Original Article

Oral health knowledge, attitudes and practices of people with diabetes in south of Tehran, Iran

Abstract

Objective: This study assesses the oral health knowledge, attitudes, care practices, and relatedunderlying factors of people with diabetes. Materials and Methods: In a descriptive cross-sectional study using a random sampling method, 201 patients who referred to five comprehensive health centers in the South of Tehran, Iran, participated. A previously published questionnaire was used, and its reliability and validation analyses were performed. There were 31 Open-Ended, Closed-Ended, and Likert scale questions, including 26 on key underlying factors, one with 13 parts in oral health knowledge, one with nine parts related to oral health attitudes, and three on care practices. Data were entered into SPSS software version 24, and descriptive statistics and regression were used to analyze and report the results. Results: The mean age of participants was 49 years (σ=7.6), and males accounted for 58.2% of the study population. 37.48% of the patients had poor oral health knowledge, whereas 61.76% of them reported average care practices, with 68.29% above average attitudes. Among the study population, only 33.3% brushed more than once per day. 35.8% considered bleeding gums while brushing unacceptable, and 42.3% reported gums swelling and redness as signs of disease. Over half of respondents (52.2%) strongly supported the idea of keeping their natural teeth as long as possible, while 41.8% were only agreed. On the other hand, patients with a higher level of education scored better in knowledge, attitudes, and care practices (p-value<0.05). Conclusion: As the knowledge, care practices, and to some extent attitudes of people with diabetes toward their general oral health were unsatisfactory, an appropriate training program should be developed to warn diabetic patients of the importance of oral health and its two-way impact on diabetes. Keywords: Knowledge; Attitude; Practice; Oral health; Diabetes.
1. Zhou B, Lu Y, Hajifathalian K, Bentham J, Di Cesare M, Danaei G, et al., Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4• 4 million participants. The Lancet, 2016. 387(10027): 1513-30.
2. AS A P and Manipal S, AWARNESS AND ATTITUDE OF DIABETIC PATIENTS ABOUT THEIR INCREASED RISK OF ORAL DISEASES IN CHENNAI, TAMILNADU, INDIA.
3. Esteghamati A, Larijani B, Aghajani M H, Ghaemi F, Kermanchi J, Shahrami A, et al., Diabetes in Iran: prospective analysis from first nationwide diabetes report of National Program for Prevention and Control of Diabetes (NPPCD-2016). Scientific reports, 2017. 7(1): 1-10.
4. Organization W H, Web World Health Organization–Diabetes country profiles. 2016, Diakses.
5. Lalla R V and D'AMBROSIO J A, Dental management considerations for the patient with diabetes mellitus. The Journal of the American Dental Association, 2001. 132(10): 1425-32.
6. Naguib G, Al-Mashat H, Desta T, and Graves D T, Diabetes prolongs the inflammatory response to a bacterial stimulus through cytokine dysregulation. Journal of Investigative Dermatology, 2004. 123(1): 87-92.
7. Mealey B L, Periodontal disease and diabetes: A two-way street. The journal of the American dental association, 2006. 137: S26-S31.
8. Koromantzos P A, Makrilakis K, Dereka X, Offenbacher S, Katsilambros N, Vrotsos I A, et al., Effect of non‐surgical periodontal therapy on C‐reactive protein, oxidative stress, and matrix metalloproteinase (MMP)‐9 and MMP‐2 levels in patients with type 2 diabetes: a randomized controlled study. Journal of periodontology, 2012. 83(1): 3-10.
9. Bowyer V, Sutcliffe P, Ireland R, Lindenmeyer A, Gadsby R, Graveney M, et al., Oral health awareness in adult patients with diabetes: a questionnaire study. British dental journal, 2011. 211(6): E12.
10. Shanmukappa S M, Nadig P, Puttannavar R, Ambareen Z, Gowda T M, and Mehta D S, Knowledge, attitude, and awareness among diabetic patients in Davangere about the association between Diabetes and Periodontal Disease. Journal of International Society of Preventive & Community Dentistry, 2017. 7(6): 381.
11. Al Habashneh R, Khader Y, Hammad M M, and Almuradi M, Knowledge and awareness about diabetes and periodontal health among Jordanians. Journal of diabetes and its complications, 2010. 24(6): 409-14.
12. Sadeghi R, Taleghani F, and Farhadi S, Oral health related quality of life in diabetic patients. Journal of dental research, dental clinics, dental prospects, 2014. 8(4): 230.
13. Bakhshandeh S, Murtomaa H, Vehkalahti M M, Mofid R, and Suomalainen K, Oral self-care and use of dental services among adults with diabetes mellitus. Oral health & preventive dentistry, 2008. 6(4).
14. Bakhshandeh S, Periodontal and dental health and oral self-care among adults with diabetes mellitus. 2011.
15. Poudel P, Griffiths R, Wong V W, Arora A, Flack J R, Khoo C L, et al., Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review. BMC public health, 2018. 18(1): 577.
16. Bahammam M A, Periodontal health and diabetes awareness among Saudi diabetes patients. Patient preference and adherence, 2015. 9: 225.
17. Valerio M A, Kanjirath P P, Klausner C P, and Peters M C, A qualitative examination of patient awareness and understanding of type 2 diabetes and oral health care needs. Diabetes research and clinical practice, 2011. 93(2): 159-65.
18. Mirza K M, Khan A A, Ali M M, and Chaudhry S, Oral health knowledge, attitude, and practices and sources of information for diabetic patients in Lahore, Pakistan. Diabetes care, 2007. 30(12): 3046-47.
19. Strauss S M, Singh G, Tuthill J, Brodsky A, Rosedale M, Bytyci A, et al., Diabetes-related knowledge and sources of information among periodontal patients: is there a role for dental hygienists? American Dental Hygienists' Association, 2013. 87(2): 82-89.
20. Weinspach K, Staufenbiel I, Memenga-Nicksch S, Ernst S, Geurtsen W, and Günay H, Level of information about the relationship between diabetes mellitus and periodontitis-results from a nationwide diabetes information program. European journal of medical research, 2013. 18(1): 6.
21. Allen E, Ziada H, O’halloran D, Clerehugh V, and Allen P, Attitudes, awareness and oral health‐related quality of life in patients with diabetes. Journal of oral rehabilitation, 2008. 35(3): 218-23.
22. Eldarrat A H, Diabetic patients: their knowledge and perception of oral health. Libyan Journal of Medicine, 2011. 6(1): 5691.
23. Orlando V A, Johnson L R, Wilson A R, Maahs D M, Wadwa R P, Bishop F K, et al., Oral Health Knowledge and Behaviors among Adolescents with Type 1 Diabetes. International Journal of Dentistry, 2010. 2010.
24. Sahril N, Aris T, Asari A, Yaw S L, Saleh N C, Omar M A, et al., Oral health seeking behaviour among Malaysians with type II diabetes. J Public Health Aspects, 2014. 1(1): 1-8.
25. MOHAMMADI Z I, ALIJANZADEH M, and PAKPOUR H A, Factors predicting oral health-related behaviors in diabetic patients using pender’s oral health promotion model. 2016. 12(2):183-98
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IssueVol 7, No 2 (Spring 2020) QRcode
SectionOriginal Article(s)
Published2020-10-03
DOI https://doi.org/10.18502/jcr.v7i2.4505
Keywords
Knowledge Attitude Oral health Diabetes

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How to Cite
1.
Nazari MH, Mohebbi SZ, Kharazifard MJ. Oral health knowledge, attitudes and practices of people with diabetes in south of Tehran, Iran. J Craniomaxillofac Res. 7(2):76-83.