CC BY 4.0 · Eur J Dent 2022; 16(01): 56-63
DOI: 10.1055/s-0040-1719209
Original Article

Oral Hygiene Practice among 18-year-old Norwegian Adolescents Using Health Belief Model: A Cross-Sectional Study

1   Research Department, Oral Health Centre of Expertise, Western Norway, Hordaland, Bergen, Norway
2   College of Dentistry, King Faisal University, Alahsa, Kingdom of Saudi Arabia
,
Johnny Vu
1   Research Department, Oral Health Centre of Expertise, Western Norway, Hordaland, Bergen, Norway
3   HEMIL institute College of Psychology, University of Bergen, Norway
› Author Affiliations

Abstract

Objectives The aim was to compare oral hygiene practice (brushing/flossing) among 18 years old from two regions, Hordaland County, Norway, and possible perceptional correlates using the Health Belief Model.

Materials and Methods The participants from six municipalities from the south district with high prevalence of dental caries to six municipalities from the rest of Hordaland county, with low prevalence of dental caries (control), using a web-based questionnaire. Statistical analyses: the Mann–Whitney U test was used and the t-test for independent samples. Bivariate and logistic regression analyses to examine associations.

Results A total of 416 people participated. The south district’s participants had lesser percentage brushing twice a day and flossing at least once a day, they significantly visited lesser the dental service, perceived more susceptibility to dental caries, and lower benefits of brushing/flossing compared with the controls. Girls (odds ratio [OR]: 0.34) who perceived higher severity of dental caries (OR: 1.86), higher self-identity (OR: 2.14), and lesser barriers to brushing (OR: 0.14) had higher odds to brushing twice a day compared with their counterparts. Girls (OR: 0.34) who perceived higher severity of dental caries (OR: 2.34), higher benefits (OR = 2.8), and lesser barriers to flossing (OR = 0.23) had higher odds to flossing at least once a day compared with their counterparts.

Conclusion South district’s participants significantly had some of risk factors to the recommended brushing/flossing practice compared with the control and these might help in explaining the difference in oral hygiene practice.



Publication History

Article published online:
01 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Thieme Medical and Scientific Publishers Private Ltd
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Choo A, Delac DM, Messer LB. Oral hygiene measures and promotion: review and considerations. Aust Dent J 2001; 46 (03) 166-173
  • 2 Weyant RJ, Tracy SL, Anselmo TT. et al. American Dental Association Council on Scientific Affairs Expert Panel on Topical Fluoride Caries Preventive Agents. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc 2013; 144 (11) 1279-1291
  • 3 Walsh T, Worthington HV, Glenny AM, Marinho VCC, Jeroncic A. Highlighted review: fluoride toothpastes of different strengths for preventing tooth decay. COCHRAN Available at: https://oralhealth.cochrane.org/news/highlighted-review-fluoride-toothpastes-different-strengths-preventing-tooth-decay Accessed June 12, 2020
  • 4 Wiium N, Breivik K, Wold B. Growth trajectories of health behaviors from adolescence through young adulthood. Int J Environ Res Public Health 2015; 12 (11) 13711-13729
  • 5 Duijster D, de Jong-Lenters M, Verrips E, van Loveren C. Establishing oral health promoting behaviours in children - parents’ views on barriers, facilitators and professional support: a qualitative study. BMC Oral Health 2015; 15: 157
  • 6 Ajzen I, Brown TC, Carvajal F. Explaining the discrepancy between intentions and actions: the case of hypothetical bias in contingent valuation. Pers Soc Psychol Bull 2004; 30 (09) 1108-1121
  • 7 Hollister MC, Anema MG. Health behavior models and oral health: a review. J Dent Hyg 2004; 78 (03) 6
  • 8 Kasmaei P, Amin Shokravi F, Hidarnia A. et al. Brushing behavior among young adolescents: does perceived severity matter. BMC Public Health 2014; 14: 8
  • 9 Walker K, Jackson R. The health belief model and determinants of oral hygiene practices and beliefs in preteen children: a pilot study. Pediatr Dent 2015; 37 (01) 40-45
  • 10 Janz NK, Becker MH. The health belief model: a decade later. Health Educ Q 1984; 11 (01) 1-47
  • 11 European Health Information Gateway: a wealth of information at your fingertips Available at: https://gateway.euro.who.int/en/indicators/hbsc_9-brushing-teeth/ Accessed February 19, 2017
  • 12 Arrow P, Raheb J, Miller M. Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay. BMC Public Health 2013; 13: 245
  • 13 Okada M, Kawamura M, Kaihara Y. et al. Influence of parents’ oral health behaviour on oral health status of their school children: an exploratory study employing a causal modelling technique. Int J Paediatr Dent 2002; 12 (02) 101-108
  • 14 Stein L, Pettersen S, Mosdøl A, Holst D. Prediktorer for oral hygieneatferd i den voksne norske befolkningen. Nor Tannlaegeforen Tid 2009; 119 (119) 298-302
  • 15 Wigen TI, Wang NJ. Characteristics of teenagers who use dental floss. Community Dent Health 2021; 38 (01) 10-14
  • 16 Ericsson JS, Östberg AL, Wennström JL, Abrahamsson KH. Oral health-related perceptions, attitudes, and behavior in relation to oral hygiene conditions in an adolescent population. Eur J Oral Sci 2012; 120 (04) 335-341
  • 17 Poutanen R, Lahti S, Hausen H. Oral health-related knowledge, attitudes, and beliefs among 11 to 12-year-old Finnish schoolchildren with different oral health behaviors. Acta Odontol Scand 2005; 63 (01) 10-16
  • 18 Buglar ME, White KM, Robinson NG. The role of self-efficacy in dental patients’ brushing and flossing: testing an extended Health Belief Model. Patient Educ Couns 2010; 78 (02) 269-272
  • 19 Marinho VC, Chong LY, Worthington HV, Walsh T. Fluoride mouthrinses for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2016; 7: CD002284
  • 20 Akarslan ZZ, Sadik B, Erten H, Karabulut E. Dental esthetic satisfaction, received and desired dental treatments for improvement of esthetics. Indian J Dent Res 2009; 20 (02) 195-200
  • 21 Mattila ML, Tolvanen M, Kivelä J, Pienihäkkinen K, Lahti S, Merne-Grafström M. Oral health-related knowledge, attitudes and habits in relation to perceived oral symptoms among 12-year-old school children. Acta Odontol Scand 2016; 74 (05) 343-347
  • 22 Dumitrescu AL, Wagle M, Dogaru BC, Manolescu B. Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior. J Oral Sci 2011; 53 (03) 369-377
  • 23 Peltzer K, Tepirou C, Pengpid S. Prevalence and correlates of perceived teeth health status and oral health behavior among school-going adolescents in Cambodia. Nagoya J Med Sci 2016; 78 (04) 493-500
  • 24 Luzzi L, Spencer AJ. Factors influencing the use of public dental services: an application of the Theory of Planned Behaviour. BMC Health Serv Res 2008; 8: 93
  • 25 Woelber JP, Bienas H, Fabry G. et al. Oral hygiene-related self-efficacy as a predictor of oral hygiene behaviour: a prospective cohort study. J Clin Periodontol 2015; 42 (02) 142-149
  • 26 Zhou G, Sun C, Knoll N, Hamilton K, Schwarzer R. Self-efficacy, planning and action control in an oral self-care intervention. Health Educ Res 2015; 30 (04) 671-681
  • 27 Syrjälä AM, Kneckt MC, Knuuttila ML. Dental self-efficacy as a determinant to oral health behaviour, oral hygiene and HbA1c level among diabetic patients. J Clin Periodontol 1999; 26 (09) 616-621
  • 28 Jamieson LM, Parker EJ, Roberts-Thomson KF, Lawrence HP, Broughton J. Self-efficacy and self-rated oral health among pregnant aboriginal Australian women. BMC Oral Health 2014; 14: 29
  • 29 Solhi M, Zadeh DS, Seraj B, Zadeh SF. The application of the health belief model in oral health education. Iran J Public Health 2010; 39 (04) 114-119
  • 30 Xiang B, Wong HM, Cao W, Perfecto AP, McGrath CPJ. Development and validation of the Oral health behavior questionnaire for adolescents based on the health belief model.. BMC Public Health 2020; 20 (01) 701
  • 31 Dumitrescu AL, Dogaru BC, Duta C, Manolescu BN. Testing five social-cognitive models to explain predictors of personal oral health behaviours and intention to improve them. Oral Health Prev Dent 2014; 12 (04) 345-355
  • 32 Malekmahmoodi M, Shamsi M, Roozbahani N, Moradzadeh R. A randomized controlled trial of an educational intervention to promote oral and dental health of patients with type 2 diabetes mellitus. BMC Public Health 2020; 20 (01) 287
  • 33 Werner H, Hakeberg M, Dahlström L. et al. Psychological interventions for poor oral health: a systematic review. J Dent Res 2016; 95 (05) 506-514
  • 34 Rahmani A, Hamanajm SA, Allahqoli L, Fallahi A. Factors affecting dental cleaning behaviour among pregnant women with gingivitis. Int J Dent Hyg 2019; 17 (03) 214-220
  • 35 Phanthavong S, Nonaka D, Phonaphone T. et al. Oral health behavior of children and guardians’ beliefs about children’s dental caries in Vientiane, Lao People’s Democratic Republic (Lao PDR). PLoS One 2019; 14 (01) e0211257
  • 36 Anagnostopoulos F, Buchanan H, Frousiounioti S, Niakas D, Potamianos G. Self-efficacy and oral hygiene beliefs about toothbrushing in dental patients: a model-guided study. Behav Med 2011; 37 (04) 132-139
  • 37 Charkazi A, Ozouni-Davaji RB, Bagheri D. et al. Predicting oral health behavior using the health promotion model among school students: a crosssectional survey. Int J Pediatr 2016; 4 (07) 2069-2077
  • 38 Schluter P, Lee M, Hamilton G, Coe G, Messer-Perkins H, Smith B. Keep on brushing: a longitudinal study of motivational text messaging in young adults aged 18-24 years receiving Work and Income Support. J Public Health Dent 2015; 75 (02) 118-125
  • 39 Rahmati-Najarkolaei F, Rahnama P, Gholami Fesharaki M, Behnood V. Predictors of oral health behaviors in female students: an application of the health belief model. Iran Red Crescent Med J 2016; 18 (11) e24747
  • 40 Hee-Jung L, Hyoung-Joo K, Yong-Soon A. The impact of health belief model in the middle and high school students on oral health behaviors. J Korean Soc Dental Hygiene 2015; 15 (01) 111-118
  • 41 Zetu L, Zetu I, Dogaru CB, Duta C, Dumitrescu AL. Gender variations in the psychological factors as defined by the extended health belief model of oral hygiene behaviors. Procedia Soc Behav Sci 2014; 2014 (127) 358-362
  • 42 Asawa K, Chakravarty T, Tak M, Rathod D, Sen N. Self-assessment of psychological and mechanical factors affecting oral hygiene among Indian college-going students: a model-guided study. Int Q Community Health Educ 2020; 40 (04) 307-315
  • 43 Brewer NT, Chapman GB, Gibbons FX, Gerrard M, McCaul KD, Weinstein ND. Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol 2007; 26 (02) 136-145
  • 44 Broadbent JM, Thomson WM, Poulton R. Oral health beliefs in adolescence and oral health in young adulthood. J Dent Res 2006; 85 (04) 339-34