Lawal Folake Barakat, Oke Gbemisola Aderemi
Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
SAGE Open Med. 2020 Aug 18;8:2050312120951066. doi: 10.1177/2050312120951066. eCollection 2020.
The institution of appropriate oral health promotion programs targeted at adolescents in schools in developing countries requires baseline information on their oral health knowledge, attitude, and practices as well as associated factors influencing it, which are unknown. This study assessed clinical and sociodemographic factors associated with oral health knowledge, attitude, and practices of adolescents in Ibadan, Nigeria.
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 were obtained through a questionnaire on oral health knowledge, attitude, and practices, and sociodemographic characteristics. Oral examination was conducted to assess the clinical oral condition of the adolescents. Data were analyzed with SPSS. The higher the percentage scores, the better the oral health knowledge, attitude, and practices, and overall awareness of oral health.
The oral health knowledge score ranged from 0% to 60%; mean oral health knowledge score was 15.1% (±6.6%). The oral health attitude score ranged from 0% to 91.3%; mean oral health attitude score was 44.5% (±14.3%). The oral health practices score ranged from 0% to 88.9%, and mean oral health practices score was 42.5% (±13.8%). The mean oral health knowledge, attitude, and practices score was 43.8% (±11.4%). A total of 1537 (73.3%) participants had unhealthy periodontium and 98 (4.7%) had dental caries. Students who were 12-15 years (odds ratio = 1.7, 95% confidence interval = 1.4-2.0, p < 0.001), females (odds ratio = 1.2, 95% confidence interval = 1.0-1.5, p = 0.024), offspring of skilled workers (odds ratio = 1.5, 95% confidence interval = 1.1-2.0, p = 0.010), previously educated about oral health (odds ratio = 1.3, 95% confidence interval = 1.0-1.7, p = 0.023), consulted the dentist (odds ratio = 1.9, 95% confidence interval = 1.2-3.1, p = 0.009), or had unhealthy periodontal condition (odds ratio = 1.2, 95% confidence interval = 1.0-1.5, p = 0.042) were more likely to have higher oral health knowledge, attitude, and practices scores or awareness than others.
Better knowledge, attitude, and practices score was associated with younger age group, higher occupational class, previous oral health education, dental consultation, and having unhealthy periodontal condition.
在发展中国家的学校中针对青少年制定适当的口腔健康促进计划，需要了解他们的口腔健康知识、态度和行为的基线信息以及影响这些的相关因素，但目前这些情况尚不清楚。本研究评估了尼日利亚伊巴丹青少年口腔健康知识、态度和行为以及相关因素的临床和社会人口学因素。
在尼日利亚伊巴丹进行的一项横断面研究中，从30所随机选择的中学招募了2097名12 - 18岁的学生。通过关于口腔健康知识、态度和行为以及社会人口学特征的问卷获取数据。进行口腔检查以评估青少年的临床口腔状况。数据用SPSS进行分析。百分比得分越高，口腔健康知识、态度和行为以及口腔健康的总体意识越好。
口腔健康知识得分范围为0%至60%；平均口腔健康知识得分为15.1%（±6.6%）。口腔健康态度得分范围为0%至91.3%；平均口腔健康态度得分为44.5%（±14.3%）。口腔健康行为得分范围为0%至88.9%，平均口腔健康行为得分为42.5%（±13.8%）。口腔健康知识、态度和行为的平均得分为43.8%（±11.4%）。共有1537名（73.3%）参与者患有不健康的牙周病，98名（4.7%）有龋齿。12 - 15岁的学生（优势比 = 1.7，95%置信区间 = 1.4 - 2.0，p < 0.001）、女性（优势比 = 1.2，95%置信区间 = 1.0 - 1.5，p = 0.024）、技术工人的子女（优势比 = 1.5，95%置信区间 = 1.1 - 2.0，p = 0.010）、之前接受过口腔健康教育的（优势比 = 1.3，95%置信区间 = 1.0 - 1.7，p = 0.023）、咨询过牙医的（优势比 = 1.9，95%置信区间 = 1.2 - 3.1，p = 0.009）或患有不健康牙周状况的（优势比 = 1.2，95%置信区间 = 1.0 - 1.5，p = 0.042）比其他人更有可能具有更高的口腔健康知识、态度和行为得分或意识。
更好的知识、态度和行为得分与较年轻的年龄组、较高的职业阶层、先前的口腔健康教育、牙科咨询以及患有不健康的牙周状况有关。
