Oral Health Knowledge Correlated With Behaviours of Secondary School Students Focusing on Gender and Age in Awka Education Zone

Oral health is one of major aspects of an individual’s general health and it is also a state of being free from any form of oral disorder. Unfortunately, many young people in developing countries are known to suffer disproportionately from the burden of oral conditions, trauma and diseases. But, having adequate knowledge and good practice of oral health are essential for a healthy oral health status. Hence, the researcher’s motivation to take up this study to ascertain the level of oral health knowledge and behavior among students in Awka Education Zone with 3 research questions and 3 hypothesis serving as guide. Relevant related literature were reviewed guided by conceptual framework, theoretical framework, review of empirical studies and summary of reviewed related literature. The study employed correlational survey design aimed at obtaining respondents opinion on the subject matter and was carried out within 6 months (November 2024 to April, 2025) The study population comprised of 6,274 SS2 students from 65 schools and the sample size of 375 students from 10 selected schools of both gender (150 Male students and 225 Female students), aged 13 – 18 years using Yamane, 1967 standard formula ±5% with Stratified simple random sampling technique of balloting with replacement. The instrument for collection of data were OHKQ and SBQ which were subjected to validation. Data were analyzed descriptively and inferentially using SPSS version 25 and hypotheses were tested at 0.05 level of significance. The data generated were presented by the use of tables according to research questions and hypothesis. The data analyzed with Pearson product moment Correlation showed that age of the student has a moderately positive significance in students at age 15 r (375 = 0.378 p =0.002 ≤ 0.05) indicating a significant correlation between the two variables of oral health knowledge and students behaviour with 95% confidence level (CI) which ranges from 0 to 0. And, the Regression ANOVA analysis correlation moderated by gender (p = .328> 0.05), knowledge and behaviour (p = .001> .05). Conclusion: The outcome of this study shows that among others, there is a moderate and significant positive relationship between the variables amongst secondary school students’ in Awka Education Zone, which aligns with educational expectations.

Oral Health, Knowledge, Behaviours of Secondary School Students

1. Abiola A, Afolabi O, Victor A, Oyinkansola S and Oladapo A (2018). Effect of Health Education Intervention Conducted by Primary Health Care Workers on Oral Health Knowledge and Practices of Nursing Mothers in Lagos State. Journal of Public Health Africa; 9 (2):833. [Google Scholar] [Crossref]

2. Akinyamoju C, Taiwo J, Uwadia E, Agbogidi J, Ambeke A, (2018). Oral Health Knowledge and Practice among Traders in Ibadan. Ann Ib Postgraduate Medical.16 (2):150-156.s [Google Scholar] [Crossref]

3. Al-Ansari, J. et al. (2017). Correlation between oral health knowledge and behavior amongst adolescents. Journal of Clinical and Diagnostic Research, 11(9), 15-18. [Google Scholar] [Crossref]

4. Al-Malik, M., & Farsi, N. (2018). Oral health knowledge, attitude, and practices among Saudi Arabian adolescents. Journal of public health dentistry, 78(2), 147- 153. [Google Scholar] [Crossref]

5. American Dental Association (2019). Oral Health Knowledge and Attitudes among Adolescents. Journal of Dental Research, 98(Special Issue A), 1553. [Google Scholar] [Crossref]

6. American Academy of Pediatric Dentistry (2018). The Reference Manual on Pediatric Dentistry - Fluoride Therapy. Chicago: American Academy of Pediatric Dentistry; p. 263. [Google Scholar] [Crossref]

7. Balasubramanian, R., & Sivakuma, N. (2017). Assessment of oral health knowledge among adolescents in Chennai, India. Journal of Oral Science, 59(2), 241-248. [Google Scholar] [Crossref]

8. Bhaskar, N. et al (2016). Department of Public Health Dentistry, Dayananda Sagar College of Dental Sciences, Bengaluru - 560 078, Karnataka, India. 2016 Journal of Indian Association of Public Health Dentistry | Published by Wolters Kluwer – Medknow E-mail: drnithinbhaskar@gmail.co [Google Scholar] [Crossref]

9. Centers for Disease Control and Prevention. (2020). Oral Health for Adolescents. Retrieved from (link unavailable) [Google Scholar] [Crossref]

10. Cepeda, M., Weinstein, R., Blacketer, C., Lynch, M., (2017). Association of Flossing/Inter-Dental Cleaning and Periodontitis in Adults. J. Clin. Periodontal, 44, 866–871. [Google Scholar] [Crossref]

11. Chakraborty, R., & Das, K .C (2020). Correlation between oral health knowledge and attitude among adolescents in Eastern India. Journal of Clinical and Diagnostic Research, 14(9), 23-27. [Google Scholar] [Crossref]

12. Cronbach L. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297-334. [Google Scholar] [Crossref]

13. Dilan A. et al (2024) Department of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, 06230 Ankara, Turkey. ACT ODONTOLOGICA SCANDINAVICA VOL. 83, 404411 https://doi.org/10.2340/aos.v83.40938 [Google Scholar] [Crossref]

14. Gayathri R., Yuvaraj K., Sundar R., (2020) Assessment of oral health behaviour and knowledge among dental and engineering undergraduate students International Journal of Research in Pharm. Sci., 2020, 11 (SPL3), 1069-1076. [Google Scholar] [Crossref]

15. Khan, A.ss (2019). Relationship between Oral Health Knowledge and Attitude among Adolescents in Karachi, Pakistan (Master’s thesis, Dow University of Health Sciences). [Google Scholar] [Crossref]

16. Kumar P. (2021) Microbial Dysbiosis: The root cause of periodontal disease. Journal of Periodontology. 2021; 92(8): 1079-1087 [Google Scholar] [Crossref]

17. Kwan, S.., et al. (2018). Correlation between oral health and behaviour amongst adolescents. Journal of Public Health Dentistry, 78(2), 151-156. [Google Scholar] [Crossref]

18. Malik S, Kamra S, Bhardwaj A. (2021). Knowledge, attitude and behavior towards oral health among teaching staff members of non-medical faculties in higher education institution with multiple faculties. Ann Romanian Soc Cell Biol 2021; 25(6):13260-81. [Google Scholar] [Crossref]

19. Nagarajappa R, Naik D, Ramesh G, (2021). Sources of oral health information and its relationship on knowledge among Indian adolescents. Pesqui Bras Odontopediatria Clín Integr; 21:e0099. https://doi.org/10.1590/pboci.2021.01 [Google Scholar] [Crossref]

20. National Cancer Institute, (2020) GLOBOCAN, Department of Health and Human Services, NIH, NCI website (link unavailable). [Google Scholar] [Crossref]

21. Nworgu, B. (2015). Promoting Educational Research through Effective Instrument Development, International Journal of Advanced Research and Publications ISSN: 2456-9992. [Google Scholar] [Crossref]

22. Obidike, .I (2018), Effect of the Use of Instructional Materials on the Academic Achievements of Secondary School Students. Unpublished Degree Project, Department of Health Education. Peaceland College of Education, Enugu State. [Google Scholar] [Crossref]

23. Okoronkwo S.s et al (2024). Dental Technology Department, Federal College of Dental Technology and Therapy, Enugu, Correspondent Author DOI: https://doi.org/10.51244/IJRSI.2024.1104039 Received: 01 April 2024; Accepted: 08 April 2024; Published: 13 May 2024. [Google Scholar] [Crossref]

24. Okoronkwo, S., Ibe, S., Okorie, P., Ugochukwu, B., Nwachukwu, C., & Amuneke, C. (2020). Assessment of Oral Hygiene Knowledge and Practice among Secondary School Students in Owerri Municipal Area, Imo State, Nigeria. Current Journal of Applied Science and Technology, 39(24), 91–101. [Google Scholar] [Crossref]

25. Oral Health Croatia (2022), Country Profile. Available online: https://www.who.int/ publications/m/item/oral-health-hrv-2022-country-profile (accessed on 26 December 2023). [Google Scholar] [Crossref]

26. Patel, S., et al. (2017). Oral health knowledge and behaviour amongst adolescents. Journal of Clinical and Diagnostic Research, 11(10), 15-18. [Google Scholar] [Crossref]

27. Selvaraj S, Naing N., Wan-Arfah N, (2021). Assessment on oral health knowledge, attitude, and behaviour and its association with socio-demographic and habitual factors of South Indian population. Pesqui Bras Odontopediatria Clín Integr. 2021; 21:e0135. https://doi.org/10.1590/pboci.2021.159 [Google Scholar] [Crossref]

28. Singh et al. (2018). Correlation between oral health knowledge and behaviour amongst adolescents. Journal of Oral Science, 60(2), 249-254. [Google Scholar] [Crossref]

29. Susi, M., Nila K. (2020). The relationship between maternal characteristics and early childhood caries. Padjadjaran J Dent.; 32(1): 22-7. DOI: 10.24198/pjd. vol32no1.23640 [Google Scholar] [Crossref]

30. Tadin A, Poljak G, Domazet J, Gavic L (2022). Oral Hygiene Practices and Oral Health Knowledge among Students in Split, Croatia. Healthcare (Basel).21;10(2):406. doi:10.3390/healthcare10020406. PMID: 35207018; PMCID: PMC8872387. [Google Scholar] [Crossref]

31. Uguru .N, Onwujekwe .O, Uguru .O, Ogu .U, Okwuosa .C, Okeke .C, (2021).“Oral health-seeking behaviour among different population groups in Enugu Nigeria,” PLoS One, vol.16, no.2February, doi: https://doi.org/10.1371/journal.pone .0246164. [Google Scholar] [Crossref]

32. WHO, (2023) Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030. Available online: https://www.who.int/publications-detail-redirect/9789240061484 (accessed on 25 May 2023). [Google Scholar] [Crossref]

33. WHO, (2015). Health: Action plan for promotion and integrated disease prevention. New York: World Health Organization. [Google Scholar] [Crossref]

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