Do sociodemographic factors influence the levels of health and oral literacy? A cross-sectional study.

BACKGROUND: Oral health literacy has gained importance in dental literature, and its relationship with oral health status and association with health status (HL) has been reported. Then, an association between the levels of HL and OHL could be expected. This study aimed to assess the levels of HL and OHL according to sociodemographic factors and to explore a possible association between HL and OHL. METHODS: The European Health Literacy Survey and Oral Health Literacy Adults Questionnaire were applied to a convenience sample from Portuguese individuals. Also, sociodemographic factors such as sex, age, schooling level of the participants and their parents, and if the participants were professionals or students of the health field were assessed. To analyze the data, the Kruskal-Wallis and Mann-Whitney U tests were used to compared sociodemographic variables and the levels of literacy in general and oral health. The Spearman correlation test assessed the correlation between the levels of HL and OHL. RESULTS: HL results showed that 45.1% of the volunteers were considered in a "problematic level" and 10.3% in "excellent level". However, 75% presented an adequate level of OHL. Regarding the levels of HL in each sociodemographic variable, significant higher levels of "excellent level" were found in health professionals and students when compared with participants not related to health area (p < 0.001). Comparisons between the levels of OHL in each sociodemographic variable showed, significant differences regarding sex (p < 0.05), age (p < 0.001), levels of schooling of the participants and their parents (p < 0.009 and p < 0.001) and relationship with health field. (p < 0.001). A significant positive - weak correlation was found between HL and OHL (p < 0.001). CONCLUSIONS: HL and OHL levels are associated and could be influenced by sociodemographic factors.

Oral health habits, attitudes and behaviors of Portuguese adolescents.

PURPOSE: Oral health has a profound impact on the health of adolescents. The aim of the present study was to obtain information on habits, knowledge and oral hygiene attitudes of Portuguese teenagers and to study the gender differences concerning these issues. METHODS: A total of 1203 adolescents participated in the study (55.8% females; mean age, 14.9 years). To recruit participants, a national network of community dental hygienists, working in the health centers, was created, and adolescents were contacted at the schools. A questionnaire was applied in the classroom, during school hours, under supervision of one researcher and the classroom teacher, after collection of informed consent forms. RESULTS: Portuguese adolescents do not seem to have dental fear but have some anxiety when at the dental office; girls are more anxious than boys. Girls are also more concerned with esthetics and aware of dental problems and care about oral health of family and friends. Parental supervision is more relevant for boys in order to obtain better compliance with dental care; however, 97.2% of the adolescents do not consider maintaining teeth throughout the lifetime as relevant. CONCLUSION: Teenagers recognize dental professionals as educators and oral health as relevant in their lives. It is possible to assume that gender has an influence on adolescent's habits, behavior and attitudes regarding oral hygiene. There is a difference between boys and girls concerning their habits, knowledge and attitudes in dental hygiene; this difference may show the need to create different strategies for oral health promotion for these two groups of adolescents.