Assessing College Students' Interest in University-Based Oral Health Information and Services
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| Title: | Assessing College Students' Interest in University-Based Oral Health Information and Services |
|---|---|
| Language: | English |
| Authors: | Griner, Stacey B. (ORCID |
| Source: | Journal of American College Health. 2023 71(1):5-9. |
| Availability: | Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals |
| Peer Reviewed: | Y |
| Page Count: | 5 |
| Publication Date: | 2023 |
| Document Type: | Journal Articles Reports - Research |
| Education Level: | Higher Education Postsecondary Education |
| Descriptors: | College Students, Dental Health, Health Services, Information Dissemination, Health Behavior, Public Colleges, Student Attitudes, School Health Services, Health Promotion |
| DOI: | 10.1080/07448481.2021.1876706 |
| ISSN: | 0744-8481 1940-3208 |
| Abstract: | Objective: To assess US college students': (1) oral health behaviors; and (2) interest in university-based oral health information and services. Participants: Students at a large public university in the southeast participated in the survey (n = 102). All participants were over the age of 18 and able to speak and read English. Methods: An online quantitative survey was administered to collect information on oral health behaviors, interest in university-based oral health information and services, and sociodemographic factors. Frequencies, descriptive statistics, and bivariate analyses were utilized for this study. Results: Approximately 11% of students rated their oral health as fair/poor and 27% currently had a dental problem. Over half (53%) were interested in receiving oral health information from the university, 87% felt campus-based dental services were important, and 79% were likely to use campus-based dental services. Conclusions: College students may benefit from information and services to promote oral health within the college context. |
| Abstractor: | As Provided |
| Entry Date: | 2023 |
| Accession Number: | EJ1377642 |
| Database: | ERIC |
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| FullText | Links: – Type: pdflink Url: https://content.ebscohost.com/cds/retrieve?content=AQICAHj0k_4E0hTGH8RJwT4gCJyBsGNe_WN95AvKlDbXJGqwxwGCChNzgxwStDZLTBdAW7pRAAAA4jCB3wYJKoZIhvcNAQcGoIHRMIHOAgEAMIHIBgkqhkiG9w0BBwEwHgYJYIZIAWUDBAEuMBEEDLZ_R34Ey6WAroiseQIBEICBmn8-sFR52SQi5ksw7j_ShMvp4Rh9BGgWcic-MRlDq3heBlXsFSEdgGZ1M675QJs77cr6tkxWPVJRV1ussO5K-K3_66EO0m1A5Y2Em_2o4Dk7TWTCA3QYqWmRDM-YcVYoKx6bRjn7d3yiM6pzV01q9PgRwjLqYH_Pn9_OkDZHtjJYcPsueLhDX-P2WqtPZBJdj_4yQaLBzQ3pqro= Text: Availability: 1 Value: <anid>AN0161545219;acl01jan.23;2023Jan31.00:57;v2.2.500</anid> <title id="AN0161545219-1">Assessing college students' interest in university-based oral health information and services </title> <p>Objective: To assess US college students' (<reflink idref="bib1" id="ref1">1</reflink>) oral health behaviors and (<reflink idref="bib2" id="ref2">2</reflink>) interest in university-based oral health information and services. Participants: Students at a large public university in the southeast participated in the survey (n = 102). All participants were over the age of 18 and able to speak and read English. Methods:An online quantitative survey was administered to collect information on oral health behaviors, interest in university-based oral health information and services, and sociodemographic factors. Frequencies, descriptive statistics, and bivariate analyses were utilized for this study. Results: Approximately 11% of students rated their oral health as fair/poor and 27% currently had a dental problem. Over half (53%) were interested in receiving oral health information from the university, 87% felt campus-based dental services were important, and 79% were likely to use campus-based dental services. Conclusions: College students may benefit from information and services to promote oral health within the college context.</p> <p>Keywords: College students; dental; oral health behaviors</p> <hd id="AN0161545219-2">Introduction</hd> <p>Poor oral health, including the health of teeth, gums, and the oral cavity, is an understudied public health issue that can be directly linked to overall health.[<reflink idref="bib1" id="ref3">1</reflink>] In 2000, the US Surgeon General released a report on oral health, deeming it a "silent epidemic".[<reflink idref="bib2" id="ref4">2</reflink>] Poor oral health has been associated with numerous health outcomes, such as cardiovascular disease, diabetes, substance abuse, and eating disorders.[[<reflink idref="bib2" id="ref5">2</reflink>], [<reflink idref="bib4" id="ref6">4</reflink>]] To prevent these outcomes, the American Dental Association recommends regular dental exams and prophylaxis ("cleaning") appointments to prevent or treat periodontal disease and dental caries.[<reflink idref="bib6" id="ref7">6</reflink>] While there is a lack of literature specific to the oral health of young adults (ages 18-24), 42% of adults (&gt;30 years) have some form of periodontal disease, which, left untreated, can lead to tooth loss.[<reflink idref="bib7" id="ref8">7</reflink>] Additionally, 27% of adults age 20-34 years have untreated dental caries,[<reflink idref="bib5" id="ref9">5</reflink>] which can lead to abscesses and systemic infections.[<reflink idref="bib8" id="ref10">8</reflink>]</p> <p>College students (typically aged 18-24) often do not meet the recommendations for preventative oral health visits. Data indicate that 25% of undergraduates[<reflink idref="bib9" id="ref11">9</reflink>] and 34% of graduate students did not have a dental exam and cleaning in the last year.[<reflink idref="bib10" id="ref12">10</reflink>] Common reasons college students did not receive preventive oral care were not having a need for dental care, cost, and time.[<reflink idref="bib11" id="ref13">11</reflink>] College students report specific concerns such as being self-conscious of bad breath when not brushing their teeth, indicating awareness of a need to improve their oral health behaviors.[<reflink idref="bib12" id="ref14">12</reflink>] College years represent a prime opportunity for interventions that encourage positive oral health behaviors, as students are becoming independent and developing new health behaviors. However, little research exists to examine the perceptions of campus-based dental care and need for oral health information provided by the university.</p> <p>Generally, access has been described as one of the greatest barriers to oral healthcare, given the lack of integration between dental and primary healthcare services and lack of dental insurance.[<reflink idref="bib1" id="ref15">1</reflink>],[<reflink idref="bib11" id="ref16">11</reflink>] Over 30% of students have a current untreated dental issue[<reflink idref="bib11" id="ref17">11</reflink>] and visits to oral health providers decreased annually after freshman year,[<reflink idref="bib13" id="ref18">13</reflink>] but, it remains unclear if this is related to insurance limitations (e.g., parental insurance coverage while enrolled in school, coverage ending at age 26). Understanding college students' oral health behaviors, preferences for university-provided oral health information and services, and likelihood of using campus-based dental services will provide needed information for institutions to best serve their students. Thus, the purpose of this study was to assess US college students' (<reflink idref="bib1" id="ref19">1</reflink>) oral health behaviors; and (<reflink idref="bib2" id="ref20">2</reflink>) interest in university-based oral health information and services.</p> <hd id="AN0161545219-3">Materials and methods</hd> <p>An online survey was used to assess oral health behaviors, information, and services. Participants were recruited in Fall 2017 from a large, public university in the southeast at an oral health event to provide information on low cost and free oral health resources and toothbrushes, toothpaste, and floss. No oral health services were available on this campus and oral health services were not included in the student health insurance plan. The survey, hosted through Qualtrics, was available on iPads at the event and was distributed via student list-servs for one week following the event. Inclusion criteria for the study were: (<reflink idref="bib1" id="ref21">1</reflink>) student, faculty, or staff at the university and (<reflink idref="bib2" id="ref22">2</reflink>) age 18 or older. Participants who provided their email address were eligible for a raffle for one of three electric toothbrushes. The sample (n = 123) was restricted to student status (n = 105) and completion of a majority of the survey (n = 102). Staff and faculty were not included in this analysis given the small sample size (n = 18) and the study's purpose to assess student perceptions. This study was approved by the university's Institutional Review Board (IRB).</p> <hd id="AN0161545219-4">Measures</hd> <p></p> <hd id="AN0161545219-5">Oral health</hd> <p>The item used to measure perceived oral health, how would you rate the health of your mouth, teeth, and gums, was collapsed into excellent/very good/good and fair/poor based on the distribution of responses. Items measuring dental care access and behaviors included: brushing and flossing frequency, current dental home (yes/no), dental cleaning in the last 12 months (yes/no), dental exam in the last 12 months (yes/no), current dental problem (yes/no), and dental problem affected academic performance in the last 12 months (yes/no).</p> <hd id="AN0161545219-6">Information and services</hd> <p>Students were asked if they were interested in receiving oral health information from their university (yes/no), how important it was for the university to have dental services available to students, and how likely would they be to use a dental clinic on campus. These response options were collapsed (aggregated: very unlikely/unlikely/unsure, and likely/very likely) based on the small sample size, the distribution of the responses, and the purpose of the study to identify those who were likely to use services.</p> <hd id="AN0161545219-7">Demographics</hd> <p>Demographic information was collected from the students, including age, gender (man/woman/another identity), year in school (undergraduate/graduate), race (White, Black, Asian, Biracial/Multiracial/Another race), international student (yes/no), health-related major (yes/no), and dental insurance coverage (university plan/parent's plan/partner's, individual, or another plan/no insurance or don't know).</p> <hd id="AN0161545219-8">Analysis</hd> <p>Descriptive statistics and bivariate analyses (χ<emph><sups>2</sups></emph> tests, Fisher's exact tests) were conducted in SPSS V25 using a <emph>p</emph>-value of <emph>&lt;.05</emph>. A measure of effect size (<emph>η</emph>[<reflink idref="bib2" id="ref23">2</reflink>]) was calculated for each significant finding (small effect size=.02, medium=.13; large=.26).[<reflink idref="bib14" id="ref24">14</reflink>] The primary dependent variables were the three information and services variables, and these were compared to each other and by the oral health and demographic variables. A second analysis was conducted to determine if insurance coverage was associated with oral health variables.</p> <hd id="AN0161545219-9">Results</hd> <p>The ages ranged from 18-38 years, with a mean age of 25.1 years (standard deviation = 4.35). Most students were women (67%), graduate level (77%), white (41%), and covered under their parent's dental insurance (51%). Full demographic information, oral health results, and items with missing data are presented in Table 1. Over half of students were interested in receiving information about oral health from the university, 87% felt it was very important/important that dental services were available on campus, and 79% were very likely/likely to use dental services if available.</p> <p>Table 1. Sample demographics, oral health behaviors, and perceptions of university-based oral health information and services (N = 102).</p> <p> <ephtml> &lt;table&gt;&lt;thead&gt;&lt;tr&gt;&lt;td /&gt;&lt;td&gt;N (%)&lt;/td&gt;&lt;/tr&gt;&lt;/thead&gt;&lt;tbody valign="top"&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Gender&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Man&lt;/td&gt;&lt;td char="."&gt;33 (32.4)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Woman&lt;/td&gt;&lt;td char="."&gt;68 (66.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Another Identity&lt;/td&gt;&lt;td char="."&gt;1 (1.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Year in School&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Undergraduate&lt;/td&gt;&lt;td char="."&gt;24 (23.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Graduate&lt;/td&gt;&lt;td char="."&gt;78 (76.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Race&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; White&lt;/td&gt;&lt;td char="."&gt;42 (41.2)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Black&lt;/td&gt;&lt;td char="."&gt;9 (8.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Asian&lt;/td&gt;&lt;td char="."&gt;36 (35.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Biracial, Multiracial, Another Race&lt;/td&gt;&lt;td char="."&gt;15 (14.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;International Student (n = 101)&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;12 (11.9)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;89 (88.1)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Health-Related Major&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;86 (84.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;16 (15.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Dental Insurance&lt;/bold&gt;&lt;sup&gt;a&lt;/sup&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; College Plan&lt;/td&gt;&lt;td char="."&gt;14 (13.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Parent's Plan&lt;/td&gt;&lt;td char="."&gt;52 (51.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Partner's, Individual, or Another Plan&lt;/td&gt;&lt;td char="."&gt;23 (22.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No insurance or not sure&lt;/td&gt;&lt;td char="."&gt;13 (12.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;How would you rate the health of your mouth, teeth, and gums?&lt;/bold&gt;&lt;sup&gt;b&lt;/sup&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Excellent&lt;/td&gt;&lt;td char="."&gt;17 (16.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Very Good&lt;/td&gt;&lt;td char="."&gt;36 (35.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Good&lt;/td&gt;&lt;td char="."&gt;38 (37.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Fair&lt;/td&gt;&lt;td char="."&gt;10 (9.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Poor&lt;/td&gt;&lt;td char="."&gt;1 (1.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Are you interested in receiving information on dental health from your university? (n = 101)&lt;/bold&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;53 (52.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;48 (47.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;How important is it for your university to have dental services available for students, staff, and faculty?&lt;/bold&gt;&lt;sup&gt;c&lt;/sup&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Very Important&lt;/td&gt;&lt;td char="."&gt;71 (69.6)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Important&lt;/td&gt;&lt;td char="."&gt;18 (17.6)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Neutral&lt;/td&gt;&lt;td char="."&gt;10 (9.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Not Very Important&lt;/td&gt;&lt;td char="."&gt;3 (2.9)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Not at all Important&lt;/td&gt;&lt;td char="."&gt;0 (0.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;If your university opened a dental clinic, how likely would you be to use those services?&lt;/bold&gt;&lt;sup&gt;d&lt;/sup&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Very Likely&lt;/td&gt;&lt;td char="."&gt;59 (57.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Likely&lt;/td&gt;&lt;td char="."&gt;22 (21.6)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Unsure&lt;/td&gt;&lt;td char="."&gt;14 (13.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Unlikely&lt;/td&gt;&lt;td char="."&gt;3 (2.9)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Very Unlikely&lt;/td&gt;&lt;td char="."&gt;4 (3.9)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Has a problem with mouth or teeth affected your academic performance?&lt;/bold&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;7 (6.9)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;95 (93.1)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Do you currently have a dental, mouth, or tooth problem?&lt;/bold&gt;&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;27 (26.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;75 (73.5)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Dental Home (n = 100)&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;62 (62.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;38 (38.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Cleaning in last 12 months (n = 101)&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;72 (71.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;29 (28.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Exam in last 12 months (n = 100)&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Yes&lt;/td&gt;&lt;td char="."&gt;71 (71.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; No&lt;/td&gt;&lt;td char="."&gt;29 (29.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Brushing Frequency&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Twice a day&lt;/td&gt;&lt;td char="."&gt;85 (83.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Once a day&lt;/td&gt;&lt;td char="."&gt;15 (14.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Every other day&lt;/td&gt;&lt;td char="."&gt;1 (1.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Once a week&lt;/td&gt;&lt;td char="."&gt;0 (0.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Less than once a week&lt;/td&gt;&lt;td char="."&gt;0 (0.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Never&lt;/td&gt;&lt;td char="."&gt;1 (1.0)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt;&lt;bold&gt;Flossing Frequency&lt;/bold&gt;&lt;/td&gt;&lt;td /&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Twice a day&lt;/td&gt;&lt;td char="."&gt;9 (8.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Once a day&lt;/td&gt;&lt;td char="."&gt;36 (35.3)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Every other day&lt;/td&gt;&lt;td char="."&gt;17 (16.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Once a week&lt;/td&gt;&lt;td char="."&gt;11 (10.8)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Less than once a week&lt;/td&gt;&lt;td char="."&gt;14 (13.7)&lt;/td&gt;&lt;/tr&gt;&lt;tr&gt;&lt;td&gt; Never&lt;/td&gt;&lt;td char="."&gt;15 (14.7)&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt; </ephtml> </p> <p>1 In bivariate analyses variable: Insurance coverage = 89(87.3) and No insurance coverage = 13(12.7).</p> <ulist> <item>2 In bivariate analyses: Excellent/very good/good = 91(89.2); Fair/poor = 11(10.8).</item> <item>3 In bivariate analyses: Very important/important = 89(87.3); Neutral/not very important/not important at all = 12(12.7).</item> <item>4 In bivariate analyses: Very likely/likely = 81(79.4); Unsure/unlikely/very unlikely= 21(20.6).</item> </ulist> <p>There were significant associations between oral health status and dental insurance coverage (yes/no). Over 92% of students with insurance coverage rated their health as excellent/very good/good, while just 69% of those without dental insurance did (χ<emph><sups>2</sups>=6.185, df = 1, η<sups>2</sups>=.246, p=.032</emph>). There were no significant associations between insurance status and the perceived importance of dental services on campus or the likelihood to use campus dental services. Those with dental insurance coverage were more likely to have a dental home (67%) compared to those without insurance (31%; χ<emph><sups>2</sups>=6.186, df = 1, η<sups>2</sups>=.249, p=.028)</emph> and to have received a dental exam (74%) than those without dental insurance (46%; χ<emph><sups>2</sups>=3.917, df = 1, η<sups>2</sups>=.198, p=.048)</emph>. There were no significant associations between receipt of a dental cleaning and insurance status or currently having a dental issue and insurance status.</p> <p>There was a significant association between student status and interest in receiving information about oral health from the university, with international students desiring more information (83%) than domestic students (48%; χ<emph><sups>2</sups>=5.200, df = 1, η<sups>2</sups>=.227, p=.030)</emph>. Those who were in non-health related majors had more interest in information from the university about oral health (81%) than those in health-related majors (47%; χ<emph><sups>2</sups>=6.312, df = 1, η<sups>2</sups>=.250, p=.014)</emph>. There were no significant associations between interest in receiving oral health information and gender, year in school, race, or oral health status. There were no associations between the importance of the university offering dental services or between the likelihood of use of dental services and any of the variables.</p> <hd id="AN0161545219-10">Discussion</hd> <p>The purpose of this study was to assess oral health behaviors and interest in university-based oral health information and clinical services. Overall, students were interested in receiving oral health-related information from the university, felt it was important that dental services were provided on campus, and were likely to use dental services if they were available on campus. These findings suggest that the college student population may benefit from interventions to promote oral health within the college context.</p> <p>Over a quarter of this sample indicated a current dental problem, with 7% stating this problem impacted their academic performance. This finding is slightly lower than previous work with 31-40% of college students indicating they had a current untreated dental issue.[<reflink idref="bib11" id="ref25">11</reflink>] Poor oral health is associated with lowered academic performance and school absenteeism in primary and secondary students,[<reflink idref="bib15" id="ref26">15</reflink>] and it is speculated that these issues could similarly impact college students' academic outcomes.[<reflink idref="bib13" id="ref27">13</reflink>]</p> <p>Over half (53%) of students reported interest in receiving information from their university about oral health. Specifically, international students wanted information more than their domestic counterparts. Previous work has indicated that international students receive dental exams and cleanings more often than domestic students, but it remains unclear if these services occurred in their home country or after coming to college.[<reflink idref="bib13" id="ref28">13</reflink>] Given this, international students may be receptive to information about connecting with oral healthcare and navigating the US dental system.</p> <p>While Healthy Campus 2020 has objectives to increase the proportion of students receiving information on a variety of health topics from their institution,[<reflink idref="bib16" id="ref29">16</reflink>] oral health is not one of them. This may be an area of consideration when designing new objectives to reflect the needs of the larger college population. Studies have stressed the need to develop oral health materials specifically addressing the needs of college students.[<reflink idref="bib13" id="ref30">13</reflink>] Differences have been shown in oral health behaviors among subpopulations of college students, such as military veterans,[<reflink idref="bib17" id="ref31">17</reflink>] medical and engineering students,[<reflink idref="bib18" id="ref32">18</reflink>] gender, race, and year in school,[<reflink idref="bib13" id="ref33">13</reflink>] suggesting a need to develop targeted materials for these groups. However, the item in this study was broad and there is a need to develop strategies to address the oral health-related informational needs of college students and young adults (<reflink idref="bib18" id="ref34">18-24</reflink>).</p> <p>A large proportion of students felt that dental services were important to have on campus and were likely to use these services if available. However, these findings bring up an important consideration – are student health centers capable of providing these services? As of now, it is unclear what role of college and university health centers have in addressing oral health. Studies have suggested the need to establish and implement oral health competencies for college health professionals to determine when to refer to oral health providers.[<reflink idref="bib13" id="ref35">13</reflink>] Healthy People 2030 has an objective to increase the use of the oral healthcare system,[<reflink idref="bib19" id="ref36">19</reflink>] which may be an opportunity for college health centers to expand the services offered and improve access. In this study, 39% of students did not have a dental home – is this a gap that universities can address? Currently, no data exist to assess the proportion of universities that provide oral healthcare on campus or those who have linkages with other oral health providers (e.g., dental school student clinics). To understand the landscape of oral health and identify best practices in the college context, there is a need for data on current service provision, utilization, and student perceptions. This could be accomplished through a quantitative evaluation of the proportion of colleges/universities with dental services on campus and through mixed methods studies investigating the oral health outcomes on campuses with dental facilities compared to those without. Additional studies assessing the feasibility of integrating oral health services on college campuses and the associated implementation factors, such as acceptability and adoption, are needed.</p> <p>The findings of this formative study should be considered in context with the limitations. Students were asked to respond to an item assessing whether faculty, staff, and students should have dental services which may have influenced student responses. Additionally, this study had a small sample size, primarily consisting of graduate students, and was conducted at one campus and is therefore not generalizable. It remains unclear the impact insurance coverage has on oral health and future studies should assess this to provide contextualization of access issues. Expanding this assessment to focus on undergraduates and a wider variety of university settings would be beneficial. However, this study provides formative data on the needs and perceptions of college students and oral health. Future studies should consider the role colleges/universities may have in providing oral health information and services to their students. Improving the oral health resources available to college students may be a leverage point given the association between oral health and overall health.</p> <hd id="AN0161545219-11">Acknowledgments</hd> <p>Sharon Grisanti, RDH, MCOH, and St. Petersburg College's Dental Hygiene Students; Edward Monroy.</p> <hd id="AN0161545219-12">Conflict of interest disclosure</hd> <p>The authors have no conflicts of interest to report. The authors confirm that the research presented in this article met the ethical guidelines, including adherence to the legal requirements, of the United State and received approval from the Institutional Review Board of the University of South Florida.</p> <ref id="AN0161545219-13"> <title> References </title> <blist> <bibl id="bib1" idref="ref1" type="bt">1</bibl> <bibtext> U.S. Department of Health Human Services Oral Health Coordinating Committee. U.S. Department of Health and Human Services Oral Health Strategic Framework, 2014–2017. Public Health Rep. 2016; 131 (2): 242 – 257.</bibtext> </blist> <blist> <bibl id="bib2" idref="ref2" type="bt">2</bibl> <bibtext> U.S. Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD : U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health; 2000.</bibtext> </blist> <blist> <bibl id="bib3" type="bt">3</bibl> <bibtext> American Dental Association. Action for Dental Health: Bringing Disease Prevention into Communities. Chicago, IL : American Dental Association; 2013.</bibtext> </blist> <blist> <bibl id="bib4" idref="ref6" type="bt">4</bibl> <bibtext> Centers for Disease Control and Prevention. Disparities in Oral Health. https://<ulink href="http://www.cdc.gov/oralhealth/oral%5fhealth%5fdisparities/index.htm">www.cdc.gov/oralhealth/oral%5fhealth%5fdisparities/index.htm</ulink>. Published 2016.</bibtext> </blist> <blist> <bibl id="bib5" idref="ref9" type="bt">5</bibl> <bibtext> Dye BT-E, Li X, Iafolla TJ. Dental Caries and Tooth Loss in Adults in the United States, 2011–2012. Hyattsville, MD : US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2015.</bibtext> </blist> <blist> <bibl id="bib6" idref="ref7" type="bt">6</bibl> <bibtext> American Dental Association. American Dental Association Statement on Regular Dental Visits. Chicago, IL : American Dental Association; 2013.</bibtext> </blist> <blist> <bibl id="bib7" idref="ref8" type="bt">7</bibl> <bibtext> Eke PI, Thornton-Evans GO, Wei L, Borgnakke WS, Dye BA, Genco RJ. Periodontitis in US adults: National Health and Nutrition Examination Survey 2009–2014. J Am Dent Assoc. 2018; 149 (7): 576 – 588.e576. doi: 10.1016/j.adaj.2018.04.023.</bibtext> </blist> <blist> <bibl id="bib8" idref="ref10" type="bt">8</bibl> <bibtext> Stephens MB, Wiedemer JP, Kushner GM. Dental problems in primary care. Am Fam Physician. 2018; 98 (11): 654 – 660.</bibtext> </blist> <blist> <bibl id="bib9" idref="ref11" type="bt">9</bibl> <bibtext> American College Health Association. American College Health Association-National College Health Assessment III: Undergraduate Reference Group Data Report Fall 2019. Silver Spring, MD : American College Health Association; 2020.</bibtext> </blist> <blist> <bibtext> American College Health Association. American College Health Association-National College Health Assessment III: Graduate/Professional Student Reference Group Data Report Fall 2019. Silver Spring, MD : American College Health Association; 2020.</bibtext> </blist> <blist> <bibtext> Basch CH, Kernan WD, MacLean SA. Improving understanding about dental health issues in college students. J Prev Interv Community. 2019; 47 (1): 25 – 31. doi: 10.1080/10852352.2018.1547306.</bibtext> </blist> <blist> <bibtext> Crabtree R, Kirk A, Moore M, Abraham S. Oral health behaviors and perceptions among college students. Health Care Manage. 2016; 35 (4): 350 – 360.</bibtext> </blist> <blist> <bibtext> Dewald LL. Dental health practices in US college students: The American College Health Association-National College Health Assessment findings. J Health Disparities Res Pract. 2016; 9 : 26 – 37.</bibtext> </blist> <blist> <bibtext> Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed. Essex, UK : Pearson Education; 2014.</bibtext> </blist> <blist> <bibtext> Ruff RR, Senthi S, Susser SR, Tsutsui A. Oral health, academic performance, and school absenteeism in children and adolescents: A systematic review and meta-analysis. J Am Dent Assoc. 2019; 150 (2): 111 – 121.e114. doi: 10.1016/j.adaj.2018.09.023.</bibtext> </blist> <blist> <bibtext> American College Health Association. Healthy Campus 2020. Silver Spring, MD : American College Health Association; 2014.</bibtext> </blist> <blist> <bibtext> Albright DL, Godfrey K, McDaniel JT, et al. Oral health among student veterans: effects on mental and physical health. J Am Coll Health. 2020; 68 (3): 263 – 270. doi: 10.1080/07448481.2018.1540985.</bibtext> </blist> <blist> <bibtext> Doshi D, Baldava P, Anup N, Sequeira PS. A comparative evaluation of self-reported oral hygiene practices among medical and engineering university students with access to health-promotive dental care. J Contemp Dent Pract. 2007; 8 (1): 68 – 75. doi: 10.5005/jcdp-8-1-68.</bibtext> </blist> <blist> <bibtext> U.S. Department of Health and Human Services. Healthy People 2030 - Oral Conditions. https://health.gov/healthypeople/objectives-and-data/browse-objectives/oral-conditions. Published 2020.</bibtext> </blist> </ref> <aug> <p>By Stacey B. Griner; Cheryl A. Vamos; Amelia C. Phillips; Joseph A. Puccio; Erika L. Thompson and Ellen M. Daley</p> <p>Reported by Author; Author; Author; Author; Author; Author</p> </aug> <nolink nlid="nl1" bibid="bib10" firstref="ref12"></nolink> <nolink nlid="nl2" bibid="bib11" firstref="ref13"></nolink> <nolink nlid="nl3" bibid="bib12" firstref="ref14"></nolink> <nolink nlid="nl4" bibid="bib13" firstref="ref18"></nolink> <nolink nlid="nl5" bibid="bib14" firstref="ref24"></nolink> <nolink nlid="nl6" bibid="bib15" firstref="ref26"></nolink> <nolink nlid="nl7" bibid="bib16" firstref="ref29"></nolink> <nolink nlid="nl8" bibid="bib17" firstref="ref31"></nolink> <nolink nlid="nl9" bibid="bib18" firstref="ref32"></nolink> <nolink nlid="nl10" bibid="bib19" firstref="ref36"></nolink> |
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| Items | – Name: Title Label: Title Group: Ti Data: Assessing College Students' Interest in University-Based Oral Health Information and Services – Name: Language Label: Language Group: Lang Data: English – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Griner%2C+Stacey+B%2E%22">Griner, Stacey B.</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0002-2774-5841">0000-0002-2774-5841</externalLink>)<br /><searchLink fieldCode="AR" term="%22Vamos%2C+Cheryl+A%2E%22">Vamos, Cheryl A.</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-0227-514X">0000-0003-0227-514X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Phillips%2C+Amelia+C%2E%22">Phillips, Amelia C.</searchLink><br /><searchLink fieldCode="AR" term="%22Puccio%2C+Joseph+A%2E%22">Puccio, Joseph A.</searchLink><br /><searchLink fieldCode="AR" term="%22Thompson%2C+Erika+L%2E%22">Thompson, Erika L.</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0002-7115-0001">0000-0002-7115-0001</externalLink>)<br /><searchLink fieldCode="AR" term="%22Daley%2C+Ellen+M%2E%22">Daley, Ellen M.</searchLink> (ORCID <externalLink term="http://orcid.org/0000-0003-3020-295X">0000-0003-3020-295X</externalLink>) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="SO" term="%22Journal+of+American+College+Health%22"><i>Journal of American College Health</i></searchLink>. 2023 71(1):5-9. – Name: Avail Label: Availability Group: Avail Data: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals – Name: PeerReviewed Label: Peer Reviewed Group: SrcInfo Data: Y – Name: Pages Label: Page Count Group: Src Data: 5 – Name: DatePubCY Label: Publication Date Group: Date Data: 2023 – Name: TypeDocument Label: Document Type Group: TypDoc Data: Journal Articles<br />Reports - Research – Name: Audience Label: Education Level Group: Audnce Data: <searchLink fieldCode="EL" term="%22Higher+Education%22">Higher Education</searchLink><br /><searchLink fieldCode="EL" term="%22Postsecondary+Education%22">Postsecondary Education</searchLink> – Name: Subject Label: Descriptors Group: Su Data: <searchLink fieldCode="DE" term="%22College+Students%22">College Students</searchLink><br /><searchLink fieldCode="DE" term="%22Dental+Health%22">Dental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Information+Dissemination%22">Information Dissemination</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Behavior%22">Health Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Public+Colleges%22">Public Colleges</searchLink><br /><searchLink fieldCode="DE" term="%22Student+Attitudes%22">Student Attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Promotion%22">Health Promotion</searchLink> – Name: DOI Label: DOI Group: ID Data: 10.1080/07448481.2021.1876706 – Name: ISSN Label: ISSN Group: ISSN Data: 0744-8481<br />1940-3208 – Name: Abstract Label: Abstract Group: Ab Data: Objective: To assess US college students': (1) oral health behaviors; and (2) interest in university-based oral health information and services. Participants: Students at a large public university in the southeast participated in the survey (n = 102). All participants were over the age of 18 and able to speak and read English. Methods: An online quantitative survey was administered to collect information on oral health behaviors, interest in university-based oral health information and services, and sociodemographic factors. Frequencies, descriptive statistics, and bivariate analyses were utilized for this study. Results: Approximately 11% of students rated their oral health as fair/poor and 27% currently had a dental problem. Over half (53%) were interested in receiving oral health information from the university, 87% felt campus-based dental services were important, and 79% were likely to use campus-based dental services. Conclusions: College students may benefit from information and services to promote oral health within the college context. – Name: AbstractInfo Label: Abstractor Group: Ab Data: As Provided – Name: DateEntry Label: Entry Date Group: Date Data: 2023 – Name: AN Label: Accession Number Group: ID Data: EJ1377642 |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/07448481.2021.1876706 Languages: – Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 5 Subjects: – SubjectFull: College Students Type: general – SubjectFull: Dental Health Type: general – SubjectFull: Health Services Type: general – SubjectFull: Information Dissemination Type: general – SubjectFull: Health Behavior Type: general – SubjectFull: Public Colleges Type: general – SubjectFull: Student Attitudes Type: general – SubjectFull: School Health Services Type: general – SubjectFull: Health Promotion Type: general Titles: – TitleFull: Assessing College Students' Interest in University-Based Oral Health Information and Services Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Griner, Stacey B. – PersonEntity: Name: NameFull: Vamos, Cheryl A. – PersonEntity: Name: NameFull: Phillips, Amelia C. – PersonEntity: Name: NameFull: Puccio, Joseph A. – PersonEntity: Name: NameFull: Thompson, Erika L. – PersonEntity: Name: NameFull: Daley, Ellen M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 0744-8481 – Type: issn-electronic Value: 1940-3208 Numbering: – Type: volume Value: 71 – Type: issue Value: 1 Titles: – TitleFull: Journal of American College Health Type: main |
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