Health  Vol.6 No.14 , July 2014
Oral Health Behaviors in a Sample of Portuguese Adolescents: An Educational Issue
Abstract: Introduction: Oral health education is an important issue that should be given to children and adolescents, allowing the acquisition of correct oral health behaviors. The objective of this study was to determine the prevalence of oral health behaviors among a sample of portuguese adolescents and verify the association with socio-demographic factors, in order to analyze the main needs related with oral health education to improve oral health status among adolescents. Methods: A cross-sectional study was designed with a sample of 447 adolescents aged 12 to 19 years old, attending a public school in Sátão, Portugal. A self-administered questionnaire was applied questioning about socio-demographic factors and oral health behaviors to each adolescent in the classroom. Prevalence was expressed in proportions and crude odds ratio (OR) with 95% confidence intervals (CI) were used to measure the strength of association between oral health behaviors and socio-demographic factors. Results: The prevalence of tooth brushing (twice-a-day or more) was 90.6%. Five point eight percent of adolescents reported daily flossing, more frequent among female gender (female, OR = 2.03, 95% CI = (1.35 to 3.05)) and adolescents older than 15 years (>15 years, OR = 1.90, 95% CI = (1.24 to 2.92)). Sixty-seven percent had at least one dental appointment in the previous twelve months. The prevalence of dental appointments was associated with the father’s professional situation (unemployed, OR = 0.33, 95% CI = (0.17 to 0.65)) and crowding index (>1, OR = 0.4, 95% CI = (0.16 to 0.98)). Thirty-two point nine percent of adolescents referred having at least one episode of dental pain during their lives. Conclusion: Considering the results of the present study that show the need of improvement of some aspects related with oral health among adolescents, oral health community programs and primary preventive strategies, such as improvement of oral health education in schools should be considered in order to reduce the risk level of oral diseases and develop better oral health behaviors.
Cite this paper: Veiga, N. , Pereira, C. , Ferreira, P. and Correia, I. (2014) Oral Health Behaviors in a Sample of Portuguese Adolescents: An Educational Issue. Health, 6, 1749-1759. doi: 10.4236/health.2014.614207.

[1]   World Health Organization (2003) The World Oral Health Report 2003. Continuous Improvement of Oral Health in the 21st Century—The Approach of the WHO Global Oral Health Programme. WHO, Geneva.

[2]   Bastos, J., Gigante, D., Peres, K. and Nedel, F. (2007) Social Determinants of Odontalgia in Epidemiological Studies: Theoretical Review and Proposed Conceptual Model. Ciência & Saúde Coletiva, 12, 1611-1621.

[3]   Petersen, P., Kjoller, M., Christensen, L. and Krustrup, U. (2004) Changing Dentate Status of Adults, Use of Dental Health Services, and Achievement of National Dental Health Goals in Denmark by the Year 2000. Journal of Public Health Dentistry, 64, 127-135.

[4]   Peres, M., Latorre, M., Sheiham, A., Peres, K., Barros, F., Hernandez, P. and Victora, C. (2005) Social and Biological Early Life Influences on Severity of Dental Caries in Children Aged 6 Years. Community Dentistry and Oral Epidemiology, 33, 53-63.

[5]   World Health Organization (2003) WHO Information Series on School-Health. Oral Health Promotion: An Essential Element of Health-Promoting Schools. Document 11. WHO, Geneva.

[6]   Ravaghi, V., Quinonez, C. and Allison, P. (2013) Oral Pain and Its Covariates: Findings of a Canadian Population-Based Study. Journal of the Canadian Dental Association, 79, d3.

[7]   General Health Directory (2008) National Study of Prevalences of Oral Diseases. GHD, Lisbon.

[8]   Dukic, W., Delija, B. and Dukic, O. (2011) Caries Prevalence among Schoolchildren in Zagreb, Croatia. Croatian Medical Journal, 52, 665-671.

[9]   Traebert, J., Peres, M., Galesso, E., Zabot, N. and Marcenes, W. (2001) Prevalence and Severity of Dental Caries among Schoolchildren Aged Six and Twelve. Revista de Saúde Pública, 35, 283-288.

[10]   Al Agili, D. (2013) A Systematic Review of Population-Based Dental Caries Studies among Children in Saudi Arabia. Saudi Dental Journal, 25, 3-11.

[11]   Daniel, S., Harfst, S., Wilder, R., Francis, B. and Mitchell, S. (2008) Mosby’s Dental Hygiene: Concepts, Cases and Competencies. 2nd Edition, Mosby Elvesier, St Louis.

[12]   Honkala, E., Honkala, S., Rimpela, A. and Rimpela, M. (2001) The Trend and Risk Factors of Perceived Toothache among Finnish Adolescentes from 1977 to 1997. Journal of Dental Research, 80, 1823-1827.

[13]   Pereira, C., Veiga, N., Amaral, O. and Pereira, J. (2013) Oral Health Behaviors in a Sample of Portuguese Adolescents. Revista de Saúde Pública, 31, 158-165.

[14]   Poutanen, R., Lahti, S., Seppa, L., Tolvanen, M. and Hausen, H. (2007) Oral Health-Related Knowledge, Attitudes, Behavior, and Family Characteristics among Finnish Schoolchildren with and without Active Initial Caries Lesion. Acta Odontologica Scandinavica, 65, 87-96.

[15]   Schwarz, E. (2006) Access to Oral Health Care—An Australian Perspective. Community Dentistry and Oral Epidemiology, 34, 225-231.

[16]   Sistani, M., Yazdani, R., Virtanen, J., Pakdaman, A. and Murtomaa, H. (2013) Determinants of Oral Health: Does Oral Health Literacy Matter? ISRN Dentistry, 2013, 1-6.

[17]   Julihn, A., Agholme, M., Grindefjord, M. and Modéer, T. (2006) Risk Factors and Risk Indicators Associated with High Caries Experience in Swedish 19-Year-Olds. Acta Odontologica Scandinavica, 64, 267-273.

[18]   Nicolau, B., Marcenes, W., Bartley, M. and Sheiham, A. (2005) Associations between Socio-Economic Circumstances at Two Stages of Life and Adolescents’ Oral Health Status. Journal of Public Health Dentistry, 65, 14-20.

[19]   Timis, T. and Danila, I. (2005) Socioeconomic Status and Oral Health. Journal of Preventive Medicine, 13, 116-121.

[20]   Locker, D. (2000) Deprivation and Oral Health: A Review. Community Dentistry and Oral Epidemiology, 28, 161-169.

[21]   Ostberg, A., Halling, A. and Lindblad, U. (1999) Gender Differences in Knowledge, Attitude, Bahavior and Perceived Oral Health among Adolescents. Acta Odontologica Scandinavica, 57, 231-236.

[22]   Peres, M., Peres, K., Barros, A. and Victoria, C. (2007) The Relation between Family Socioeconomic Trajectories from Childhood to Adolescence and Dental Caries and Associated Oral Behaviors. Journal of Epidemiology and Community Health, 61, 141-145.

[23]   Folayan, M., Khami, M., Folaranmi, N., Popoola, B., Sofola, O., Ligali, T. and Orenuga, O. (2013) Determinants of Preventive Oral Health Behavior among Senior Dental Students in Nigeria. BMC Oral Health, 13, 28.

[24]   Bastos, R., Carvalho, E., Xavier, A., Caldana, M., Bastos, J. and Lauris, J. (2012) Dental Caries Related to Quality if Life in Two Brazilian Adolescente Groups: A Cross-Sectional Randomised Study. International Dental Journal, 62, 137-143.

[25]   Petersen, P., Jiang, H., Peng, B., Tai, B. and Bian, Z. (2008) Oral and General Health Behaviors among Chinese Urban Adolescents. Community Dentistry and Oral Epidemiology, 36, 76-84.

[26]   Santiago, B., Valença, A. and Vettore, M. (2013) Social Capital and Dental Pain in Brazilian Northeast: A Multilevel Cross-Sectional Study. BMC Oral Health, 13, 2.

[27]   Almeida, C., Petersen, P., André, S. and Toscano, A. (2003) Changing Oral Health Status of 6- and 12-Year-Old Schoolchildren in Portugal. Community Dentistry and Oral Epidemiology, 20, 211-216.

[28]   Syed, S., Bilal, S., Dawani, N. and Rizvi, K. (2013) Dental Anxiety among Adult Patients and Its Correlation with Self-Assessed Dental Status and Treatment Needs. Journal of Pakistan Medical Association, 63, 614-618.

[29]   Touger-Decker, R. and Loveren, C. (2003) Sugars and Dental Caries. The American Journal of Clinical Nutrition, 78, 881S-892S.

[30]   Haleem, A., Siddiqui, M. and Khan, A. (2012) School-Based Strategies for Oral Health Education of Adolescents—A Cluster Randomized Controlled Trial. BMC Oral Health, 12, 54.

[31]   Okullo, I., Astrom, A. and Haugejorden, O. (2004) Influence of Perceived Provider Performance on Satisfaction with Oral Health Care among Adolescents. Community Dentistry and Oral Epidemiology, 32, 447-455.

[32]   Qiu, R., Wong, M., Lo, E. and Lin, H. (2013) Relationship between Children’s Oral Health-Related Behaviors and Their Caregiver’s Sense of Coherence. BMC Public Health, 13, 239.

[33]   Yiu, C. and King, N. (2011) An Overview of Dental Caries-Preventive Approaches for Children. Hong Kong Dental Journal, 8, 29-39.

[34]   Murthy, A., Pramila, M. and Ranganath, S. (2014) Prevalence of Clinical Consequences of Untreated Dental Caries and Its Relation to Dental Fear among 12-15-Year-Old Schoolchildren in Bangalore City, India. European Archives of Paediatric Dentistry, 15, 45-49.