0.001) were better motivated about their oral health.Conclusion The schools surveyed played very little or no role to support positive oral health behavior of adolescents. There were no OHP materials in the schools. Students who had superior oral health KAP (capabilities) or had been exposed to oral health education (opportunities) were better motivated about their oral health.

2021 ◽  
Author(s):  
Najmunnisa K P ◽  
Susan Thomas Thomas ◽  
Mary Shimi S Gomez ◽  
Jesline Merly James ◽  
Vivek Narayan

Abstract BackgroundBeliefs and attitudes of community health workers affect their oral health behaviour and knowledge which in turn affects their potential to motivate the public to undertake preventive oral health measures. This study was performed to assess knowledge, attitude, and practices as well as determinants of oral health behaviour among community health workers in rural regions of Kerala.MethodsA cross-sectional study was conducted among 123 community healthcare workers at primary health centres in the Ettumanoor block zone, Kottayam. A two-stage cluster sampling method was used. Data regarding knowledge, attitude, and practice of oral health were acquired through self-administered questionnaires and analyzed using SPSS software version 25. Statistical association between responses in different group of health workers were determined by using Chi-square test. Independent t-test and ANOVA were used to test the difference in attitude and knowledge scores. Bivariate and multivariate regression analyses were applied to identify factors associated with the oral health behaviour of community health workers.ResultsAbout 65% of the participants exhibited poor oral health behaviour. A positive attitude has a significant relation with oral health behaviour status of the participants (p=0.003). Community health workers who attended an oral health education program had a better oral health behaviour status when compared to those who had not attended (p=0.006). ConclusionsThe results emphasize that oral health education should be given to all the community health workers to enhance their awareness about preventive oral health care.


2020 ◽  
Author(s):  
Folake Barakat Lawal ◽  
Gbemisola Aderemi Oke

Abstract Background The school is primed as an avenue for promoting health among adolescents. Conversely, the high unmet dental needs among school-going adolescents raises concern about the role of schools in this task. This study therefore assessed the role of schools in supporting positive oral health behavior of adolescents in a major city in a Low-Income-Country. Methods From 30 secondary schools that were randomly selected, 2097 students aged 12–18 years were recruited for this cross sectional study conducted in Ibadan, Nigeria. Data was obtained through the use of self-administered questionnaire to the students; this assessed oral health education and other oral health promotional activities that had taken place in the school from the students as well as their motivation to participate in school oral health programme. A checklist was used to assess availability of oral health promotional materials in the schools and the schools’ tuck shops for sale of healthy food. Data were analyzed with SPSS. Results The only oral health promotional activity reported in the schools was oral health education conducted in 8 (26.7%) schools and only 331 (15.8%) students had been educated about their oral health. There were no oral health promotional materials in the schools. About half, 1161 (55.4%) students were motivated to participate in school oral health program. All the tuck shops had cariogenic foods and drinks for sale. Students from schools where oral health education had been conducted were better motivated to participate in school oral health program (OR = 1.6,95%CI = 1.2-2.0,p < 0.001) but disagreed with restriction of sales of cariogenic food in school’s stuck shops (OR = 2.2,95%CI = 1.6-3.0,p < 0.001). Conclusion The schools surveyed played very little or no role to support positive oral health behavior of adolescents. Students who had been exposed to oral health education in school were better motivated about their oral health.


2021 ◽  
Vol 15 (9) ◽  
pp. 2961-2965
Author(s):  
Faisal Izhar ◽  
M. Saleem Rana ◽  
Maha Tanvir ◽  
Shafia Hasan ◽  
Muhammad Azizullah ◽  
...  

Oral health in the nation’s evolution, especially in this globalization, an absence of illness in the population plays a key role for a fecund and well established society. Purpose: To see the impact of oral health education intervention to improve oral health practices along-with formation of new carious lesions after oral health education after 3 months of intervention. Study Design: Cross sectional study. Methodology: Children (n=383) were included in present study through non-probability, convenient sampling technique. Children who fulfilled the inclusion criteria were examined with the examination tools on the dental unit office in the RHC for caries risk using a pre-validated caries risk assessment checklist and dental caries detection form. Statistical analysis: Data analyzed by SPSS 21.0v. Results: Majority of respondents (383) 100% didn’t have access to fluoridated water supply. Only 23.5% of the respondents have literate parent’s majority of them (76.5%) have illiterate parents. All the respondents 100% were at moderate risk. In comparison of risk associated with teeth missing due to caries in past 36 months, the respondents at low risk were 63.2%, High risk were 25.3% and moderate risk were 11.5%. Conclusion: This study concluded that intervention of oral hygiene instruction has produced significant results in motivating people for cleaning teeth regularly and avoiding the use of sugary foods and beverages to maintain their oral and general health. The study has interventions of tooth brush with paste and oral hygiene instruction for motivating and treating people. Key Words: Early Childhood Caries, Risk Assessment, Health Education and Oral Hygiene.


Author(s):  
Ni Zhou ◽  
Hai Ming Wong ◽  
Colman Patrick McGrath

Background: Young children with special needs greatly rely on their parents to support their daily living activities; parental compliance may have great impact on the implementation of health promotion activities among those children. This study aimed to investigate the parental compliance towards oral health education (OHE) among children with special healthcare needs (SHCN). Method: The participants were 306 parents whose children had participated in a 24-month OHE program for preschool children with SHCN. The primary outcome of this cross-sectional study was parental compliance towards the OHE program. Parents’ oral health literacy (OHL) was assessed by a validated tool. Parents’ socioeconomic status, attitudes towards OHE topics, perceptions of children’s oral hygiene status, and usefulness of OHE materials were collected via questionnaires. Results: A higher dropout rate was observed among parents who perceived that their children had unfavorable oral hygiene status (p = 0.038), or parents who had poor OHL skills (p = 0.015). Parental noncompliance was more likely to be observed among parents who perceived that the OHE materials were not useful for their children (OR = 3.63, 95% CI 1.56 to 8.47, p = 0.003), or parents whose children had been diagnosed with developmental delays (OR = 5.45, 95% CI 1.59 to18.74, p = 0.007). Conclusion: Non-compliance existed among parents whose children had received OHE intervention. Parental compliance towards OHE intervention might be associated with parents’ OHL skills, usefulness of OHE materials, and children’s developmental conditions. OHE programs should be individually tailored to support children whose parents are at a higher risk of noncompliant behaviors.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mingming Li ◽  
Zhiwu Wu ◽  
Rui Zhang ◽  
Lei Lei ◽  
Siqi Ye ◽  
...  

Abstract Background Based on a national survey in 2015, people’s oral health behaviour (OHB) has not kept up with the pace of knowledge and attitudes in China after decades of oral health education (OHE). Thus, we need to improve OHE to strengthen people’s OHB. Undergraduates are regarded as the best candidates for the improvement of OHE. The objective of this study is to determine undergraduates’ oral health status and existing problems in OHB by comparing dental and non-dental students at Sichuan University. We hope to provide some suggestions for future OHE to improve people’s OHB. Methods A quasi-experimental study designed with a pre-test and post-test group was conducted. A total of 217 dental students and 135 non-dental students were enrolled. They were administered an OHE course focused on OHB. A survey about oral health behaviour and knowledge was conducted before and after the course. Results According to the pre-course survey, dental students surpassed non-dental students in terms of toothbrushing frequency, method, and time, but unfortunately, flossing was overlooked by all the students. After the course, both dental and non-dental students showed strong willingness to improve their OHB. More non-dental students than dental students were willing to use toothpicks and Chinese herbal toothpaste before and after the course. Conclusions OHE focused on behaviour has a positive effect on university students. Future OHE and interventions should focus on flossing, toothbrushing methods, toothpicks, Chinese herbal toothpaste and modifications to adopt new media.


2020 ◽  
Author(s):  
Mingming Li ◽  
Zhiwu Wu ◽  
Rui Zhang ◽  
Lei Lei ◽  
Siqi Ye ◽  
...  

Abstract Background: Based on a national survey in 2015, people’s oral health behaviour (OHB) has not kept up with the pace of knowledge and attitudes in China after decades of oral health education (OHE). Thus, we need to improve OHE to strengthen people’s OHB. Undergraduates are regarded as the best candidates for the improvement of OHE. The objective of this study is to determine undergraduates’ oral health status and existing problems in OHB by comparing dental and non-dental students at Sichuan University. We hope to provide some suggestions for future OHE to improve people’s OHB.Methods: A quasi-experimental study designed with a pre-test and post-test group was conducted. A total of 217 dental students and 135 non-dental students were enrolled. They were administered an OHE course focused on OHB. A survey about oral health behaviour and knowledge was conducted before and after the course.Results: According to the pre-course survey, dental students surpassed non-dental students in terms of toothbrushing frequency, method, and time, but unfortunately, flossing was overlooked by all the students. After the course, both dental and non-dental students showed strong willingness to improve their OHB. More non-dental students than dental students were willing to use toothpicks and Chinese herbal toothpaste before and after the course.Conclusions: OHE focused on behaviour has a positive effect on university students. Future OHE and interventions should focus on flossing, toothbrushing methods, toothpicks, Chinese herbal toothpaste and modifications to adopt new media.


Author(s):  
B. S. Manoranjitha ◽  
Shwetha K. M. ◽  
K. Pushpanjali

Background:  Theoretical models analysing patient behaviour are necessary to understand the complex relationships underlying human behaviour. The widely accepted definition of health is according to World Health Organization (WHO) “a state of complete physical, mental and social wellbeing, not merely an absence of disease or infirmity.” To assess effectiveness of theory and approaches of oral health education in changing the oral health behaviour and improving the oral hygiene status among adults.Methods: PubMed database was searched for published studies in English language. The search dates were limited to 1990 onwards, applied to the inclusion criteria. Primary outcome was the change in oral hygiene behaviour, measured by self-reported and observed measures. Secondary outcomes were changes in plaque score, dental knowledge. Relevant titles and abstracts of studies were screened. Quality assessment was done for the studies included using checklist of items for randomized controlled trail. (CONSORT) These studies were categorised based on the type of theory used, type of intervention and outcome.Results: Out of 48 studies obtained based on the title and abstract, 15 studies were excluded based on inclusion and exclusion criteria. 13 studies fulfilled the inclusion. These studies were categorised based on the type of theory used. Studies based on 1) Operant and Classical conditioning theory 2) Social cognitive theory. 3) Self-efficacy model. 3) Transtheoritical model. 4) Motivational interviewing. 5) Self-regulatory model. 6) Health action process approach. 7) Implementation intention theory.Conclusions: Theory and approach based oral health education is effective in significantly improving the oral hygiene behaviour.


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