Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality

Satar Rezaei,1 Halasa-Rappel Yara A2 1Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USACorrespondence: Satar RezaeiResearch Ce...

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Main Authors: Rezaei S, Yara A HR
Format: Article
Language:English
Published: Dove Medical Press 2020-08-01
Series:Clinical, Cosmetic and Investigational Dentistry
Subjects:
Online Access:https://www.dovepress.com/oral-health-behaviors-among-schoolchildren-in-western-iran-determinant-peer-reviewed-article-CCIDE
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author Rezaei S
Yara A HR
author_facet Rezaei S
Yara A HR
author_sort Rezaei S
collection DOAJ
description Satar Rezaei,1 Halasa-Rappel Yara A2 1Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USACorrespondence: Satar RezaeiResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, IranEmail satarrezaei@gmail.comIntroduction: Little information exists on the status of oral hygiene behavior (OHB) and socioeconomic inequalities in developing countries like Iran. The aim of this study was to assess OHB and its determinants and socioeconomic inequality among schoolchildren in western Iran during 2018.Methods: A cross-sectional survey was conducted on 1,457 students aged 12– 15 years living in Kermanshah city, western Iran. We used multistage sampling to select the samples. A self-administrated questionnaire was used to collect data on OHB, sociodemographic characteristics, and economic status of the households of students. Multivariate logistic regression was used to examine the association between OHB and its determinants. We used the relative concentration index, normalized (RCIn) and a concentration curve (CC) to examine socioeconomic-related inequality in OHB.Results: The study indicated that crude and age-adjusted prevalence of good OHB was 14.61% (95% CI 12.89%– 16.53%) and 15.17% (95% CI 13.22%– 17.35%), respectively. Logistic regression analysis showed that sex, mother’s education, socioeconomic status, and oral health literacy had a statistically significant positive impact on OHB. RCIn (0.2582, 95% CI0.1770– 0.3395) values and the CC indicated that good OHB was more concentrated among the richer children.Conclusion: This study provides evidence that good OHB was less prevalent, signifying that oral health remains a public-health concern in Iran. Effective polices aimed at improving the socioeconomic status of households and mother’s education can contribute positively and to the prevention of oral disorders among schoolchildren.Keywords: schoolchildren, oral health behaviors, concentration curve, logistic regression
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spelling doaj.art-fe7e36b5f8694165860e19c8d40088082022-12-22T00:41:54ZengDove Medical PressClinical, Cosmetic and Investigational Dentistry1179-13572020-08-01Volume 1231932656148Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and InequalityRezaei SYara A HRSatar Rezaei,1 Halasa-Rappel Yara A2 1Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Heller School for Social Policy and Management, Brandeis University, Waltham, MA, USACorrespondence: Satar RezaeiResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, IranEmail satarrezaei@gmail.comIntroduction: Little information exists on the status of oral hygiene behavior (OHB) and socioeconomic inequalities in developing countries like Iran. The aim of this study was to assess OHB and its determinants and socioeconomic inequality among schoolchildren in western Iran during 2018.Methods: A cross-sectional survey was conducted on 1,457 students aged 12– 15 years living in Kermanshah city, western Iran. We used multistage sampling to select the samples. A self-administrated questionnaire was used to collect data on OHB, sociodemographic characteristics, and economic status of the households of students. Multivariate logistic regression was used to examine the association between OHB and its determinants. We used the relative concentration index, normalized (RCIn) and a concentration curve (CC) to examine socioeconomic-related inequality in OHB.Results: The study indicated that crude and age-adjusted prevalence of good OHB was 14.61% (95% CI 12.89%– 16.53%) and 15.17% (95% CI 13.22%– 17.35%), respectively. Logistic regression analysis showed that sex, mother’s education, socioeconomic status, and oral health literacy had a statistically significant positive impact on OHB. RCIn (0.2582, 95% CI0.1770– 0.3395) values and the CC indicated that good OHB was more concentrated among the richer children.Conclusion: This study provides evidence that good OHB was less prevalent, signifying that oral health remains a public-health concern in Iran. Effective polices aimed at improving the socioeconomic status of households and mother’s education can contribute positively and to the prevention of oral disorders among schoolchildren.Keywords: schoolchildren, oral health behaviors, concentration curve, logistic regressionhttps://www.dovepress.com/oral-health-behaviors-among-schoolchildren-in-western-iran-determinant-peer-reviewed-article-CCIDEschool childrenoral health behaviorsconcentration curvelogistic regression.
spellingShingle Rezaei S
Yara A HR
Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
Clinical, Cosmetic and Investigational Dentistry
school children
oral health behaviors
concentration curve
logistic regression.
title Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
title_full Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
title_fullStr Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
title_full_unstemmed Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
title_short Oral Health Behaviors among Schoolchildren in Western Iran: Determinants and Inequality
title_sort oral health behaviors among schoolchildren in western iran determinants and inequality
topic school children
oral health behaviors
concentration curve
logistic regression.
url https://www.dovepress.com/oral-health-behaviors-among-schoolchildren-in-western-iran-determinant-peer-reviewed-article-CCIDE
work_keys_str_mv AT rezaeis oralhealthbehaviorsamongschoolchildreninwesternirandeterminantsandinequality
AT yaraahr oralhealthbehaviorsamongschoolchildreninwesternirandeterminantsandinequality