Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(03): 405-412
DOI: 10.1055/s-0039-1698364
Original Article
Dental Investigation Society

Relationship between General Health Behaviors and Oral Health Behaviors in 2015–2016 NHANES Adult Population

Rami Saadeh
1   Department of Public Health and Community Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
2   Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, United States
,
Irene Bober-Moken
2   Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, United States
,
Suman Challa
2   Department of Comprehensive Dentistry, School of Dentistry, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas, United States
› Author Affiliations Funding None.
Further Information

Publication History

Publication Date:
16 October 2019 (online)

Also available at
   Permissions and Reprints

Abstract

Objectives The aim of this study was to examine the relationship between general health behaviors and oral health behaviors in adults who participated in the interview component of the National Health and Nutrition Examination Survey (NHANES) of 2015 to 2016.

Materials and Methods This was a cross-sectional study design of a national data set that included 5,992 adults who represented a sample of civilian, noninstitutionalized US population.

Statistical Analysis Chi-squared test of independence was used to describe the relationship of demographic information with oral health behaviors of participants. Multivariate logistic regression was used to determine the association between general and oral health behaviors.

Results More than half (53.6%) of the participants had seen a dentist in the past 12 months and the main reason for that visit was for a regular checkup, cleaning, or examination. More than one-quarter (28.7%) reported visiting a dentist because something was hurting or bothering them. Most respondents (63.4%) reported being hardly ever or never having been embarrassed by their mouth condition. Age at one’s first sexual encounter, having a new sexual partner, mental health counseling, moderate- intensity sports, and computer use were significantly associated with positive oral health behaviors.

Conclusions For maximum effectiveness, health promotion efforts should target risk behaviors common to both oral and general health.

Keywords

general health behaviors - oral health behaviors - adults - National Health and Nutrition Examination Survey - risk behaviors
 

  • References

  • 1 Söder B, Jin LJ, Klinge B, Söder PO. Periodontitis and premature death: a 16-year longitudinal study in a Swedish urban population. J Periodontal Res 2007; 42 (04) 361-366
    CrossrefPubMedGoogle Scholar
  • 2 United States Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: National Institute of Dental and Craniofacial Research, National Institutes of Health 2000
  • 3 Holmlund A, Holm G, Lind L. Number of teeth as a predictor of cardiovascular mortality in a cohort of 7,674 subjects followed for 12 years. J Periodontol 2010; 81 (06) 870-876
    CrossrefPubMedGoogle Scholar
  • 4 Imai S, Mansfield CJ. Oral health in North Carolina: relationship with general health and behavioral risk factors. N C Med J 2015; 76 (03) 142-147
    PubMedGoogle Scholar
  • 5 Vincent RR, Appukuttan D, Victor DJ, Balasundaram A. Oxidative stress in chronic periodontitis patients with type II diabetes mellitus. Eur J Dent 2018; 12 (02) 225-231
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Gupta N, Gupta ND, Gupta A, Goyal L, Garg S. The influence of type 2 diabetes mellitus on salivary matrix metalloproteinase-8 levels and periodontal parameters: a study in an Indian population. Eur J Dent 2015; 9 (03) 319-323
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Samnieng P, Ueno M, Zaitsu T, Shinada K, Wright FA, Kawaguchi Y. The relationship between seven health practices and oral health status in community-dwelling elderly Thai. Gerodontology 2013; 30 (04) 254-261
    CrossrefPubMedGoogle Scholar
  • 8 Petersen PE, Jiang H, Peng B, Tai BJ, Bian Z. Oral and general health behaviours among Chinese urban adolescents. Community Dent Oral Epidemiol 2008; 36 (01) 76-84
    PubMedGoogle Scholar
  • 9 Tada A, Matsukubo T. Relationship between oral health behaviors and general health behaviors in a Japanese adult population. J Public Health Dent 2003; 63 (04) 250-254
    CrossrefPubMedGoogle Scholar
  • 10 Hollister MC, Anema MG. Health behavior models and oral health: a review. J Dent Hyg 2004; 78 (03) 6
    PubMedGoogle Scholar
  • 11 Centers for Disease Control and Prevention (CDC). National Health and Nutrition Examination Survey: Survey Methods and Analytic Guidelines. Available at: https://wwwn.cdc.gov/nchs/nhanes/analyticguidelines.aspx
    Google Scholar
  • 12 Centers for Disease Control and Prevention (CDC). NHANES 2015–2016. Available at: https://wwwn.cdc.gov/nchs/nhanes/ContinuousNhanes/Default.aspx?BeginYear=2015
    Google Scholar
  • 13 Centers for Disease Control and Prevention (CDC). National health and nutrition examination survey: demographic variables and sample weights. Available at: https://wwwn.cdc.gov/Nchs/Nhanes/2015-2016/DEMO_I.htm
    Google Scholar
  • 14 Centers for Disease Control and Prevention (CDC). NHANES 2015–2016 data documentation, codebook, and frequencies: demographic variables and sample weights. Available at: https://wwwn.cdc.gov/Nchs/Nhanes/2015-2016/DEMO_I.htm#Component_Description
    Google Scholar
  • 15 Astrøm AN, Mbawalla H. Factor structure of health and oral health-related behaviors among adolescents in Arusha, northern Tanzania. Acta Odontol Scand 2011; 69 (05) 299-309
    CrossrefPubMedGoogle Scholar
  • 16 Hobdell M, Johnson NW, Lalloo R, Myburgh N. Progress in policy issues to improve oral health in Africa. Oral Dis 2004; 10 (03) 125-128
    CrossrefPubMedGoogle Scholar
  • 17 Payne BJ, Locker D. Relationship between dental and general health behaviors in a Canadian population. J Public Health Dent 1996; 56 (04) 198-204
    CrossrefPubMedGoogle Scholar
  • 18 Manski R. J., and Brown E. Dental Use, Expenses Private Dental Coverage, and Changes, 1996 and 2004. Rockville (MD):Agency for Healthcare Research and Quality; 2007 MEPS Chartbook No.17. Available at: http://www.meps.ahrq.gov/mepsweb/data_files/publications/cb17/cb17.pdf
    Google Scholar
  • 19 Sanders AE, Spencer AJ, Stewart JF. Clustering of risk behaviours for oral and general health. Community Dent Health 2005; 22 (03) 133-140
    PubMedGoogle Scholar
  • 20 Park YD, Patton LL, Kim HY. Clustering of oral and general health risk behaviors in Korean adolescents: a national representative sample. J Adolesc Health 2010; 47 (03) 277-281
    CrossrefPubMedGoogle Scholar
  • 21 Jordão LMR, Malta DC, Freire MDC. Clustering patterns of oral and general health-risk behaviours in Brazilian adolescents: findings from a national survey. Community Dent Oral Epidemiol 2018; 46 (02) 194-202
    CrossrefPubMedGoogle Scholar
  • 22 Peker I, Alkurt MT. Oral health attitudes and behavior among a group of Turkish dental students. Eur J Dent 2009; 3 (01) 24-31
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Dumitrescu AL, Dogaru BC, Duta C, Manolescu BN. Testing five social–cognitive models to explain predictors of personal oral health behaviours and intention to improve them. Oral Health Prev Dent 2014; 12 (04) 345-355
    PubMedGoogle Scholar
  • 24 Walker K, Jackson R. The health belief model and determinants of oral hygiene practices and beliefs in preteen children: a pilot study. Pediatr Dent 2015; 37 (01) 40-45
    PubMedGoogle Scholar
  • 25 Sivakumar V, Jain J, Battur H, Patil PU, Lingaraj S, Palliyal S. Exploring oral health beliefs and behaviour among Tibetan immigrants of Bylakkupe. Oral Health Prev Dent 2016; 14 (02) 111-116
    PubMedGoogle Scholar
  • 26 Kim HY, Kim Y, Hwang JM, Park YD. Oral health behaviours according to demographic characteristics in Korean adolescents: a national representative sample. Int Dent J 2011; 61 (03) 168-173
    CrossrefPubMedGoogle Scholar
  • 27 Peltzer K, Pengpid S. Oral health behaviour and social and health factors in university students from 26 low, middle and high income countries. Int J Environ Res Public Health 2014; 11 (12) 12247-12260
    CrossrefPubMedGoogle Scholar
  • 28 Imai S. Disparities in health status and health risk factors in Eastern North Carolina: data from the Behavioral Risk Factor Surveillance System, 2005–2009 aggregated. East Carolina University Web site. 2011. Available at: https://www.ecu.edu/cs-dhs/chsrd/Pubs/upload/2015_Disparities_in_health_status_and_health_risk_factors_in_Eastern_NC.pdf
    Google Scholar
  • 29 Saini R, Saini S, Sharma S. Oral sex, oral health and orogenital infections. J Glob Infect Dis 2010; 2 (01) 57-62
    CrossrefPubMedGoogle Scholar
  • 30 Maida CA, Marcus M, Spolsky VW, Wang Y, Liu H. Socio-behavioral predictors of self-reported oral health-related quality of life. Qual Life Res 2013; 22 (03) 559-566
    CrossrefPubMedGoogle Scholar
  • 31 Do KY, Lee ES, Lee KS. Association between excessive Internet use and oral health behaviors of Korean adolescents: a 2015 national survey. Community Dent Health 2017; 34 (03) 183-189
    PubMedGoogle Scholar
  • 32 Park S, Lee JH. Associations of Internet use with oral hygiene based on national youth risk behavior survey. J Korean Acad Child Adolesc Psychiatry 2018; 29 (01) 26-30
    CrossrefPubMedGoogle Scholar
  • 33 Jiang H, Petersen PE, Peng B, Tai B, Bian Z. Self-assessed dental health, oral health practices, and general health behaviors in Chinese urban adolescents. Acta Odontol Scand 2005; 63 (06) 343-352
    CrossrefPubMedGoogle Scholar
  • 34 Coulter ID, Heslin KC, Marcus M. et al. Associations of self-reported oral health with physical and mental health in a nationally representative sample of HIV persons receiving medical care. Qual Life Res 2002; 11 (01) 57-70
    CrossrefPubMedGoogle Scholar