ASSESSING THE ORAL HEALTH LITERACY, ORAL HEALTH RELATED QUALITY OF LIFE AND ORAL HEALTH STATUS IN ADULT PATIENTS

Öz

Objectives: Oral health literacy (OHL) is an important term that used to determine the individuals skills to make appropriate oral health decisions, to process and understand basic oral health information. OHL is considered as a part of oral health. This study aimed to evaluate the association between OHL, Oral Health Related Quality of Life (OHRQoL) and decayed (D), missing (M) and filled (F) teeth scores (DMFT). Materials and Methods: This study was conducted on Turkish speaking, 300 voluntary individuals between the ages 18-30 that were applied to Kırıkkale University Faculty of Dentistry without any cognitive impairment, visual and hearing problem. Patients’ socio-demographic information and DMFT scores were recorded. Then OHL level was detected using a word recognition test. After that OHRQoL score was determined using a special survey. Data were analyzed SPSS 16.0 programme with using Pearson correlation analysis, one-way ANOVA and Scheffe tests. Results: Male individuals had more missing teeth than female individuals (p=0.041). OHL was significantly high at higher educational level individuals (p<0.001). In terms of OHL levels, DT, MT, FT, DMFT and OHRQoL scores did not show significant differences (p>0.05). OHL level of the individuals’ did not associated with DT, MT, FT, DMFT and OHRQoL scores (p>0.05).Besides these findings, there is no association was found between DMFT and OHRQoL scores (p>0.05). Age factor showed a positive correlation between MT (p=0.001, r=0.197). Conclusion: The education level of the individuals has an impact on OHL levels. The association between OHL, DMFT and OHRQoL scores did not confirmed clearly. Key Words: DMFT, Oral Epidemiology, Oral Health Literacy, Quality of Life, TREALD-30. Özet Amaç: Ağız sağlığı okuryazarlığı (OHL), kişilerin uygun ağız sağlığı kararlarını verme, temel ağız sağlığı bilgilerini işleme ve anlama becerilerini belirlemek için kullanılan önemli bir terimdir. OHL, ağız sağlığının bir parçası olarak kabul edilir. Bu çalışma, OHL, Ağız Sağlığına Bağlı Yaşam Kalitesi (OHRQoL) ile çürümüş (D), eksik (M) ve doldurulmuş (F) toplam diş skorları (DMFT) arasındaki ilişki değerlendirmeyi amaçladı. Gereç ve Yöntem: Bu çalışma, Kırıkkale Üniversitesi Diş Hekimliği Fakültesi'ne başvuran, 18-30 yaşları arasında, bilişsel bozukluk, görme ve işitme problemi olmayan 300 gönüllü kişi üzerinde gerçekleştirildi. Hastaların sosyo-demografik bilgileri ve DMFT skorları kaydedildi. Hastaların OHL seviyeleri özel bir kelime tanıma testi kullanılarak, OHRQoL skorları ise özel bir anket kullanılarak belirlendi. Veriler SPSS 16.0 programında Pearson korelasyon analizi, tek yönlü ANOVA ve Scheffe testleri kullanılarak analiz edildi. Bulgular: Erkek bireylerde eksik diş sayısı kadınlardan daha fazla bulundu (p=0,41). OHL, yüksek eğitim düzeyindeki bireylerde anlamlı derecede yüksekti (p<0,001). OHL düzeyleri açısından DT, MT, FT, DMFT ve OHRQoL skorları anlamlı farklılık göstermedi (p>0,05). OHL düzeyi bireylerin DT, MT, FT, DMFT ve OHRQoL puanları ile ilişkili bulunmadı(p>0,05). Bireylerin OHL düzeyi DT, MT, FT, DMFT ve OHRQoL skorlarıyla ilişkili bulunmadı (p>0,05). Bu bulguların yanı sıra DMFT ile OHRQoL skorları arasında ilişki bulunmadı (p>0.05). Yaş faktörü MT ile pozitif korelasyon gösterdi (p = 0.001, r = 0.197). Sonuç: Bireylerin eğitim düzeyinin OHL düzeyleri üzerinde etkisi vardır. OHL, DMFT ve OHRQoL skorları arasındaki ilişki net olarak teyit edilmemiştir. Anahtar Kelimeler: DMFT, Oral Epidemiyoloji, Ağız Sağlığı Okuryazarlığı, Yaşam Kalitesi, TREALD-30.

Anahtar Kelimeler

• DMFT
• Oral Epidemiology
• Oral Health Literacy
• Quality of Life
• TREALD-30

ASSESSING THE ORAL HEALTH LITERACY, ORAL HEALTH RELATED QUALITY OF LIFE AND ORAL HEALTH STATUS IN ADULT PATIENTS

Öz

Assessing the Oral Health Literacy, Oral Health Related Quality of Life and Oral Health Status in Adult Patients ABSTRACT Objectives: Oral health literacy (OHL) is an important term that used to determine the individuals skills to make appropriate oral health decisions, to process and understand basic oral health information. OHL is considered as a part of oral health. This study aimed to evaluate the association between OHL, Oral Health Related Quality of Life (OHRQoL) and decayed (D), missing (M) and filled (F) teeth scores (DMFT). Materials and Methods: This study was conducted on Turkish speaking, 300 voluntary individuals between the ages 18-30 that were applied to Kırıkkale University Faculty of Dentistry without any cognitive impairment, visual and hearing problem. Patients’ socio-demographic information and DMFT scores were recorded. Then OHL level was detected using a word recognition test. After that OHRQoL score was determined using a special survey. Data were analyzed SPSS 16.0 programme with using Pearson correlation analysis, one-way ANOVA and Scheffe tests. Results: Male individuals had more missing teeth than female individuals (p=0.041). OHL was significantly high at higher educational level individuals (p<0.001). In terms of OHL levels, DT, MT, FT, DMFT and OHRQoL scores did not show significant differences (p>0.05). OHL level of the individuals’ did not associated with DT, MT, FT, DMFT and OHRQoL scores (p>0.05).Besides these findings, there is no association was found between DMFT and OHRQoL scores (p>0.05). Age factor showed a positive correlation between MT (p=0.001, r=0.197). Conclusion: The education level of the individuals has an impact on OHL levels. The association between OHL, DMFT and OHRQoL scores did not confirmed clearly. Key Words: DMFT, Oral Epidemiology, Oral Health Literacy, Quality of Life, TREALD-30. Yetişkin Hastalarda Ağız Sağlığı Okuryazarlığı, Ağız Sağlığı ile İlgili Yaşam Kalitesi ve Ağız Sağlığı Durumunun Değerlendirilmesi Özet Amaç: Ağız sağlığı okuryazarlığı (OHL), kişilerin uygun ağız sağlığı kararlarını verme, temel ağız sağlığı bilgilerini işleme ve anlama becerilerini belirlemek için kullanılan önemli bir terimdir. OHL, ağız sağlığının bir parçası olarak kabul edilir. Bu çalışma, OHL, Ağız Sağlığına Bağlı Yaşam Kalitesi (OHRQoL) ile çürümüş (D), eksik (M) ve doldurulmuş (F) toplam diş skorları (DMFT) arasındaki ilişki değerlendirmeyi amaçladı. Gereç ve Yöntem: Bu çalışma, Kırıkkale Üniversitesi Diş Hekimliği Fakültesi'ne başvuran, 18-30 yaşları arasında, bilişsel bozukluk, görme ve işitme problemi olmayan 300 gönüllü kişi üzerinde gerçekleştirildi. Hastaların sosyo-demografik bilgileri ve DMFT skorları kaydedildi. Hastaların OHL seviyeleri özel bir kelime tanıma testi kullanılarak, OHRQoL skorları ise özel bir anket kullanılarak belirlendi. Veriler SPSS 16.0 programında Pearson korelasyon analizi, tek yönlü ANOVA ve Scheffe testleri kullanılarak analiz edildi. Bulgular: Erkek bireylerde eksik diş sayısı kadınlardan daha fazla bulundu (p=0,41). OHL, yüksek eğitim düzeyindeki bireylerde anlamlı derecede yüksekti (p<0,001). OHL düzeyleri açısından DT, MT, FT, DMFT ve OHRQoL skorları anlamlı farklılık göstermedi (p>0,05). OHL düzeyi bireylerin DT, MT, FT, DMFT ve OHRQoL puanları ile ilişkili bulunmadı(p>0,05). Bireylerin OHL düzeyi DT, MT, FT, DMFT ve OHRQoL skorlarıyla ilişkili bulunmadı (p>0,05). Bu bulguların yanı sıra DMFT ile OHRQoL skorları arasında ilişki bulunmadı (p>0.05). Yaş faktörü MT ile pozitif korelasyon gösterdi (p = 0.001, r = 0.197). Sonuç: Bireylerin eğitim düzeyinin OHL düzeyleri üzerinde etkisi vardır. OHL, DMFT ve OHRQoL skorları arasındaki ilişki net olarak teyit edilmemiştir. Anahtar Kelimeler: DMFT, Oral Epidemiyoloji, Ağız Sağlığı Okuryazarlığı, Yaşam Kalitesi, TREALD-30.

Anahtar Kelimeler

• DMFT
• Oral Epidemiology
• Quality of Life
• Oral Health Literacy
• TREALD-30

Kaynakça

1. 1. Hongal S, Torwane NA, Goel P, Chandrashekar BR, Jain M, Saxena E. Assessing the oral health literacy: A review. Int J Med Sci Public Health 2013;3:219-24.
2. 2. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int 2000;15:259-67.
3. 3. Horowitz AM, Kleinman DV. Oral health literacy: a pathway to reducing oral health disparities in Maryland. J Public Health Dent 2012;72 Suppl 1:S26-30.
4. 4. Peker K, Kose TE, Guray B, Uysal O, Erdem TL. Reliability and validity of the Turkish version of the Rapid Estimate of Adult Literacy in Dentistry (TREALD-30). Acta Odontol Scand 2017;75:198-207.
5. 5. Simonds SK. Health education as social policy. Health Education Monographs. 1974;2:1-10.
6. 6. Davis TC, Crouch MA, Long SW, Jackson RH, Bates P, George RB, et al. Rapid assessment of literacy levels of adult primary care patients. Fam Med 1991;23:433-5.
7. 7. Devi AM. Reliability and validity of a questionnaire to assess oral health literacy among college students in Bangalore city. International J Contemp Dent 2011;2.
8. 8. Wong HM, Bridges SM, Yiu CK, McGrath CP, Au TK, Parthasarathy DS. Development and validation of Hong Kong rapid estimate of adult literacy in dentistry. J Invest Clin Dent 2012;3:118-27.

9. 9. Lee J, Stucky B, Rozier G, Lee SY, Zeldin LP. O ral H ealth L iteracy A ssessment: development of an oral health literacy instrument for S panish speakers. J Public Health Dent 2013;73:1-8.
10. 10. Tadakamadla SK, Quadri MFA, Pakpour AH, Zailai AM, Sayed ME, Mashyakhy M, et al. Reliability and validity of Arabic rapid estimate of adult literacy in dentistry (AREALD-30) in Saudi Arabia. BMC Oral Health 2014;14:120.
11. 11. Junkes MC, Fraiz FC, Sardenberg F, Lee JY, Paiva SM, Ferreira FM. Validity and reliability of the Brazilian version of the rapid estimate of adult literacy in dentistry–BREALD-30. PloS one 2015;10:e0131600.
12. 12. Sheiham A. Oral health, general health and quality of life. Bull World Health Organ. 2005;83:644.
13. 13. Becker T, Levin L, Shochat T, Einy S. How much does the DMFT index underestimate the need for restorative care? J Dent Educ 2007;71:677-81.
14. 14. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health 1994;11:3-11.
15. 15. Balci N, Alkan N, Gurgan CA. Psychometric properties of a Turkish version of the oral health impact profile-14. Niger J Clin Pract 2017;20:19-24.
16. 16. Vilella KD, Assuncao LR, Junkes MC, Menezes JV, Fraiz FC, Ferreira Fde M. Training and calibration of interviewers for oral health literacy using the BREALD-30 in epidemiological studies. Braz Oral Res 2016;30:e90.
17. 17. Wehmeyer MM, Corwin CL, Guthmiller JM, Lee JY. The impact of oral health literacy on periodontal health status. J Public Health Dent 2014;74:80-7.
18. 18. Bado FMR, De Checchi MHR, Cortellazzi KL, Ju X, Jamieson L, Mialhe FL. Oral health literacy, self-rated oral health, and oral health-related quality of life in Brazilian adults. Eur J Oral Sci 2020;128:218-25.
19. 19. Divaris K, Lee JY, Baker AD, Vann WF, Jr. The relationship of oral health literacy with oral health-related quality of life in a multi-racial sample of low-income female caregivers. Health Qual Life Outcomes 2011;9:108.
20. 20. Jamieson LM, Divaris K, Parker EJ, Lee JY. Oral health literacy comparisons between Indigenous Australians and American Indians. Community Dent Health. 2013;30:52-7.
21. 21. Yamane-Takeuchi M, Ekuni D, Mizutani S, Kataoka K, Taniguchi-Tabata A, Azuma T, et al. Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: a cross-sectional study. Bmc Oral Health 2016;16:127.
22. 22. Lu HX, Wong MCM, Lo ECM, McGrath C. Oral health related quality of life among young adults. Appl Res Qual Life 2015;10:37-47.
23. 23. Jiang HF, Qin D, He SL, Wang JH. OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia. Clin Oral Investig 2020;24:1997-2004.
24. 24. Drachev SN, Brenn T, Trovik TA. Oral Health-Related Quality of life in young adults: a survey of Russian undergraduate students. Int J Environ Res Public Health 2018;15:719.
25. 25. Oscarson N, Kallestal C, Lindholm L. A pilot study of the use of oral health-related quality of life measures as an outcome for analysing the impact of caries disease among Swedish 19-year-olds. Caries Res 2007;41:85-92.
26. 26. Reshmi Haridas SS, Ajagannanavar SL, Tikare S, Maliyil MJ, Kalappa AA. Oral health literacy and oral health status among adults attending dental college hospital in India. J Int Oral Health 2014;6:61.
27. 27. Geltman PL, Adams JH, Cochran J, Doros G, Rybin D, Henshaw M, et al. The impact of functional health literacy and acculturation on the oral health status of Somali refugees living in Massachusetts. Am J Public Health 2013;103:1516-23.
28. 28. Batista MJ, Lawrence HP, Sousa M. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health 2017;18:60.
29. 29. Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health 2018;18:172.
30. 30. Jones M, Lee JY, Rozier RG. Oral health literacy among adult patients seeking dental care. J Am Dent Assoc 2007;138:1199-208.
31. 31. Miller E, Lee JY, DeWalt DA, Vann WF, Jr. Impact of caregiver literacy on children's oral health outcomes. Pediatrics 2010;126:107-14.
32. 32. Vann Jr W, Lee JY, Baker D, Divaris K. Oral health literacy among female caregivers: impact on oral health outcomes in early childhood. J Dent Res 2010;89:1395-400.
33. 33. Simon AK, Rao A, Rajesh G, Shenoy R, Pai MB. Influence of oral health literacy on the oral health status of school teachers in Mangalore, India. J Indian Assoc Public Health Dent 2018;16:127.
34. 34. Parker EJ, Jamieson LM. Associations between Indigenous Australian oral health literacy and self-reported oral health outcomes. Bmc Oral Health 2010;10:3.
35. 35. Pakpour AH, Hidarnia A, Hajizadeh E, Kumar S, Harrison AP. The status of dental caries and related factors in a sample of Iranian adolescents. Med Oral Patol Oral Cir Bucal 2011;16:e822-7.
36. 36. Berkman ND, Davis TC, McCormack L. Health literacy: what is it? J Health Commun. 2010;15 Suppl 2:9-19.
37. 37. Kanli A, Kanbur NO, Dural S, Derman O. Effects of oral health behaviors and socioeconomic factors on a group of Turkish adolescents. Quintessence Int 2008;39:e26-32.
38. 38. Özdabak DN, Yıldız M, Bayındır YZ. Dental caries and treatment needs in relation to parents' educational level: a pilot study among a group of young adults in Erzurum. Atatürk Üniv Diş Hek Fak Derg 2004;14:24-30.
39. 39. Bekiroglu N, Acar N, Kargul B. Caries experience and oral hygiene status of a group of visually impaired children in Istanbul, Turkey. Oral Health Prev Dent 2012;10:75-80.