Oral Health Knowledge and Practices among Diverse University Students with Access to Free Dental Care: A Cross-Sectional Study

Ola B. Al-Batayneh, Arwa I. Owais, Yousef S. Khader

Department of Preventive Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
Departments of Public Health, Community Medicine, and Family Medicine, Jordan University of Science and Technology, Irbid, Jordan.

DOI: 10.4236/ojst.2014.43021                

Abstract

Aim: The aim of this study was to investigate oral health knowledge and practices among under-graduate university students from various disciplines with access to free dental care. Materials and Methods: A total of 709 questionnaires were filled out. Data collected included: demographic data, oral health knowledge, and self-reported oral health practices and dental service utilization. Descriptive statistics and Chi-square analysis were performed; significance level was set at P < 0.05. Mean age was 20.8 ± 1.5 years. Results: There were (90.1%) of students who considered the toothbrush an oral hygiene aid, (91.1%) thought fluoride was beneficial to teeth, and almost (80%) students believed smoking has harmful effects on oral health. Regarding oral health practices, nearly half of the samples reported twice daily tooth-brushing, one-third received regular dental check-ups, and half visited the dentist because of pain or bleeding gums; fear was the main reason for not visiting the dentist. Females primarily visited the dentist for esthetic reasons (70%) and males upon complaint (59.8%). Oral health knowledge and practices among university students were poor. Conclusion: Dental students showed higher knowledge and better practices among disciplines studied. It is also important that dental hygienists take an active role in educating students in the aspect of oral health.

Keywords

Oral Health; Knowledge; Practices; University; Students

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	Doshi, D., Baldava, P., Anup, N. and Sequeira, P.S. (2007) A Comparative Evaluation of Self-Reported Oral Hygiene Practices among Medical and Engineering University Students with Access to Health-Promotive Dental Care. Journal of Contemporary Dental Practice, 8, 68-75.
[2]	Andersen, R., Marcus, M. and Mahshigan, M. (1995) A Comparative Systems Perspective on Oral Health Promotion and Disease Prevention. In: Cohen, L.K. and Gift, H.C., Eds., Disease Prevention and Oral Health Promotion. Socio-Dental Sciences in Action, 3rd Edition, Copenhagen, 307-340.
[3]	Kawamura, M., Spadafora, A., Kim, K.J. and Komabayashi, T. (2002) Comparison of United States and Korean Dental Hygiene Students Using the Hiroshima University-Dental Behavioural Inventory (HU-DBI). International Dental Journal, 52, 156-162. http://dx.doi.org/10.1111/j.1875-595X.2002.tb00621.x
[4]	Kumar, S. (2012) Oral Hygiene Awareness among Two Non Professional College Students in Chennai, India—A Pilot Study. Advances in Life Science and Technology, 5, 31-36.
[5]	Al-Zarea, B.K. (2013) Oral Health Knowledge of Periodontal Disease among University Students. International Journal of Dentistry, 2013, Article ID: 647397. http://www.hindawi.com/journals/ijd/2013/647397/ http://dx.doi.org/10.1155/2013/647397
[6]	Almas, K., Al-Hawish, A. and Al-Khamis, W. (2003) Oral Hygiene Practices, Smoking Habit, and Self-Perceived Oral Malodor among Dental Students. Journal of Contemporary Dental Practice, 4, 77-90.
[7]	Komabayashi, T., Kwan, S.Y., Hu, D.Y., Kajiwara, K., Sasahara, H. and Kawamura, M. (2005) A Comparative Study of Oral Health Attitudes and Behaviour Using the Hiroshima University—Dental Behavioural Inventory (HU-DBI) between Dental Students in Britain and China. Journal of Oral Science, 47, 1-7. http://dx.doi.org/10.2334/josnusd.47.1
[8]	Al-Omari, Q.D. and Hamasha, A.A. (2005) Gender-Specific Oral Health Attitudes and Behavior among Dental Students in Jordan. Journal of Contemporary Dental Practice, 6, 107-114.
[9]	Ohshima, M., Zhu, L., Yamaguchi, Y., Kikuchi, M., Nakajima, I., Langham, C.S., Lin, W., Otsuka, K. and Komiyama, K. (2009) Comparison of Periodontal Health Status and Oral Health Behavior between Japanese and Chinese Dental Students. Journal of Oral Science, 51, 275-281. http://dx.doi.org/10.2334/josnusd.51.275
[10]	Dagli, R.J., Tadakamadla, S., Dhanni, C., Duraiswamy, P. and Kulkarni, S. (2008) Self Reported Dental Health Attitude and Behavior of Dental Students in India. Journal of Oral Science, 50, 267-272. http://dx.doi.org/10.2334/josnusd.50.267
[11]	Al-Hussaini, R., Al-Kandari, M., Hamadi, T., Al-Mutawa, A., Honkala, S. and Memon, A. (2003) Dental Health Knowledge, Attitudes and Behaviour among Students at the Kuwait University Health Sciences Centre. Medical Principles and Practice, 12, 260-265. http://dx.doi.org/10.1159/000072295
[12]	Al-Ansari, J., Honkala, E. and Honkala, S. (2003) Oral Health Knowledge and Behavior among Male Health Sciences College Students in Kuwait. BMC Oral Health, 3, 2. http://dx.doi.org/10.1186/1472-6831-3-2
[13]	Al-Wahadni, A.M., Al-Omiri, M.K. and Kawamura, M. (2004) Differences in Self-Reported Oral Health Behavior between Dental Students and Dental Technology/Dental Hygiene Students in Jordan. Journal of Oral Science, 46, 191-197. http://dx.doi.org/10.2334/josnusd.46.191
[14]	Kirtiloglu, T. and Yavuz, U.S. (2006) An Assessment of Oral Self-Care in the Student Population of a Turkish University. Public Health, 120, 953-957. http://dx.doi.org/10.1016/j.puhe.2006.05.006
[15]	Paulander, J., Axelsson, P. and Lindhe, J. (2003) Association between Level of Education and Oral Health Status in 35-, 50-, 65- and 75-Year-Olds. Journal of Clinical Periodontology, 30, 697-704. http://dx.doi.org/10.1034/j.1600-051X.2003.00357.x
[16]	Koivusilta, L., Honkala, S., Honkala, E. and Rimpela, A. (2003) Toothbrushing as Part of the Adolescent Lifestyle Predicts Education Level. Journal of Dental Research, 82, 361-366. http://dx.doi.org/10.1177/154405910308200507
[17]	Kassak, K.M., Dagher, R. and Doughan, B. (2001) Oral Hygiene and Lifestyle Correlates among New Undergraduate University Students in Lebanon. Journal of American College Health, 50, 15-20. http://dx.doi.org/10.1080/07448480109595706
[18]	Kawamura, M., Iwamoto, Y. and Wright, F.A. (1997) A Comparison of Self-Reported Dental Health Attitudes and Behavior between Selected Japanese and Australian Students. Journal of Dental Education, 61, 354-360.
[19]	Kawamura, M., Honkala, E., Widström, E. and Komabayashi, T. (2000) Cross-Cultural Differences of Self-Reported Oral Health Behaviour in Japanese and Finnish Dental Students. International Dental Journal, 50, 46-50. http://dx.doi.org/10.1111/j.1875-595X.2000.tb00546.x
[20]	Kawamura, M., Yip, H.K., Hu, D.Y. and Komabayashi, T. (2001) A Cross-Cultural Comparison of Dental Health Attitudes and Behaviour among Freshman Dental Students in Japan, Hong Kong and West China. International Dental Journal, 51, 159-163. http://dx.doi.org/10.1002/j.1875-595X.2001.tb00833.x
[21]	Kawamura, M., Ikeda-Nakaoka, Y. and Sasahara, H. (2000) An Assessment of Oral Self-Care Level among Japanese Dental Hygiene Students and General Nursing Students Using the Hiroshima University—Dental Behavioural Inventory (HU-DBI): Surveys in 1990/1999. European Journal of Dental Education, 4, 82-88. http://dx.doi.org/10.1034/j.1600-0579.2000.040206.x
[22]	Farsi, J.M., Farghaly, M.M. and Farsi, N. (2004) Oral Health Knowledge, Attitude and Behaviour among Saudi School Students in Jeddah City. Journal of Dentistry, 32, 47-53. http://dx.doi.org/10.1016/j.jdent.2003.08.002
[23]	Tada, A. and Hanada, N. (2004) Sexual Differences in Oral Health Behaviour and Factors Associated with Oral Health Behaviour in Japanese Young Adults. Public Health, 118, 104-109. http://dx.doi.org/10.1016/j.puhe.2003.05.007
[24]	Astr?m, A.N. (2004) Stability of Oral Health-Related Behaviour in a Norwegian Cohort between the Ages of 15 and 23 Years. Community Dentistry and Oral Epidemiology, 32, 354-362. http://dx.doi.org/10.1111/j.1600-0528.2004.00174.x
[25]	Rimondini, L., Zolfanelli, B., Bernardi, F. and Bez, C. (2001) Self-Preventive Oral Behavior in an Italian University Student Population. Journal of Clinical Periodontology, 28, 207-211. http://dx.doi.org/10.1034/j.1600-051x.2001.028003207.x
[26]	Taani, D.Q. (2002) Periodontal Awareness and Knowledge, and Pattern of Dental Attendence among Adults in Jordan. International Dental Journal, 52, 94-98. http://dx.doi.org/10.1111/j.1875-595X.2002.tb00607.x
[27]	Schwarz, E.L. (1995) Oral Health and Dental Care in Hong Kong. International Dental Journal, 45, 169-176.
[28]	Luciak-Donsberger, C. (2003) Origins and Benefits of Dental Hygiene Practice in Europe. International Journal of Dental Hygiene, 1, 29-42. http://dx.doi.org/10.1034/j.1601-5037.2003.00008.x