Document Type : Research Article (s)
Authors
1 Department of Pediatric Dentistry, Oral and Dental Diseases Research Center, Dental School, Zahedan University of Medical Sciences, Zahedan, Iran
2 General Dentist, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract
Background: Oral health is imperative for holistic well-being, transcending dental considerations. Analyzing hygiene practices in diverse areas facilitates strategic health planning. This study evaluated and compared oral health and behaviors among male students aged 13-15 years old attending both central and suburban high schools in Zahedan, Iran.
Methods: This cross-sectional comparative study was conducted during the 2019-2020 school year on 260 male students aged 13-15 in Zahedan, Iran. The study had 130 students in the suburban (case) group and 130 in the central (control) group. Oral health status was measured using Decay, Missing, Filling, Teeth (DMFT) Index and the Community Periodontal Index (CPI). A questionnaire was used to assess behaviors. Statistical analyses included Independent Samples t-Test, Mann-Whitney U test, and Chi-square test.
Results: The prevalence of dental caries was similar between the groups (P=0.31), but the case group had a significantly higher prevalence of periodontal involvement (P=0.03). The mean DMFT index was higher in the case group (P=0.05), and the distribution of DMFT scores differed significantly between the two groups (P=0.02). There was a significant difference in the CPI index of the two study groups (P=0.0001). Oral health behaviors revealed that the case group had a higher frequency of not brushing teeth and using alternative cleaning methods compared with the control group.
Conclusions: Our findings indicated that students from the suburban area of Zahedan had poorer oral health status and weaker oral health behaviors compared with the students from the central city. These results underscored the importance of considering regional disparities in oral health and hygiene practices when developing targeted health initiatives for the local population.
Highlights
How to Cite: Amirabadi F, Mosavi Pour SS. A Comparative Study of Oral Health Status and Behaviors among Suburban and Urban Male Adolescents in Zahedan, Iran. Int. J. School. Health. 2024;11(4):271-278. doi: 10.30476/INTJSH.2024.101875.1393.
Forough Amirabadi: (Google Scholar)
Keywords
- Calderon SJ, Mallory C. A systematic review of oral health behavior research in American adolescents. J Sch Nurs. 2014;30(6):396-403. doi: 10.1177/1059840514544034. PubMed PMID: 25063680. ##
- Gómez MV, Toledo A, Carvajal P, Gomes SC, Costa RSA, Solanes F, et al. A multicenter study of oral health behavior among adult subjects from three South American cities. Braz Oral Res. 2018;32:e22. doi: 10.1590/1807-3107bor-2018.vol32.0022. PubMed PMID: 29723334. ##
- Vakili M, Rahaei Z, Nadrian H, YarMohammadi P. Determinants of oral health behaviors among high school students in Shahrekord, Iran based on Health Promotion Model. J Dent Hyg. 2011;85(1):39-48. PubMed PMID: 21396262. ##
- Milona M, Janiszewska-Olszowska J, Szmidt M, Kłoda K, Olszowski T. Oral Health Related Behaviors in Relation to DMFT Indexes of Teenagers in an Urban Area of North-West Poland—Dental Caries Is Still a Common Problem. Int J Environ Res Public Health. 2021;18(5):2333. doi: 10.3390/ijerph18052333. PubMed PMID: 33673458; PubMed Central PMCID: PMC7956411. ##
- Determinants of oral health behaviors among preuniversity (12th-grade) students in Yazd (Iran): an application of the health promotion model. Fam Community Health. 2007;30(4):342–50. doi: 10.1097/01.FCH.0000290546.33328.76. PubMed PMID: 17873640. ##
- Broadbent JM, Zeng J, Foster Page LA, Baker SR, Ramrakha S, Thomson WM. Oral health–related beliefs, behaviors, and outcomes through the life course. J Dent Res. 2016;95(7):808-13. doi: 10.1177/0022034516634663. PubMed PMID: 26936215; PubMed Central PMCID: PMC4914862. ##
- Han K, Park J-B. Association between oral health behavior and periodontal disease among Korean adults: The Korea national health and nutrition examination survey. Medicine. 2017;96(7):e6176. doi: 10.1097/MD.0000000000006176. PubMed PMID: 28207558; PubMed Central PMCID: PMC5319547. ##
- Mahfouzpour S, Ghorbani Birgani A, Nouri Tajer M, Akbarzadeh Baghban AR. Assessment of Physical Health Status of Governmental High Schools’ Male Students at Some Educational Areas of Tehran. Iran Journal of Nursing. 2009;22(61):73-84. Persian. ##
- Pakshir HR. Oral health in Iran. Int Dent J. 2004;54(6 Suppl 1):367-72. doi: 10.1111/j.1875-595x.2004.tb00013.x. PubMed PMID: 15631098. ##
- American Academy of Pediatric Dentistry. Adolescent oral health care. The Reference Manual of Pediatric Dentistry. Chicago, Ill: American Academy of Pediatric Dentistry; 2021. p. 267-76. ##
- Omara H, Elamin A. Oral health status and related risk factors among adolescents attending high schools in Khartoum, Sudan: A cross-sectional study. Clinical Epidemiology and Global Health. 2022;16:101080. doi: 10.1016/j.cegh.2022.101080. ##
- Olczak-Kowalczyk D, Gozdowski D, Kaczmarek U. Oral Health in Polish Fifteen-year-old Adolescents. Oral Health Prev Dent. 2019;17(2):139-146. doi: 10.3290/j.ohpd.a42373. PubMed PMID: 30968069. ##
- Pakpour A, Hidarnia A, Hajizadeh E, Kumar S, Fridlund B. Why Iranian adolescents do not brush their teeth: a qualitative study. Int J Dent Hyg. 2012;10(2):86-90. doi: 10.1111/j.1601‐5037.2011.00513.x. PubMed PMID: 21777380. ##
- Pakpour AH, Lin CY, Kumar S, Fridlund B, Jansson H. Predictors of oral health‐related quality of life in Iranian adolescents: A prospective study. J Investig Clin Dent. 2018;9(1):e12264. doi: 10.1111/jicd.12264. PubMed PMID: 28386989. ##
- Bakhtiar M, Mohammadi TM, Hajizamani A, Vossoughi M. Association of oral health indicators with quality-of-life related to oral health among Iranian adolescent. J Int Oral Health. 2014;6(6):5–9. PubMed PMID: 25628474; PubMed Central PMCID: PMC4295455. ##
- Meyer-Lueckel H, Bitter K, Shirkhani B, Hopfenmuller W, Kielbassa AM. Prevalence of caries and fluorosis in adolescents in Iran. Quintessence Int. 2007;38(6):459-65. PubMed PMID: 17625628. ##
- Rezaei-Soufi L, Kasraei S, Jazaeri M, Khamverdi Z. Dental caries experience in 13‒19-year-old Iranian students expressed by DMFT and significant caries index. Avicenna Journal of Dental Research. 2011;3(2):102-109. ##
- Marashi SZ, Hidarnia A, Kazemi SS, Zarei F. Factors predicting oral health behaviors among students age 13–15 years in Shushtar city, Iran. BMC Oral Health. 2023;23(1):691. doi: 10.1186/s12903-023-03363-7. PubMed PMID: 37749536; PubMed Central PMCID: PMC10521401. ##
- Amirabadi F, Bazafshan E, Dehghan J, Zazouli MA. Evaluation of DMFT index in the 8-12 years old students of Zahedan City, Iran. Iran J Health Sci. 2015;10;3(2):52-60. doi: 10.7508/ijhs.2015.02.008. ##
20- Shirzaiy M, Mohageri G. Evaluation DMFT and CPTIN Indices and related personal behaviors in the 12-years-old students. Dent Clin Exp J. 2018;3(1):e65179. doi: 10.5812/dcej.65179. ##
21- Shahraki T, Shahraki M, Mehr SO. Association between body mass index and caries frequency among zahedan elementary school children. Int J High Risk Behav Addict. 2013;2(3):122-125. doi: 10.5812/ijhrba.10220. PubMed PMID: 24971289; PubMed Central PMCID: PMC4070157. ##
- World Health Organization. Oral health surveys: basic methods. World Health Organization; 2013. ##
- Tahani B, Moosavi SP. Assessment of Oral Health Status and Health Behaviors in the Adult Population of Nomadic Tribes (2016). J Mash Dent Sch. 2019;42(4):307-19. doi: 10.22038/jmds.2018.11990. Persian. ##
24- Polk DE, Weyant RJ, Manz MC. Socioeconomic factors in adolescents’ oral health: are they mediated by oral hygiene behaviors or preventive interventions? Community Dent Oral Epidemiol. 2010;38(1):1-9. doi: 10.1111/j.1600-0528.2009.00499.x. PubMed PMID: 19845711. ##
25- Elias-Boneta AR, Ramirez K, Rivas-Tumanyan S, Murillo M, Toro MJ. Prevalence of gingivitis and calculus in 12-year-old Puerto Ricans: a cross-sectional study. BMC Oral Health. 2018;18(1):13. doi: 10.1186/s12903-017-0471-5. PubMed PMID: 29351752; PubMed Central PMCID: PMC5775617. ##
26- Quan JK, Wang XZ, Sun XY, Yuan C, Liu XN, Wang X, et al. Permanent teeth caries status of 12-to 15-year-olds in China: findings from the 4th National Oral Health Survey. Chin J Dent Res. 2018;21(3):181-193. doi: 10.3290/j.cjdr.a41080. PubMed PMID: 30255169. ##
27- Safiri S, Kelishadi R, Heshmat R, Rahimi A, Djalalinia S, Ghasemian A, et al. Socioeconomic inequality in oral health behavior in Iranian children and adolescents by the Oaxaca-Blinder decomposition method: the CASPIAN-IV study. Int J Equity Health. 2016;15(1):143. doi: 10.1186/s12939-016-0423-8. PubMed PMID: 27628496; PubMed Central PMCID: PMC5024445. ##