Oral health literacy status among adult population of Iran: A systematic review

Document Type : Systematic Review

Authors

1 Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Student Research Committee. Mashhad University of Medical Sciences, Mashhad, Iran.

3 social Determinant of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background and Objectives: Oral health literacy (OHL) is an important issue that directly and indirectly affects a person's general health. Inadequate OHL increases poor health outcomes and higher health care costs. This systematic review aimed to explore existing evidence of OHL levels in the Iranian population using a systematic review method.

 Materials and Methods: A systematic review was performed following the principles of PRISMA. The main databases including PubMed, SID, Magiran, and Google Scholar databases were searched with the keyword OHL and its Persian equivalents, without restrictions in publication time. Only descriptive studies that have reported any consequences of OHL in the adult Iranian population (18 years and above) were selected, and articles published in languages other than English and Persian and without access to the full text of the articles were excluded. Finally, the New Castle-Ottawa Quality Assessment scale was used to measure the quality of the studies.

Results: Of the 724 retrieved studies, 68 studies met the inclusion criteria and were reviewed. Nine of the included studies evaluated the state of OHL. Most studies reported gender and education level to be associated with higher OHL. The literature was inconclusive regarding the association between OHL and dental treatment outcomes and oral health perceptions. Meta-analysis was not performed due to the limited data obtained in this review.

Conclusion: Evidence shows that OHL in the Iranian population is limited, and warranted the need for high-quality and intervention research by using different standard tools. Also, this review highlights special attention to the sub-groups within the population in oral health education.

Keywords

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

 

Conflict of interest:  The authors declare that there is no conflict of interest

 

Consent for Publication: Not applicable

 

Ethical considerations: All procedures comply with the principles of the Declaration of Helsinki. Ethical issues (Including plagiarism, informed consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc.) have been completely observed by the authors. 

 

Funding: No financial support was received for this study.


Authors' contributions: All authors have their own responsibilities in this review manuscript. All authors read the final draft of the manuscript and confirmed it. 

 

Authors' contributions: All authors have their own responsibilities in this review 

References

1. 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 Dentistry and oral epidemiology. 2003 Dec; 31:3-24.
https://doi.org/10.1046/j..2003.com122.x
PMid:15015736
 
2. Bridges SM, Parthasarathy DS, Au TK, Wong HM, Yiu CK, McGrath CP. Development of functional oral health literacy assessment instruments: application of literacy and cognitive theories. Journal of Public Health Dentistry. 2014 Mar; 74(2):110-9.
https://doi.org/10.1111/jphd.12033
PMid:24015770  
 
3. Sheikhi S, Shekarchizadeh H, Saied-Moallemi Z. The relationship between mothers' oral health literacy and their children's oral health status. Journal of Dental Medicine. 2018 Dec 10; 31(3):175-84.  
 
4. Baskaradoss JK. The association between oral health literacy and missed dental appointments. The Journal of the American Dental Association. 2016 Nov 1; 147(11):867-74.
https://doi.org/10.1016/j.adaj.2016.05.011
PMid:27497866  
 
5. Wigen TI, Skaret E, Wang NJ. Dental avoidance behaviour in parent and child as risk indicators for caries in 5-year-old children. Int J Paediatr Dent. 2009; 19(6):431-437.
https://doi.org/10.1111/j.1365-263X.2009.01014.x
PMid:19708863  
 
6. Wehmeyer MM, Corwin CL, Guthmiller JM, Lee JY. The impact of oral health literacy on periodontal health status. J Public Health Dent. 2014; 74(1):80-87.
https://doi.org/10.1111/j.1752-7325.2012.00375.x
PMid:23121152 PMCid:PMC3800213  
 
7. Batista MJ, Lawrence HP, Sousa MD. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health. 2018 Dec; 18(1):1-9.
https://doi.org/10.1186/s12889-017-4443-0
PMid:28747157 PMCid:PMC5530456  
 
8. Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC oral health. 2018 Dec; 18:1-6.
https://doi.org/10.1186/s12903-018-0640-1
PMid:30355347 PMCid:PMC6201552  
 
9. Ghaffari M, Rakhshanderou S, Ramezankhani A, Mehrabi Y, Safari-Moradabadi A. Systematic review of the tools of oral and dental health literacy: assessment of conceptual dimensions and psychometric properties. BMC Oral Health. 2020 Dec; 20(1):1-2.
https://doi.org/10.1186/s12903-020-01170-y
PMid:32620108 PMCid:PMC7333397  
 
10. Das D, Menon I, Gupta R, Arora V, Ashraf A, Ahsan I. Oral health literacy: A practical strategy towards better oral health status among adult population of Ghaziabad district. J Family Med Prim Care. 2020 Feb 28; 9(2):764-770.
https://doi.org/10.4103/jfmpc.jfmpc_1049_19
PMid:32318417 PMCid:PMC7113944  
 
11. Fazli M, Yazdani R, Mohebbi SZ, Shamshiri AR. Oral health literacy and socio-demographics as determinants of oral health status and preventive behavior measures in participants of a pre-marriage counseling program. PLoS One. 2021 Nov 5; 16(11):e0258810.
https://doi.org/10.1371/journal.pone.0258810
PMid:34739487 PMCid:PMC8570479  
 
12. Naderi-Poorang Z, Dehdari T, Abolghasemi J. Oral health literacy of mothers and its relationship to oral health status of their 3-6 years-old children. Payesh (Health Monitor). 2023 Jan: 0-0.
https://doi.org/10.52547/payesh.22.1.51  
 
13. Knobloch K, Yoon U, Vogt PM. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement and publication bias. System Rev. 2011; 39(2):91-2.
https://doi.org/10.1016/j.jcms.2010.11.001
PMid:21145753  
 
14. Wells, G.A., et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of non-randomized studies in meta analyses. Available at: http://www.ohri.ca/programs/clinical_epidemiology/oxford.asp. (2014).  
 
15. Zamazadeh M, Mahmoodinia E, Moosazadeh M, GHorbani A. Evaluation of Oral Health Literacy among Adults in Sari-Iran, P J M H S 202115(6):2084-88.
https://doi.org/10.53350/pjmhs211562084  
 
16. Goldani Moghadam M, Kazemi H, Shakeri A. The Relationship between Oral Health Literacy with Failed Appointments and DMFT in Adults Attending Orthodontic Clinic of Birjand. Iran J Orthod. 2021 Mar; 16(2):e1015.  
 
17. Karimi Afshar M, Torabi M, Raeisi Afshar M, Deldar M. Oral health literacy and oral health behavior in pregnant women referring to health centers in south of Kerman province. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2020; 23(3):39-49.
https://doi.org/10.1590/pboci.2020.011  
 
18. Mirzapour Ermaki R, Mirzaie M, Naghibi Sistani M. Oral health literacy and health behavior of primary school teachers in Babol. Journal of Health Literacy. Winter 2019; 3(4): 66-74.  
 
19. Mohammadi TM, Malekmohammadi M, Hajizamani HR, Mahani SA. Oral health literacy and its determinants among adults in Southeast Iran. Eur J Dent 2018; 12:439-42.
https://doi.org/10.4103/ejd.ejd_429_17
PMid:30147413 PMCid:PMC6089060  
 
20. Gheibipour H, Ahmadi A, Shokri A. Assessment of oral health literacy among adults of the nomadic population. Journal of Dental Medicine. 2019; 32(3).  
 
21. Yazdani R, Mohebbi S.Z, Chehree S. Oral Health Literacy and Oral Health Behavior of Senior Medical and Pharmacy Students. J Islam Dent Assoc Iran. 2017; 29(4):141-148.
https://doi.org/10.30699/jidai.29.4.141  
 
22. Saied Moallemi Z, Haghighi M. Assessing oral health literacy among the residents of Isfahan in 2014- 2015. J Isfahan Dent Sch 2016; 12(3): 268-279.  
 
23. Naghibi Sistani MM, Montazeri A, Yazdani R, Murtomaa H. New oral health literacy instrument for public health: development and pilot testing. JICD. 2014; 5(4):313-21.
https://doi.org/10.1111/jicd.12042
PMid:23559571  
 
24. Naghibi Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Determinants of oral health: does oral health literacy matter? ISRN dentistry. 2013; 2013.
https://doi.org/10.1155/2013/249591
PMid:23577262 PMCid:PMC3610341  
 
25. Veerasamy A, Kirk R, Gage J. Oral health literacy of adolescents of Tamil Nadu, India. Sch J Dent Sci. 2016; 3:112-20.  
 
26. Ahmed W, Shah SMA, Khayyam U, Sheikh T, Anwer N. Measuring oral health literacy in dental patients: Contribution towards preventive dentistry in Pakistan. J Pak Dent Assoc. 2017; 26:176-80.
https://doi.org/10.25301/JPDA.264.176  
 
27. Ibrahim HM, Mudawi AM, Ghandour IA. Oral health status, knowledge and practice among pregnant women attending Omdurman maternity hospital, Sudan. EMHJ-Eastern Mediterranean Health Journal. 2016; 22(11):802-9.
https://doi.org/10.26719/2016.22.11.802
PMid:28177110  
 
28. Firmino RT, Ferreira FM, Paiva SM, Granville-Garcia AF, Fraiz FC, Martins CC. Oral health literacy and associated oral conditions: A systematic review. American Dental Association (JADA). 2017; 148(8):604-13.
https://doi.org/10.1016/j.adaj.2017.04.012
PMid:28477838  
 
29. Tyagi U, Menon I, Tomar D, Singh A, Goyal J. Association between maternal oral health literacy and their preschoolers' oral health outcomes in Muradnagar-A cross-sectional study. J Dent Specialities. 2017; 5(2):98-101.  
 
30. Khodadadi E, Niknahad A, Sistani MM, Motallebnejad M. Parents' oral health literacy and its impact on their children's dental health status. Electron Physician. 2016; 8(12):3421.
https://doi.org/10.19082/3421
PMid:28163858 PMCid:PMC5279976  
 
31. Naghibi Sistani MM, Virtanen JI, Yazdani R, Murtomaa H. Association of oral health behavior and the use of dental services with oral health literacy among adults in Tehran, Iran. Eur J Dent 2017; 11:162-7.
https://doi.org/10.4103/ejd.ejd_332_16
PMid:28729786 PMCid:PMC5502558  
 
32. Lopes RT, Neves ÉT, Dutra LD, Gomes MC, Paiva SM, Abreu MH, Ferreira FM, Granville-Garcia AF. Socioeconomic status and family functioning influence oral health literacy among adolescents. Revista de Saúde Pública. 2020 Mar 20; 54.
https://doi.org/10.11606/s1518-8787.2020054001842
PMid:32215538 PMCid:PMC7069712  
 
33. Tomar D, Menon I, Singh A, Tyagi U, Passi D, Goyal J. Comparative study of risk indicators associated with tooth loss among adult population in urban and rural areas of Muradnagar, Ghaziabad, UP, India. J Family Med Prim Care. 2019; 8:528-34.
https://doi.org/10.4103/jfmpc.jfmpc_409_18
PMid:30984667 PMCid:PMC6436253  
 
34. Haridas R. S. S, Ajagannanavar SL, Tikare S, Maliyil M, Kalappa A. Oral health literacy and oral health status among adults attending Dental College Hospital in India. J Int Oral Health. 2014; 6:61-6.  
 
35. Holtzman JS, Atchison KA, Macek MD, Markovic D. Oral health literacy and measures of periodontal disease. J Periodontol. 2017 Jan; 88(1):78-88.
https://doi.org/10.1902/jop.2016.160203
PMid:27523517 PMCid:PMC5557021  
 
36. Blizniuk A, Ueno M, Zaitsu T, Kawaguchi Y. Association of oral health literacy with oral health behaviour and oral health status in Belarus. Community Dent Health. 2015 Sep;32(3):148-52  
 
37. Kanupuru, K.K.; Fareed, N.; Sudhir, K.M. Relationship between Oral Health Literacy and Oral Health Status among College Students. Oral Health Prev. Dent. 2015, 13, 323-330.  

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