Sistani Mohammad Mehdi Naghibi, Virtanen Jorma, Yazdani Reza, Murtomaa Heikki
Department of Community Oral Health, Oral Health Research Center, Faculty of Dentistry, Babol University of Medical Sciences, Babol, Iran.
Department of Community Dentistry, Research Unit of Oral Health Sciences, University of Oulu; Medical Research Center, Oulu University Hospital, Oulu, Finland.
Eur J Dent. 2017 Apr-Jun;11(2):162-167. doi: 10.4103/ejd.ejd_332_16.
To assess the association of oral health behavior (OHB) and the use of dental services with oral health literacy (OHL) among Iranian adults.
This was a cross-sectional population study of a random sample of 1031 adults aged 18-65 in Tehran, Iran. We collected data on tooth brushing frequency, the consumption of sugary snacks and beverages, and time since last dental visit. To measure OHL, we used a validated OHL adults' questionnaire (OHL-AQ). In addition to descriptive analysis, we used multiple logistic regression models to assess the association of OHB and the most recent dental visit with OHL while controlling for socioeconomic and demographic factors.
The participants' mean age was 36.3 (standard deviation 12.9), and 51% were women. Of the participants, 81.3% reported brushing their teeth daily (≥1/day), 37.6% consumed sugary snacks or beverages between meals less than once daily (<1/day), and 36.8% used dental services within the past 6 months. In the adjusted models, high OHL scores significantly correlated with daily (≥1/day) tooth brushing (odds ratio [OR] = 1.97, 95% confidence interval [CI]: 1.30-2.98), the consumption of sugary snacks or beverages (<1/day between meals) (OR = 1.56, 95% CI: 1.13-2.15) and the recent use of dental services (≤6 months) (OR = 1.59, 95% CI: 1.15-2.21), respectively.
OHL relates significantly to improved OHB and the use of dental services. Oral health promotion programs should, therefore, take into account improvements in adults' OHL, particularly in countries with developing health-care services.
评估伊朗成年人的口腔健康行为（OHB）和牙科服务利用情况与口腔健康素养（OHL）之间的关联。
这是一项对伊朗德黑兰1031名18 - 65岁成年人的随机样本进行的横断面人群研究。我们收集了刷牙频率、含糖零食和饮料的摄入量以及上次看牙时间的数据。为了测量OHL，我们使用了经过验证的成人OHL问卷（OHL - AQ）。除了描述性分析外，我们还使用多元逻辑回归模型评估OHB和最近一次看牙与OHL之间的关联，同时控制社会经济和人口因素。
参与者的平均年龄为36.3岁（标准差12.9），51%为女性。在参与者中，81.3%报告每天刷牙（≥1次/天），37.6%在两餐之间食用含糖零食或饮料的频率低于每天一次（<1次/天），36.8%在过去6个月内使用过牙科服务。在调整后的模型中，高OHL得分分别与每天（≥1次/天）刷牙（优势比[OR]=1.97，95%置信区间[CI]：1.30 - 2.98）、食用含糖零食或饮料（两餐之间<1次/天）（OR = 1.56，95% CI：1.13 - 2.15）以及最近使用牙科服务（≤6个月）（OR = 1.59，95% CI：1.15 - 2.21）显著相关。
OHL与改善OHB和牙科服务的利用显著相关。因此，口腔健康促进项目应考虑提高成年人的OHL，特别是在医疗服务发展中的国家。
