The association between oral health literacy and failed appointments in adults attending a university‐based general dental clinic

Holtzman, Jennifer; Atchison, Kathryn A.; Gironda, Melanie W.; Radbod, Rebecca; Gornbein, Jeffrey

doi:10.1111/cdoe.12089

Cited by 75 publications

(82 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the IOM, low OHL in the United States creates challenges in recognizing the risk for oral diseases as well as in seeking and receiving dental care (IOM 2011(IOM , 2013Holtzman et al 2014). Holtzman and colleagues (2014) found that adults who use fewer sources of oral health information, a subset of health literacy skills, were more likely to fail appointments at a university-based dental clinic.…”

Section: Introductionmentioning

confidence: 99%

Is Dental Utilization Associated with Oral Health Literacy?

et al. 2015

View full text Add to dashboard Cite

The objectives of this study were to examine the pattern of association between dental utilization and oral health literacy (OHL). As part of the Carolina Oral Health Literacy Project, clients in the Women, Infants, and Children’s Special Supplemental Nutrition Program completed a structured 30-min in-person interview conducted by 2 trained interviewers at 9 sites in 7 counties in North Carolina. Data were collected on clients’ OHL, sociodemographics, dental utilization, self-efficacy, and dental knowledge. The outcome, OHL, was measured with a dental word recognition test (30-item Rapid Estimate of Adult Literacy in Dentistry). Descriptive and multiple linear regression methods were used to examine the distribution of OHL and its association with covariates. After adjusting for age, education, race, marital status, self-efficacy, and dental knowledge, multiple linear regression showed that dental utilization was not a significant predictor of OHL ( P > 0.05). Under the conditions of this study, dental utilization was not a significant predictor of OHL.

show abstract

Section: Introductionmentioning

confidence: 99%

Is Dental Utilization Associated with Oral Health Literacy?

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Oral HL (OHL) focuses specifically on the complexity of factors that affect the ability of an individual to make judgments and decisions concerning their oral health 7 . Lower OHL has been associated with: 1) less dental knowledge; 8–13 2) self‐report of poor oral health; 11,14‐17 3) irregular follow‐up dental visits; 14 4) less seeking of health information; 14 , 18 and 5) less access to dental care 10 , 12 , 18 . Some measures of periodontal disease (e.g., periodontal severity/attachment loss; decayed, missing, and filled teeth; missing teeth; and Lactobacillus levels) have also been shown to be associated with OHL 13 , 19 , 20 .…”

mentioning

confidence: 99%

Oral Health Literacy and Measures of Periodontal Disease

Holtzman

Atchison

Macek

et al. 2017

Journal of Periodontology

Self Cite

View full text Add to dashboard Cite

Background Existing evidence demonstrating a relationship between health literacy (HL) and periodontal health is insufficient to identify how providers can help patients manage periodontal disease. This study assesses associations between HL measures (word recognition, numeracy, and conceptual knowledge) and signs of periodontal disease. Methods This study included 325 new patients at a dental school clinic and employed an oral HL (OHL) survey, full-mouth radiographs, and clinical examination. Evaluations included the relationship between each HL measure versus number of teeth, bleeding score, plaque score, and periodontal severity with linear and ordinal logistic regression models before and after adjusting for covariates. Results Among HL measures, the Newest Vital Sign demonstrated a significant relationship with number of teeth and the Short Test of Functional Health Literacy in Adults showed a significant association with plaque score. The short Rapid Estimate of Adult Literacy in Medicine and Dentistry (REALMD-20) showed participants who performed in the highest quartile had nearly two additional teeth, over 5.5% fewer bleeding sites, and nearly 9% fewer teeth with plaque after adjustment for demographic variables, smoking, and diabetes mellitus (DM). Participants who scored in the highest quartile of the Comprehensive Measure of Oral Health Knowledge (CMOHK) had nearly 9% less plaque. Conclusions Two OHL instruments (REAMLD-20 and CMOHK) provided statistical associations with clinical measures of periodontal health at a level that could be considered of moderate clinical relevancy. Findings suggest dentists may wish to assess familiarity of their patients with dental terminology and knowledge of periodontal disease to provide education on oral hygiene, smoking, and DM.

show abstract

“…Because high counts of lactobacillus in saliva reflect the consumption of simple carbohydrates by the host over time [43], we interpret our results that those with [18]. A study from Japan [44] found association between oral health literacy and clinical oral health such as DMFT and CPI.…”

Section: Discussionmentioning

confidence: 51%

“…A study from US found that increased oral health literacy is associated with better self-reported oral health status, and that self-efficacy may mediate the effect of oral health literacy on oral health status [17]. Other recent publications have demonstrated an association between oral health literacy levels and failing to show for dental appointments [18], and that low health literacy is associated with more severe periodontal disease [19].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of an instrument to assess oral health literacy in Norwegian adult dental patients

Stein

Pettersen

Bergdahl

et al. 2015

Acta Odontologica Scandinavica

View full text Add to dashboard Cite

Objective: To develop and validate an interview instrument to assess oral health literacy in Norwegian adult dental patients. Materials and methods: The instrument, Adult Health Literacy Instrument for Dentistry (AHLID), was based on an OECD instrument used to assess general literacy in adults. 130 Norwegian adults (mean age 48 years; 57% women) participated. AHLID included a selection of oral health related printed texts that ranged from 1 to 5 with respect to difficulty. A questionnaire regarding socio-demographic variables and knowledge of risk factors for oral disease was used. DMFT, stimulated salivary flow rate and streptococcus mutans and lactobacillus in saliva was also examined. Results: The Cronbach's alpha values of AHLID were 0.98 for internal consistency reliability (p<0.01) and 0.81 for test-retest reliability (p<0.05). AHLID score 3 was most frequent while very few fulfilled the criteria for score 1 and 5. Linear multiple regression analysis showed that lactobacillus in saliva and knowledge of risk factors for periodontitis and caries were predictor variables of AHLID score. Conclusions: AHLID appears to be reliable and valid to assess oral health literacy in Norwegian adults, and suggests a method for country-specific health literacy instruments.

show abstract

The association between oral health literacy and failed appointments in adults attending a university‐based general dental clinic

Cited by 75 publications

References 36 publications

Is Dental Utilization Associated with Oral Health Literacy?

Is Dental Utilization Associated with Oral Health Literacy?

Oral Health Literacy and Measures of Periodontal Disease

Development and validation of an instrument to assess oral health literacy in Norwegian adult dental patients

Contact Info

Product

Resources

About