ORAL HEALTH ATTITUDES AND BEHAVIORS AMONG PATIENTS IN A DENTAL HOSPITAL IN ANKARA, TURKEY

Öz

Purpose: Information about public’s knowledge and attitude about oral diseases and their prevention would indicate the need for education of the community. The objective of this study was to have a foresight about oral health attitude and behavior among adult patients in a state dental hospital, Ankara.

Material and Method: Questionnaire was prepared using Turkish version of Hiroshima University Dental Behavioural Inventory (HU-DBI) and additional 7 questions. 258 number of patients participated. Edentulous patients and patients under 12 years old were kept out of the study. Pearson’s Chi-Square,Kruskall-Wallis H and  Mann-Whitney U Tests were used to analyse the results.

Results: The average age was 33.0. Of the participants, 51.2% was female and 48.8% was male. 14.3% of the patients was graduated from primary school, 12.1% secondary school, 36.4% high school, 3.9% open university, 33.3% university and post graduate. The mean HU-DBI score was 5.3 (out of 12). Females had significantly higher HU-DBI scores than males (p=0.039). Individuals brushing before sleep had significantly high scores (p=0.0001). Females brushed their teeth before sleep more than males (p=0.019). Females preferred medicine first more than males (p=0.019). Statistically significant difference in prefering medicine first was determined in the group of primary school (p=0.012). As level of education increased, usage rate of dental floss increased (p=0.018).

Conclusions: Oral health attitude and behavior of the population studied was not satisfactory. Oral health education should be provided for the community.

Anahtar Kelimeler

• devlet hastanesi, ağız sağlığı davranışı, ağız sağlığı tutumu, anket, Ankara

ORAL HEALTH ATTITUDES AND BEHAVIORS AMONG PATIENTS IN A DENTAL HOSPITAL IN ANKARA, TURKEY

Öz

Purpose: Information about public’s knowledge and attitude about oral diseases and their prevention would indicate the need for education of the community. The objective of this study was to have a foresight about oral health attitude and behavior among adult patients in a state dental hospital, Ankara. Material and Method: Questionnaire was prepared using Turkish version of Hiroshima University Dental Behavioural Inventory (HU-DBI) and additional 7 questions. 258 number of patients participated. Edentulous patients and patients under 12 years old were kept out of the study. Pearson’s ChiSquare,Kruskall-Wallis H and Mann-Whitney U Tests were used to analyse the results. Results: The average age was 33.0. Of the participants, 51.2% was female and 48.8% was male. 14.3% of the patients was graduated from primary school, 12.1% secondary school, 36.4% high school, 3.9% open university, 33.3% university and post graduate. The mean HU-DBI score was 5.3 (out of 12). Females had significantly higher HU-DBI scores than males (p=0.039). Individuals brushing before sleep had significantly high scores (p=0.0001). Females brushed their teeth before sleep more than males (p=0.019). Females preferred medicine first more than males (p=0.019). Statistically significant difference in prefering medicine first was determined in the group of primary school (p=0.012). As level of education increased, usage rate of dental floss increased (p=0.018). Conclusions: Oral health attitude and behavior of the population studied was not satisfactory. Oral health education should be provided for the community

Anahtar Kelimeler

• Dental hospital, oral health attitude, oral health behavior, questionnaire, Ankara

Kaynakça

1. Levin L, Shenkman A. The Relationship Between Dental Caries Status and Oral Health Attitudes and Behavior in Young Israeli Adults. J Dent Educ 2004; 68: 1185-91.
2. Jensen O, Gabre P, Sköld UM, Birkhed D. Is the use of fluoride toothpaste optimal? Knowledge, attitudes and behaviour concerning fluoride toothpaste and toothbrushing in different age groups in Sweden. Community Dent oral Epidemiol 2012; 40: 175-84.
3. Yildiz S, Dogan B. Self Reported Dental Health Attitudes and Behaviour of Dental Students in Turkey. Eur J Dent 2011; 5: 253-9.
4. KawamuraM, SasaharaH, KawabataK, Iwamoto Y, Khonishi K, Wright FAC. Relationship between CPITN and oral health behaviour in Japanese adults. Aust Dent J 1993; 38: 381-8.
5. Komabayashi T, Kwan SYL, 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: 1-7. 6. Kawamura
6. M, Honkala E, Wisdtröm E,
7. Komabayashi T. Cross-cultural differences of self
8. reported oral health behaviour in Japanese and

9. Finnish dental students. Int Dent J 2000; 50: 46- 50.
10. Doğan B. Differences in Oral Health Behavior and Attitudes Between Dental and Nursing Students. MÜSBED 2013; 3: 34-40.
11. Rahman B, Kawas SA. The relation between dental health behavior, oral hygiene and gingival status of dental students in the United Arab Emirates. Eur J Dent 2013; 7: 22-7.
12. WahadniAM, OmiriMK, KawamuraM. Differences in self-reported oral health behavior between dental students and dental technology/dental hygiene students in Jordan. J oral Sci 2004; 46: 191-7.
13. OkadaM, KawamuraM, Kaihara Y, Matsuzaki Y, Kuwahara S, Ishidori H. Influence of parents’ oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Paediatr Dent 2002; 12: 101-8.
14. Okada M, Kawamura M, Hayashi Y, Takase N, Kozai K. Simultaneous interrelationship between the oral health behavior and oral health status of mothers and their children. J Oral Sci 2008; 50: 447-52.
15. Kawamura M, Fukuda S, Kawabata K, Iwamoto Y. Comparison of health behaviour and oral/medical conditions in non-insulin-dependent (type II) diabetics and non-diabetics. Aust Dent J 1998; 43: 315-20.
16. Kawamura M, Tsurumoto A, Fukuda S, Sasahara H. Health behaviors and their relation to metabolic control and periodontal status in type 2 diabetic patients: a model tested using a linear structural relations program. J Periodontol 2001; 72: 1246- 53.
17. Kara MC, Zihni M. Knowledge level of patients in Erzurum region about oral and periodontal health. Atatürk Üniv. Diş Hek Fak Derg 2004; 14: 1-8.
18. Doğan B, Filizi K, Küçükdoğan Ü. Gender-specific oral health attitudes and behavior among dental students. GÜ Diş Hek Fak Derg 2009; 26: 87-93.
19. Ünlüer Ş, Gökalp S, Doğan BG. Oral health status of elderly in a residential home in Turkey. Gerodontology 2007; 24: 22-9.
20. Ozkan O, Hamzaoglu O, Erdine S, Balta E, Domac M. Use of analgesics in adults with pain complaints: prevalence and associated factors, Turkey. Rev Saude Publica 2009; 43: 140-146.
21. Pekkan G, Kilicoglu A, Hatipoglu H. Relationship between dental anxiety, general anxiety level and depression in patients attending a university hospital dental clinic in turkey. Community Dent Health 2011; 28: 149-53.
22. Erten HA, Zühre ZB, Emre. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int 2006; 37: 304-10.
23. Firat D, Tunc EP, Sar V. Dental anxiety among adults in Turkey. J Contemp Dent Pract 2006; 7: 75-82.
24. Armfield JM. What goes around comes around: revisiting the hypothesized vicious cycle of dental fear and avoidance. Community Dent Oral Epidemiol. 2013; 41: 279-87.
25. Kawamura M, Iwamoto Y. Present state of dental health perceived oral health of Japanese employees. Int Dent J 1999; 49: 173-81. and
26. Khader YS. Factors associated with periodontal diseases in Jordan: principal component and factor analysis approach. J Oral Sci 2006; 48: 77-84.
27. Ramraj C, Azarpazhooh A, Dempster L, Ravaghi V, Quiñonez C. Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Orak Health 2012; 12: 46-55.
28. Dumitrescu AL, Wagle M, Dogaru BC, Manolescu B. Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior. J Oral Sci 2011; 53: 369-77.
29. Kakoei S, Parirokh M, Nakhaee N, Jamshidshirazi F, Rad M, Kakooei S. Prevalence of toothache and associated factors: a population-based study in southeast Iran. Iran Endod J 2013; 8: 123-8.
30. Tseveenjav B, Suominen-Taipale L, Varsio S, Hausen H, Knuuttila M, Vehkalahti MM. Patterns of oral cleaning habits and use of fluoride among dentate adults in Finland. Oral Health Prev Dent 2010; 8: 287-94.
31. Shekar BRC, Reddy CVK, Manjunath BC, Suma S. Dental health awareness, attitude, oral health- related habits, and behaviors in relation to socioeconomic factors among the municipal employees of Mysore city. Ann Trop Med Public Health 2011; 4: 99-106.
32. Akça S, Akan B, Baysal Z. Patient satisfaction in Oral and Dental Health Centers “Bolu İzzet Baysal Oral and Dental Health Center”. Ankara: Turkish Republic Ministry of Health Organisation 2013, publication no. 900.
33. Yurtsever S, Çakmak AÇ. Measurement of service qulity in hospitals using patient satisfaction state: a survey about inpatients in Karabük State Hospital. Ankara: Turkish Republic Ministry of Health Organisation 2013, publication no. 899.
34. Kanber NA, Gürlek Ö. The effect of the number of beds in a patient room on the patient pleasure. Ankara: Turkish Republic Ministry of Health Organisation 2013, publication no. 899.
35. İncesu E, Yüzüak Z, Tombul C. Accessibility of health service at home: accessibility of service by patients in Homehealth Unit of Konya Seydişehir State Hospital. Ankara: Turkish Republic Ministry of Health Organisation 2013, publication no. 899.