Assessment of Self Reported Oral Health Attitudes and Behaviors of a Group of Dental Students using the Hiroshima University - Dental Behavioural Inventory in Turkey

Abstract

Purpose: Dental students play a crucial role in promoting positive oral health attitudes and behaviors among their relatives and patients. Students' self reported oral health behaviors may tend to improve as they progress in their dental education. Therefore, this study aimed to assess the difference in self reported oral health behavior and attitudes of a group of Turkish first and final-year students using the Hiroshima University Dental Behavioural Inventory. Materials & Methods: In this cross-sectional study, 237 students, including first and final-year, studying at XXX University Faculty of Dentistry, were invited. Of these, 187 students (108 first, 73 final-year) agreed to participate. Eleven students (7 first-year, 4 final-year) who did not fill out the questionnaire were excluded. The Hiroshima University Dental Behavioural Inventory was used to measure the behaviors and attitudes of the students regarding oral and dental health. Additionally, three items other than HU-DBI were added to the questionnaire. The analysis was conducted using the Chi-square test, and Independent t-test. Results: The responses of 178 students (107 first-year, 69 final-year; 122 female, 54 male) were analyzed. The self reported oral health behavior scores of the final-year students (6.21 ± 1.54) were statistically higher than the scores of the first-year students (5.03 ± 1.76) (p < 0.001). Although the score was slightly higher in females (5.57 ± 1.96) compared to males (5.33 ± 1.27), the difference was not statistically significant (p = 0.334). Conclusions: According to the results of this study, education may have a significant positive effect on self reported oral health behavior and attitude of dental students. Based on the findings of university-based evaluations as this study, curricula that can gain positive attitudes to students and oral hygiene programs aimed at improving students' self-care should be developed from the early years. However, further studies that also evaluate the effect of possible confounding variables on oral health behavior should be done to clearly highlight the impact of education.

Keywords

• dental student
• education level
• health-behavior

References

1. 1.Dilip CL. Health Status, Treatment Requirements, Knowl- edge and Attitude towards Oral Health of Police Recruits in Karnataka. J Indian Assoc Public Health Dent. 2005;5(5):20–35.
2. 2. Yildiz S, Dogan B. Self reported dental health attitudes and be- haviour of dental students in Turkey. Eur J Dent. 2011;5(3):253– 9.
3. 3. Barrieshi-Nusair K, Alomari Q, Said K. Dental health attitudes and behaviour among dental students in Jordan. Community Dent Health. 2006;23(3):147–51.
4. 4. Haghi S, Haghi H, Bagheri A, Karimzadeh N. A compara- tive study of oral health attitude and behavior of dental and public health students in Ardabil, Iran using the Hiroshima University-Dental Behavioral Inventory. J Int Oral Health. 2020;12(3):241–247. doi:10.4103/jioh.Jioh2 891 84.
5. 5. Khalid K, Naidoo S, Elamin FI. Oral Health Behaviours and Attitudes using the Modified Arabic Version of Hiroshima University – Dental Behavioural Inventory (HU-DBI) among Sudanese Dental Students. J Dent Oral Sci. 2016;3:326–330. doi:10.19070/2377-8075-1600065.
6. 6. Badovinac A, Božić D, Vučinac I, Vešligaj J, Vražić D, Plancak D. Oral health attitudes and behavior of dental students at the University of Zagreb, Croatia. J Dent Educ. 2013;77(9):1171–8.
7. 7. Komabayashi T, Kwan SY, Hu DY, Kajiwara K, Sasahara H, Kawamura M. 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. J Oral Sci. 2005;47(1):1–7. doi:10.2334/josnusd.47.1.
8. 8. Polychronopoulou A, Kawamura M. Oral self-care behaviours: comparing Greek and Japanese dental students. Eur J Dent Educ. 2005;9(4):164–70. doi:10.1111/j.1600-0579.2005.00387.x.

9. 9. Wagle M, Acharya G, Basnet P, Trovik TA. Knowledge about preventive dentistry versus self-reported competence in pro- viding preventive oral healthcare - a study among Nepalese dentists. BMC Oral Health. 2017;17(1):76. doi:10.1186/s12903- 017-0366-5.
10. 10. Baseer MA, Rahman G, Al Kawaey Z, Al Awamy B, Al Manmeen Z, Al Shalaty F. Evaluation of oral health behavior of female dental hygiene students and interns of Saudi Arabia by using Hiroshima University Dental Behavioural Inventory (HU-DBI). Oral Health Dent Manag. 2013;12(4):255–61.
11. 11. Dogan B, Filizi K, Kucukdogan U. Dis hekimligi ogrencilerinin cinsiyete bagli agiz sagligi hakkindaki davranis ve dusunceleri. Gazi Univ Dis Hekim Fak Derg. 2009;26(2):87–93. Available from: http://search/yayin/detay/93848.
12. 12. Kawamura M. [Dental behavioral science. The relationship between perceptions of oral health and oral status in adults]. Hiroshima Daigaku Shigaku Zasshi. 1988;20(2):273–286.
13. 13. Kawamura M, Spadafora A, Kim KJ, Komabayashi T. Compari- son of United States and Korean dental hygiene students using the Hiroshima university-dental behavioural inventory(HU-DBI). Int Dent J. 2002;52(3):156–62. doi:10.1111/j.1875- 595x.2002.tb00621.x.
14. 14. Kawamura M, Honkala E, Widström E, Komabayashi T. Cross- cultural differences of self-reported oral health behaviour in Japanese and Finnish dental students. Int Dent J. 2000;50(1):46– 50. doi:10.1111/j.1875-595x.2000.tb00546.x.
15. 15. Kawamura M, Iwamoto Y, Wright FA. A comparison of self- reported dental health attitudes and behavior between selected Japanese and Australian students. J Dent Educ. 1997;61(4):354–360
16. 16. KimKJ,KomabayashiT,MoonSE,GooKM,OkadaM,Kawamura M. Oral health attitudes/behavior and gingival self- care level of Korean dental hygiene students. J Oral Sci. 2001;43(1):49–53. doi:10.2334/josnusd.43.49.
17. 17. Camgöz M, Gürgen C. Diş Hekimliği Fakültesi Öğrencisi Olan ve Olmayan Üniversite1. Sınıf Öğrencilerinin Ağız ve Diş Sağlığı ile Kişisel BakımAlışkanlıklarının Karşılaştırılması. Turkiye Klinikleri J Dental Sci. 2021;27(4):645– 651. Available from: http://search/yayin/detay/469011. doi:10.5336/dentalsci.2020-79891.
18. 18. Neeraja R, Kayalvizhi G, Sangeetha P. Oral Health Attitudes and Behavior among a Group of Dental Students in Bangalore, India. Eur J Dent. 2011;5(2):163–7.
19. 19. Al-Omiri MK, Barghout NH, Shaweesh AI, Malkawi Z. Level of education and gender-specific self-reported oral health behavior among dental students. Oral Health Prev Dent. 2012;10(1):29–35.
20. 20. Wendt LK, Hallonsten AL, Koch G, Birkhed D. Oral hygiene in relation to caries development and immigrant status in in- fants and toddlers. Scand J Dent Res. 1994;102(5):269–73. doi:10.1111/j.1600-0722.1994.tb01467.x.
21. 21. Pacauskiene IM, Smailiene D, Siudikiene ̇ J, Savanevskyte J, Nedzelskiene I. Self-reported oral health behavior and attitudes of dental and technology students in Lithuania. Stomatologija. 2014;16(2):65–71.
22. 22. Sato M, Camino J, Oyakawa HR, Rodriguez L, Tong L, Ahn C, et al. Effect of dental education on Peruvian dental stu- dents’ oral health-related attitudes and behavior. J Dent Educ. 2013;77(9):1179–84.
23. 23. Dagli RJ, Tadakamadla S, Dhanni C, Duraiswamy P, Kulka- rni S. Self reported dental health attitude and behavior of dental students in India. J Oral Sci. 2008;50(3):267–72. doi:10.2334/josnusd.50.267.
24. 24. Peker K, Uysal O, Bermek G. Dental training and changes in oral health attitudes and behaviors in Istanbul dental students. J Dent Educ. 2010;74(9):1017–23.
25. 25. Kawamura M, Ikeda-Nakaoka Y, Sasahara H. An assess- ment of oral self-care level among Japanese dental hygiene students and general nursing students using the Hi- roshima University–Dental Behavioural Inventory (HU-DBI): surveys in 1990/1999. Eur J Dent Educ. 2000;4(2):82–8. doi:10.1034/j.1600-0579.2000.040206.x.
26. 26. Nanakorn S, Osaka R, Chusilp K, Tsuda A, Maskasame S, Ratanasiri A. Gender differences in health-related practices among university students in northeast Thailand. Asia Pac J Public Health. 1999;11(1):10–5. doi:10.1177/101053959901100103.
27. 27. Dumitrescu AL, Kawamura M, Sasahara H. An assessment of oral self-care among Romanian dental students using the Hi- roshima University–Dental Behavioural Inventory. Oral Health Prev Dent. 2007;5(2):95–100.
28. 28. Kawamura M, Yip HK, Hu DY, Komabayashi T. A cross- cultural comparison of dental health attitudes and behaviour among freshman dental students in Japan, Hong Kong and West China. Int Dent J. 2001;51(3):159–63. doi:10.1002/j.1875- 595x.2001.tb00833.x.
29. 29. Cortes FJ, Nevot C, Ramon JM, Cuenca E. The evolution of dental health in dental students at the University of Barcelona. J Dent Educ. 2002;66(10):1203–8.