Role of school as a supportive entity for positive oral health behavior among adolescents in Ibadan, south-western Nigeria
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.