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Oral health knowledge, attitude and practice among adolescents in Kuwait

  • Menther Abdulrahim , Mohammad AlKandari , Qasem Alomari and Jagan K. Baskaradoss EMAIL logo

Abstract

Objectives

Adequate knowledge about oral health at a young age is essential in establishing good oral health related behaviors and in developing a positive attitude towards oral health. This study aims to assess the oral health knowledge, attitude and practice of adolescent children aged 15–17 years in Kuwait.

Methods

This cross-sectional survey was conducted in 12 randomly selected public schools in Kuwait using a two-stage cluster sampling method. An Arabic questionnaire with 29 questions were distributed to the students from selected classes. The questionnaire was divided into four sections: the first section gathered information on the sociodemographic characteristics of the participants; the second section assessed the oral health knowledge of the respondents; the third section assessed the students’ attitude towards professional dental care and the last section assessed the students’ oral health behaviors and practice. Frequency distributions were obtained for each variable and the differences between genders were analyzed using chi-squared statistics and the mean difference in the knowledge and attitude scores were analyzed using independent sample t-test.

Results

A total of 3,091 students aged 15–17 years (52.8% girls) participated in this study. The mean (SD) knowledge score of the respondents was 8.62 (2.53) and this was significantly higher for girls compared to boys (p<0.001). Significantly higher percentage of girls than boys knew the role of diet and oral hygiene in preventing caries (p<0.001). Knowledge about dental plaque was very limited in this population. Majority of the respondents believed that regular dental visits were essential (87.1%). The mean (SD) attitude score of the respondents was 3.30 (2.72) and this was significantly higher for girls compared to boys (p<0.001). Majority of the students used toothbrush and toothpaste to clean their teeth (60%).

Conclusion

Significant gender differences were observed in the oral health knowledge and attitudes in this population. School based oral health promotion programs can be effective in promoting good oral health attitudes and practice among children.


Corresponding author: Dr. Jagan K. Baskaradoss, Department of Developmental and Preventive Sciences, Faculty of Dentistry, Division of Dental Public Health, Kuwait University, P.O. Box: 24923, Safat 13110, Kuwait. Phone: (+965) 2463 6807, Fax: (+965) 25326049, E-mail:

Acknowledgments

We express our appreciation to all the children who participated in this survey and to the school authorities for their cooperation and assistance.

  1. Research funding: The study did not receive any financial support.

  2. Author contributions: MAb and MAl designed the study and have taken an active role in data collection, analysis and drafting and revising the manuscript. QAO and JKB have taken an active role supervising the study and drafting the manuscript. All the authors have read and approved the final manuscript.

  3. Competing interests: The authors declare no competing interests.

  4. Informed consent: Assent forms were signed by students willing to participate in the study.

  5. Ethical approval: The research was conducted in accordance with the World Medical Association Declaration of Helsinki and was approved by the Health Science Center Ethical Committee of the Faculty of Medicine, Kuwait University.

  6. Consent for publication: Not Applicable

  7. Availability of data and materials: The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.

References

1. Kassebaum, N, Smith, A, Bernabé, E, Fleming, T, Reynolds, A, Vos, T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res 2017;96:380–7. https://doi.org/10.1177/0022034517693566.Search in Google Scholar PubMed PubMed Central

2. Evans, CA, Kleinman, DV. The Surgeon General’s report on America’s oral health: opportunities for the dental profession. J Am Dent Assoc 2000;131:1721–8. https://doi.org/10.14219/jada.archive.2000.0118.Search in Google Scholar PubMed

3. Naidu, R, Nunn, J, Irwin, JD. The effect of motivational interviewing on oral healthcare knowledge, attitudes and behaviour of parents and caregivers of preschool children: an exploratory cluster randomised controlled study. BMC Oral Health 2015;15:101. https://doi.org/10.1186/s12903-015-0068-9.Search in Google Scholar PubMed PubMed Central

4. Varenne, B, Petersen, PE, Ouattara, S. Oral health behaviour of children and adults in urban and rural areas of Burkina Faso, Africa. Int Dent J 2006;56:61–70.https://doi.org/10.1111/j.1875-595x.2006.tb00075.x.Search in Google Scholar PubMed

5. Kasila, K, Poskiparta, M, Kettunen, T, Pietilä, I. Oral health counselling in changing schoolchildren’s oral hygiene habits: a qualitative study. Community Dent Oral Epidemiol 2006;34:419–28. https://doi.org/10.1111/j.1600-0528.2006.00288.x.Search in Google Scholar PubMed

6. Vermaire, J, Hoogstraten, J, Van Loveren, C, Poorterman, J, Van Exel, N. Attitudes towards oral health among parents of 6‐year‐old children at risk of developing caries. Community Dent Oral Epidemiol 2010;38:507–20. https://doi.org/10.1111/j.1600-0528.2010.00558.x.Search in Google Scholar PubMed

7. Coolidge, T, Heima, M, Johnson, EK, Weinstein, P. The dental neglect scale in adolescents. BMC Oral Health 2009;9:2. https://doi.org/10.1186/1472-6831-9-2.Search in Google Scholar PubMed PubMed Central

8. Ariga, J, Al-Mutawa, S, Nazar, H. School oral health program in Kuwait. Med Princ Pract 2014;23(1 Suppl):43–6. https://doi.org/10.1159/000356504.Search in Google Scholar PubMed PubMed Central

9. Kwan, SY, Petersen, PE, Pine, CM, Borutta, A. Health-promoting schools: an opportunity for oral health promotion. Bull World Health Organ 2005;83:677–85. https://doi.org/10.1590/S0042-96862005000900013.Search in Google Scholar

10. Honkala, S, Behbehani, JM, Honkala, E. Daily consumption of sugary drinks and foods as a behavioural risk for health of adolescents in Kuwait. Oral Health Prev Dent 2012;10:113–22. https://doi.org/10.3290/j.ohpd.a27997.Search in Google Scholar

11. Akpata, E, Al-Attar, A, Sharma, P. Factors associated with severe caries among adults in Kuwait. Med Princ Pract 2009;18:93–9. https://doi.org/10.1159/000189805.Search in Google Scholar PubMed

12. Sheiham, A, James, W. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res 2015;94:1341–7. https://doi.org/10.1177/0022034515590377.Search in Google Scholar PubMed

13. Shah, P, Misra, A, Gupta, N, Hazra, DK, Gupta, R, Seth, P, et al. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: findings from the “Medical education for children/Adolescents for Realistic prevention of obesity and diabetes and for healthy aGeing”(MARG) intervention study. Br J Nutr 2010;104:427–36. https://doi.org/10.1017/s0007114510000681.Search in Google Scholar

14. State of Kuwait. Statistical data of education in the State of Kuwait for the scholastic year – 2001/2002. Kuwait City: Ministry of Education, Planning Department; 2002.Search in Google Scholar

15. Al-Omiri, MK, Al-Wahadni, AM, Saeed, KN. Oral health attitudes, knowledge, and behavior among school children in North Jordan. J Dent Educ 2006;70:179–87. https://doi.org/10.1002/j.0022-0337.2006.70.2.tb04074.x.Search in Google Scholar

16. Thornton-Evans, G, Junger, ML, Lin, M, Wei, L, Espinoza, L, Beltran-Aguilar, E. Use of toothpaste and toothbrushing patterns among children and adolescents–United States, 2013–2016. MMWR Morb Mortal Wkly Rep 2019; 68:87–90. https://doi.org/10.15585/mmwr.mm6804a3.Search in Google Scholar PubMed PubMed Central

17. Gupta, T, Sequeira, P, Acharya, S. Oral health knowledge, attitude and practices of a 15-year-old adolescent population in Southern India and their social determinants. Oral Health Prev Dent 2012;10:345–54. https://doi.org/10.3290/j.ohpd.a28905.Search in Google Scholar

18. Blaggana, A, Grover, V, Anjali, AK, Blaggana, V, Tanwar, R, Kaur, H, et al. Oral health knowledge, attitudes and practice behaviour among secondary school children in Chandigarh. J Clin Diagn Res 2016;10:ZC01–6. https://doi.org/10.7860/JCDR/2016/23640.8633.Search in Google Scholar PubMed PubMed Central

19. Haque, SE, Rahman, M, Itsuko, K, Mutahara, M, Kayako, S, Tsutsumi, A, et al. Effect of a school-based oral health education in preventing untreated dental caries and increasing knowledge, attitude, and practices among adolescents in Bangladesh. BMC Oral Health 2016;16:44. https://doi.org/10.1186/s12903-016-0202-3.Search in Google Scholar PubMed PubMed Central

20. Larsen, CD, Larsen, MD, Handwerker, LB, Kim, MS, Rosenthal, M. A comparison of urban school‐and community‐based dental clinics. J Sch Health 2009;79:116–22. https://doi.org/10.1111/j.1746-1561.2008.00395.x.Search in Google Scholar PubMed

21. Petersen, PE. The world oral health report 2003: continuous improvement of oral health in the 21st century–the approach of the WHO global oral health programme. Community Dent Oral Epidemiol 2003;31:3–24. https://doi.org/10.1046/j.2003.com122.x.Search in Google Scholar

22. Al-Ansari, JM, Honkala, S. Gender differences in oral health knowledge and behavior of the health science college students in Kuwait. J Allied Health 2007;36:41–6.Search in Google Scholar

23. Kateeb, E. Gender-specific oral health attitudes and behaviour among dental students in Palestine. East Mediterr Health J 2010;16:329–33. https://doi.org/10.26719/2010.16.3.329.Search in Google Scholar

24. Brener, ND, Billy, JO, Grady, WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health 2003;33:436–57. https://doi.org/10.1016/s1054-139x(03)00052-1.Search in Google Scholar PubMed

Received: 2020-06-20
Accepted: 2020-08-11
Published Online: 2020-09-04

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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