Shiraz E-Medical Journal

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Health Literacy and Its Determinants in Adult Patients Referred to Dental Clinics: A Cross Sectional Study in Mashhad, Iran

Maryam Amirchaghmaghi ORCID 1 , Taraneh Movahhed ORCID 2 , Pegah Mosannen Mozaffari ORCID 1 , Fateme Torkaman 3 and Ala Ghazi ORCID 1 , *
Authors Information
1 Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Dental Materials Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
3 Dentist, Mashhad, Iran
Article information
  • Shiraz E-Medical Journal: In Press (In Press); e86582
  • Published Online: April 13, 2019
  • Article Type: Research Article
  • Received: November 20, 2018
  • Revised: January 30, 2019
  • Accepted: February 17, 2019
  • DOI: 10.5812/semj.86582

To Cite: Amirchaghmaghi M, Movahhed T , Mosannen Mozaffari P, Torkaman F , Ghazi A. Health Literacy and Its Determinants in Adult Patients Referred to Dental Clinics: A Cross Sectional Study in Mashhad, Iran, Shiraz E-Med J. Online ahead of Print ; In Press(In Press):e86582. doi: 10.5812/semj.86582.

Copyright © 2019, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Parker RM, Ratzan SC, Lurie N. Health literacy: A policy challenge for advancing high-quality health care. Health Aff (Millwood). 2003;22(4):147-53. [PubMed: 12889762].
  • 2. Horowitz AM, Kleinman DV. Oral health literacy: The new imperative to better oral health. Dent Clin North Am. 2008;52(2):333-44. vi. doi: 10.1016/j.cden.2007.12.001. [PubMed: 18329447].
  • 3. Pleasant A, McKinney J, Rikard RV. Health literacy measurement: A proposed research agenda. J Health Commun. 2011;16 Suppl 3:11-21. doi: 10.1080/10810730.2011.604392. [PubMed: 21951240].
  • 4. Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot. 2012;1:31. doi: 10.4103/2277-9531.100160. [PubMed: 23555134]. [PubMed Central: PMC3577376].
  • 5. Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92(8):1278-83. [PubMed: 12144984]. [PubMed Central: PMC1447230].
  • 6. Baker DW, Parker RM, Williams MV, Clark WS, Nurss J. The relationship of patient reading ability to self-reported health and use of health services. Am J Public Health. 1997;87(6):1027-30. [PubMed: 9224190]. [PubMed Central: PMC1380944].
  • 7. Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475-82. [PubMed: 12132978].
  • 8. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health care use among Medicare enrollees in a managed care organization. Med Care. 2002;40(5):395-404. [PubMed: 11961474].
  • 9. Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. J Gen Intern Med. 2006;21(8):857-61. doi: 10.1111/j.1525-1497.2006.00530.x. [PubMed: 16881947]. [PubMed Central: PMC1831584].
  • 10. Buse K, Hein W, Drager N. Making sense of global health governance: A policy perspective. Palgrave Macmillan UK; 2009.
  • 11. Haerian A, Moghaddam MH, Ehrampoush MH, Bazm S, Bahsoun MH. Health literacy among adults in Yazd, Iran. J Educ Health Promot. 2015;4:91. doi: 10.4103/2277-9531.171805. [PubMed: 27462633]. [PubMed Central: PMC4946262].
  • 12. ODPHP. Healthy people 2010. 2012. Available from:
  • 13. Schwartz R. Fundamentals of operative dentistry. 2nd ed. Chicago: Quintessence; 2006. p. 9-115.
  • 14. Petersen PE. Priorities for research for oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Health. 2005;22(2):71-4. [PubMed: 15984131].
  • 15. Dindarloo K, Jamali HA, Lakbala P, Valizade H, Azad M, Mahmodi H. [Determination of fluoride concentration in drinking water and its relation with DMFT: A case study in Hormozgan, Iran]. J Basic Res Med Sci. 2016;3(3):28-36. Persian.
  • 16. Shooriabi M, Zareyee A, Gilavand A, Mansoori B, Keykhaei Dehdezi B. Investigating DMFT indicator and its correlation with the amount of serum ferritin and hemoglobin in students with betathalassemia major in Ahvaz, south west of Iran. Int J Pediatr. 2016;4(3):1519-27. doi: 10.22038/ijp.2016.6595.
  • 17. Toomarian L, Souri S, Farhadi H. [Epidemiological evaluation of DMFT index in 12-year-old students of Qom city in 2003]. J Dent Sch Shahid Beheshti Univ Med Sci. 2005;22(3):467-74. Persian.
  • 18. Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Oral health literacy and information sources among adults in Tehran, Iran. Community Dent Health. 2013;30(3):178-82. [PubMed: 24151793].
  • 19. World Health Organization. Oral health surveys: Basic methods. World Health Organization; 2013.
  • 20. Esmaeil M, Jamaloddin B, Ghasem A. [Evaluation of oral health in primary school children in Saveh. Iran]. J Gorgan Bouyeh Fact Nurs Midwifery. 2011;8(19):74-80. Persian.
  • 21. Naghibi Sistani MM, Montazeri A, Yazdani R, Murtomaa H. New oral health literacy instrument for public health: Development and pilot testing. J Investig Clin Dent. 2014;5(4):313-21. doi: 10.1111/jicd.12042. [PubMed: 23559571].
  • 22. Marcus M, Reifel NM, Nakazono TT. Clinical measures and treatment needs. Adv Dent Res. 1997;11(2):263-71. doi: 10.1177/08959374970110020901. [PubMed: 9549992].
  • 23. Naghibi Sistani MM, Yazdani R, Virtanen J, Pakdaman A, Murtomaa H. Oral health literacy and information sources among adults in Tehran, Iran. Community Dent Health. 2013;30(3):178-82. doi: 10.1922/CDH_3159Yazdani05.
  • 24. Ramandeep G, Arshdeep S, Vinod K, Parampreet P. Oral health literacy among clients visiting a rural dental college in North India-a cross-sectional study. Ethiop J Health Sci. 2014;24(3):261-8. [PubMed: 25183933]. [PubMed Central: PMC4141230].
  • 25. Vilella KD, Alves SG, de Souza JF, Fraiz FC, Assuncao LR. The association of oral health literacy and oral health knowledge with social determinants in pregnant Brazilian women. J Community Health. 2016;41(5):1027-32. doi: 10.1007/s10900-016-0186-6. [PubMed: 27013224].
  • 26. Kamberi H, Hysa B, Toci E, Jerliu N, Qirjako G, Burazeri G. Functional health literacy among primary health care users in transitional Kosovo. Med Arch. 2013;67(3):209-11. [PubMed: 23848046].
  • 27. Wolf MS, Feinglass J, Thompson J, Baker DW. In search of 'low health literacy': Threshold vs. gradient effect of literacy on health status and mortality. Soc Sci Med. 2010;70(9):1335-41. doi: 10.1016/j.socscimed.2009.12.013. [PubMed: 20167411].
  • 28. Atchison KA, Gironda MW, Messadi D, Der-Martirosian C. Screening for oral health literacy in an urban dental clinic. J Public Health Dent. 2010;70(4):269-75. doi: 10.1111/j.1752-7325.2010.00181.x. [PubMed: 20545829]. [PubMed Central: PMC3661197].
  • 29. Jones M, Lee JY, Rozier RG. Oral health literacy among adult patients seeking dental care. J Am Dent Assoc. 2007;138(9):1199-208. quiz 1266-7. [PubMed: 17785385].
  • 30. Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, Bahia VS, Brucki SM, Damin A, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saude Publica. 2009;43(4):631-8. [PubMed: 19488667].
  • 31. Torabi M, Karimi AS, Sheykhzadeh A, Karimi AM. [Assessment of oral health indices in Kerman adults aged 35-44 years]. J Isfahan Dent Sch. 2009;5(2):93-5. Persian.
  • 32. Alswat K, Mohamed WS, Wahab MA, Aboelil AA. The association between body mass index and dental caries: Cross-sectional study. J Clin Med Res. 2016;8(2):147-52. doi: 10.14740/jocmr2433w. [PubMed: 26767084]. [PubMed Central: PMC4701071].
  • 33. Namal N, Can G, Vehid S, Koksal S, Kaypmaz A. Dental health status and risk factors for dental caries in adults in Istanbul, Turkey. East Mediterr Health J. 2008;14(1):110-8. [PubMed: 18557458].
  • 34. Kutesa A, Kasangaki A, Nkamba M, Muwazi L, Okullo I, Rwenyonyi CM. Prevalence and factors associated with dental caries among children and adults in selected districts in Uganda. Afr Health Sci. 2015;15(4):1302-7. doi: 10.4314/ahs.v15i4.33. [PubMed: 26958035]. [PubMed Central: PMC4765403].
  • 35. Kamberi B, Kocani F, Begzati A, Kelmendi J, Ilijazi D, Berisha N, et al. Prevalence of dental caries in Kosovar adult population. Int J Dent. 2016;2016:4290291. doi: 10.1155/2016/4290291. [PubMed: 27516774]. [PubMed Central: PMC4969505].
  • 36. Pakpour AH, Hidarnia A, Hajizadeh E. 2010 [Oral health status and its determinants in a sample of Iranian adolescents in Qazvin]. J Qazvin Unive Med Sci. 2011;15(3):54-60. Persian.
  • 37. Parker EJ, Jamieson LM. Associations between indigenous Australian oral health literacy and self-reported oral health outcomes. BMC Oral Health. 2010;10:3. doi: 10.1186/1472-6831-10-3. [PubMed: 20346124]. [PubMed Central: PMC2859391].
  • 38. Haridas R, S S, Ajagannanavar SL, Tikare S, Maliyil MJ, Kalappa AA. Oral health literacy and oral health status among adults attending dental college hospital in India. J Int Oral Health. 2014;6(6):61-6. [PubMed: 25628486]. [PubMed Central: PMC4295458].
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