Disparities in Oral Health Behaviour Among Young Adults in Mangalore, India: A Psychosocial Perspective

Overview

Journal J Clin Diagn Res

Specialty General Medicine

Date 2017 Jun 3

PMID 28571172

Authors

G Rajesh

Simi Seemanthini

Dilip Naik

Keshava Pai

Ashwini Rao

Affiliations

Soon will be listed here.

Abstract

Introduction: Oral health inequalities imply unequal distribution of health and disease across socioeconomic gradients. Oral health related behaviour and its psychosocial antecedents can have a major impact on oral disease pathways in communities.

Aim: To ascertain disparities in oral health behaviour and its psychosocial antecedents among young adults in Mangalore, Karnataka, India.

Materials And Methods: Present study was carried out among 341 degree students at three randomly chosen institutions belonging to government, aided and private colleges in Mangalore. Oral health behaviour was assessed by a structured, pre-tested, self-administered questionnaire. Information about oral hygiene habits, tobacco use, sugar consumption, dental attendance patterns were collected. Respondent's self-reported gingivitis, perceived general and oral health, perceived need for care and locus of control were assessed. Information about demographic details was collected. Correlation analysis employed Pearson's correlation coefficient and binary logistic regression analysis was employed with snacking as dependent variable.

Results: Twice daily brushing was significantly associated with gender (r=0.142, p=0.009), type of college (r=-0.164, p=0.003) and father's occupation (r=0.107, p=0.049), while tobacco use was significantly associated with gender (r=0.284, p=0.000), religion (r=-0.234, p=0.000), type of college (r=0.312, p=0.000), father's education (r=0.130, p=0.017) and occupation (r=0.120, p=0.027). Self-perceived oral health was significantly associated with snacking (r=0.173, p=0.001) and tobacco use (r=-0.261, p=0.000), while locus of control was associated with snacking (r=0.140, p=0.009). Regression analysis revealed that father's education (OR=0.399, p=0.014), self-perceived need for care (OR=0.354, p=0.009), and locus of control (OR=0.166, p=0.003) emerged as significant predictors of snacking behaviour.

Conclusion: Psychosocial antecedents were significantly associated with oral health behaviour among the respondents. Policy and decision makers should consider causes of causes while tackling oral health problems. Present study may contribute towards addressing oral health inequalities in developing nations, where oral health issues are compounded by a definite paucity of resources.

References

Savolainen J, Suominen-Taipale A, Uutela A, Aromaa A, Harkanen T, Knuuttila M . Sense of coherence associates with oral and general health behaviours. Community Dent Health. 2010; 26(4):197-203. View

Blay D, Astrom A, Haugejorden O . Oral hygiene and sugar consumption among urban and rural adolescents in Ghana. Community Dent Oral Epidemiol. 2000; 28(6):443-50. DOI: 10.1034/j.1600-0528.2000.028006443.x. View

Lien N, Jacobs Jr D, Klepp K . Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutr. 2002; 5(5):671-81. DOI: 10.1079/PHN2002334. View

Vereecken C, Maes L, De Bacquer D . The influence of parental occupation and the pupils' educational level on lifestyle behaviors among adolescents in Belgium. J Adolesc Health. 2004; 34(4):330-8. DOI: 10.1016/j.jadohealth.2003.07.011. View

Hinze E, Casamassimo P, Seale N, McIlroy M, Kerins C, McWhorter A . Relative value of oral health in well-child care: a survey of pediatricians in Texas and Ohio. J Dent Child (Chic). 2014; 81(2):84-90. View

Albandar J, Streckfus C, Adesanya M, Winn D . Cigar, pipe, and cigarette smoking as risk factors for periodontal disease and tooth loss. J Periodontol. 2001; 71(12):1874-81. DOI: 10.1902/jop.2000.71.12.1874. View

Ekanayake L, Perera I . Perceived need for dental care among dentate older individuals in Sri Lanka. Spec Care Dentist. 2005; 25(4):199-205. DOI: 10.1111/j.1754-4505.2005.tb01650.x. View

Locker D . Deprivation and oral health: a review. Community Dent Oral Epidemiol. 2000; 28(3):161-9. DOI: 10.1034/j.1600-0528.2000.280301.x. View

Levin K, Currie C . Inequalities in toothbrushing among adolescents in Scotland 1998-2006. Health Educ Res. 2008; 24(1):87-97. DOI: 10.1093/her/cym096. View

10.

Safiri S, Kelishadi R, Heshmat R, Rahimi A, Djalalinia S, Ghasemian A . Socioeconomic inequality in oral health behavior in Iranian children and adolescents by the Oaxaca-Blinder decomposition method: the CASPIAN- IV study. Int J Equity Health. 2016; 15(1):143. PMC: 5024445. DOI: 10.1186/s12939-016-0423-8. View

11.

Kallestal C, Wall S . Socio-economic effect on caries. Incidence data among Swedish 12-14-year-olds. Community Dent Oral Epidemiol. 2002; 30(2):108-14. DOI: 10.1034/j.1600-0528.2002.300204.x. View

12.

Polk D, Weyant R, Manz M . Socioeconomic factors in adolescents' oral health: are they mediated by oral hygiene behaviors or preventive interventions?. Community Dent Oral Epidemiol. 2009; 38(1):1-9. DOI: 10.1111/j.1600-0528.2009.00499.x. View

13.

Moynihan P, Kelly S . Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2013; 93(1):8-18. PMC: 3872848. DOI: 10.1177/0022034513508954. View

14.

Kuusela S, Kannas L, Tynjala J, Honkala E, Tudor-Smith C . Frequent use of sugar products by schoolchildren in 20 European countries, Israel and Canada in 1993/1994. Int Dent J. 2000; 49(2):105-14. DOI: 10.1111/j.1875-595x.1999.tb00517.x. View

15.

Maes L, Vereecken C, Vanobbergen J, Honkala S . Tooth brushing and social characteristics of families in 32 countries. Int Dent J. 2006; 56(3):159-67. DOI: 10.1111/j.1875-595x.2006.tb00089.x. View

16.

Sabbah W, Tsakos G, Sheiham A, Watt R . The role of health-related behaviors in the socioeconomic disparities in oral health. Soc Sci Med. 2008; 68(2):298-303. DOI: 10.1016/j.socscimed.2008.10.030. View

17.

Mashoto K, Astrom A, David J, Masalu J . Dental pain, oral impacts and perceived need for dental treatment in Tanzanian school students: a cross-sectional study. Health Qual Life Outcomes. 2009; 7:73. PMC: 2726126. DOI: 10.1186/1477-7525-7-73. View

18.

Park J, Han K, Park Y, Ko Y . Association between socioeconomic status and oral health behaviors: The 2008-2010 Korea national health and nutrition examination survey. Exp Ther Med. 2016; 12(4):2657-2664. PMC: 5038881. DOI: 10.3892/etm.2016.3679. View

19.

Bernabe E, Kivimaki M, Tsakos G, Suominen-Taipale A, Nordblad A, Savolainen J . The relationship among sense of coherence, socio-economic status, and oral health-related behaviours among Finnish dentate adults. Eur J Oral Sci. 2009; 117(4):413-8. DOI: 10.1111/j.1600-0722.2009.00655.x. View

20.

Hamasha A, Warren J, Levy S, Broffitt B, Kanellis M . Oral health behaviors of children in low and high socioeconomic status families. Pediatr Dent. 2006; 28(4):310-5. View