Citation Information :
Nanda T, Singh B, Avasthi A, Bhaskar A, Nanda S, Arora KS. Oral Health (KAP Model) Status and Tobacco Habits in Employees’ State Insurance Patients Visiting a Dental College in North India: A Cross-sectional Study. J Oral Health Comm Dent 2021; 15 (1):7-15.
Background: Various oral health-related practices, perceptions, and behavioral patterns among the individuals in the society determine the treatment needs to be adopted among the dentists, hospitals, and country as a whole.
Objective: To access the knowledge, attitude, and practices regarding oral health and tobacco-related products.
Design: Questionnaire-based cross-sectional study.
Setting: All patients under Employees’ State Insurance (ESI) empanelment coming to the department from August 2018 to July 2019.
Patients: The study consisted of 573 subjects who visited the outpatient department, of which 446 (77.8%) were males and 127 (22.2%) were females.
Measurements: A self-prepared questionnaire was asked from the patients and the response rate was recorded and statistically analyzed using nonparametric tests, such as Chi-square and p value to arrive at the results.
Results: It was observed that the subjects were maintaining oral health by cleaning their teeth with toothbrush and toothpaste in 549 (95.8%) individuals, changing their brush in >1-month and ≤3-month categories with 270 (50.7%) response. It was also seen that the subjects considered oral health as the mirror of their whole body, i.e., in 89% and 84.4% of the individuals and were ready to go to the dentist (86.9%) in the near future regarding oral prophylaxis. Regarding tobacco habits, males (37.8%) were predominantly using tobacco as compared to females.
Limitations: Being a single-centric study of the ESI patients, it does not reflect the overall status of the dental health of this kind of population on a pan-India level. So, more multicentric studies involving a large pool of individuals should be carried out.
Conclusion: This study represents the first-of-a-kind information regarding the oral health of the ESI population in our country. More in-depth and larger sample-sized studies are required from other parts of India that could reflect the true oral status of this category of individuals so that treatment plans can be developed accordingly.
Key messages: This article tends to formulate the oral hygiene perceptions, outlook, and execution of targeted occupants in an observational manner which can help in removing bottlenecks to reach an optimum level of dental health.
World Health Organization (WHO). Oral health. Available from: http://www.who.int/.
Shah N, Pandey RM, Dugal R, et al. Oral health in India. A report of multicentric study. Director General of Health Services, Ministry of Health and Family Welfare, Government of India and WHO Collaborative Programme; 2007.
Second Global Adult Tobacco Survey (GATS) India. Ministry of Health and Family Welfare. Government of India, 2016–2017.
The KAP survey model (knowledge, attitudes, and practices). Available from: https://www.medecinsdumonde.org/en/actualities/publications/2012/02/Kap-Survey%20model-Knowledge-attitude-and-practises.
Accessed from Bible HR.com. What is ESIC? ESIC FAQ. Retrieved 15 March, 2020.
“What is ESI Scheme”. Retrieved March 15, 2020, from https://www.esic.nic.in on.
Baddi Municipal Council City Population Census 2011-2020. Available from: www.census2011.co.in.
Sample size calculator [use in 60 seconds] Qualtrics. Available from: https://www.qualtrics.com/blog/calculating-sample-size.
Oberoi SS, Mohanty V, Mahajan A, et al. Evaluating awareness regarding oral hygiene practices and exploring gender differences among patients attending for oral prophylaxis. J Ind Soc Peridontol 2014;18:369–374. DOI: 10.4103/0972-124X.134580.
Ali NS, Khan M, Butt M, et al. Implication of practices and perception on oral hygiene in patients attending a tertiary care hospital. J Pak Dent Assoc 2012;1:20–23.
Johani HA. Oral hygiene practice among Saudi patients in Jeddah. Cario Dent J 2008;24:395–401.
Sharda AJ, Shetty S. A comparative study of oral health knowledge, attitude and behavior of non-medical, para-medical and medical students in Udaipur city, Rajasthan, India. Int J Dent Hyg 2010;8:101–109. DOI: 10.1111/j.1601-5037.2009.00393.x.
Doshi D, Baldava P, Anup N, et al. 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;8:1–8.
Baseer MA, Alenazy MS, AlAsqah M, et al. Oral health knowledge attitude and pratices among health professionals in King Fahad Medical City, Riyadh. Dent Res J 2012;9(4):386–392. DOI: 10.4103/1735-3327.102761.
Anuradha P and Mishra G. Knowledge, attitude and practice of oral health among chicken-kari workers of Lucknow. J Ind Assoc Public health Dent 2011;18:60–64.
Olusile AO, Adeniyi AA, Orebanjo O. Self related oral health status, oral health service utilization, and oral hygiene practices among adult Nigerians. BMC Oral health 2014;14:140. DOI: 10.1186/1472-6831-14-140.
Kumar RP, John J, Saravanan S, et al. Oral health knowledge, attitudes and practices of patients and their attendants visiting College of Dental Surgery, Saveetha University. Chennai J Ind Assoc Public Health Dent 2009;13:43–53.
Kumari NR, Sheela S, Sarada PN. Knowledge and attitude on infant oral health among graduating medical students in Kerala. J Indian Soc Pedod Prev Dent 2006;24:173–176. DOI: 10.4103/0970-4388.28072.
Usman S, Bhat SS, Sargod SS. Oral health knowledge and behavior of clinical medical, dental and paramedical students in Mangalore. J Oral health Commun Dent 2007;1(3):46-48. DOI: 10.5005/johcd-1-3-46.
Jain N, Mitra D, Ashok KP, et al. Oral hygiene awareness and practice among patients attending OPD at Vyas Dental College and Hospital, Jodhpur. J Indian Soc Periodontol 2012;16:524–528. DOI: 10.4103/0972-124X.106894.
Hongal S, Torwane NA, Goel P, et al. Oral health related knowledge, attitude and practices among eunuchs (hijras) residing in Bhopal city, Madhya Pradesh, India: a cross-sectional questionnaire survey. J Indian Soc Periodontol 2014;18:624–631. DOI: 10.4103/0972-124X.142459.
Dilip CL. Health status, treatment requirements, knowledge and attitude towards oral health of police recruits in Karnatake. J Indian Assoc Public Health Dent 2005;5:20–34.
Jiang H, Peterson PE, Peng B, et al. Self-assessed dental health, oral health practices and general health behaviours in Chinese urban adolescents. Acta Odontol Scand 2005;63:343–352. DOI: 10.1080/00016350500216982.
Al-Shammari KF, Al-Ansari JM, Al-Khabbaz AK, et al. Self-reported oral hygiene habits and oral health problems of Kuwaiti adults. Med Princ Pract 2007;16:15–21. DOI: 10.1159/000096134.
Zhu L, Petersen PE, Wang HY, et al. Oral health knowledge, attitudes and behavior of adults in China. Int Dent J 2005;55:231–241. DOI: 10.1111/j.1875-595x.2005.tb00321.x.
Das UM, Vadakkekuttical RJ, Kanakkath H, et al. Dental health awareness attitude and dental health-care seeking practices as risk indicators for the prevalence of periodontal disease among 15-17 year old school children in Kozhikode district, Kerala, India. J Indian Soc Periodontol 2017;21:144–151. DOI: 10.4103/jisp.jisp_160_17.
Gopikrishna V, Bhaskar NN, Kulkarni SB, et al. Knowledge, attitude and practices of oral hygiene among college students in Bengaluru city. J Indian Assoc Public Health Dent 2016;14:75–79. DOI: 10.4103/2319-5932.178726.
Madan C, Arora K, Chadha VS, et al. A knowledge, attitude and practices study regarding dental floss among dentists in India. J Indian Soc Periodontol 2014;18:361–368. DOI: 10.4103/0972-124X.134578.
Shaheen RS, Aldosari MM, Altuwaijri HA, et al. Efficiency of flossing technique application among dental students at Riyadh Elm University, Riyadh, Kingdom of Saudi Arabia. J Oral Health Comm Dent 2019;13(3):63–68. DOI: 10.5005/jp-journals-10062-0051.
Ghahroudi AAR, Khorsaud A, Yaghobee S, et al. Oral health status, knowledge, attitude and practice of patients with heart disease. Arya Atheroscler 2016;12(1):1–9.
Kuppuswamy VL, Murthy S, Sharma S, et al. Oral hygiene status, knowledge, perceptions and practices among school settings in rural South India. Oral health Dent Manag 2014;13(1):146–154.
Al-Omiri MK, Al-Wahadni AM, Saeed KN. Oral health attitudes, knowledge and behavior among school children in North Jordan. J Dent Educ 2006;70(2):179–187. DOI: 10.1002/j.0022-0337.2006.70.2.tb04074.x
Kasat V, Joshi M, Somasundaram KV, et al. Tobacco use, its influences, triggers, and associated oral lesions among the patients attending a dental institution in rural Maharashtra, India. J Int Soc Prevent Communit Dent 2012;2:25–30. DOI: 10.4103/2231-0762.103454.
Sinha DN, Gupta PC, Pednakar MS. Tobacco use in a rural area of Bihar, India. Indian J Community Med 2003;28:167–170.
Sorenson G, Gupta P, Pednekar MS. Social disparities in tobacco use in Mumbai, India: the roles of occupation, education and gender. Am J Public Health 2005;95:1003–1008. DOI: 10.2105/AJPH.2004.045039.
Mitra DK, Pawar SD, Mandal A, et al. Attitudes of dental professional toward tobacco use. J Ind Soc Periodontol 2015;19:317–321. DOI: 10.4103/0972-124X.153488.
Shaheen S, Reddy S, Doshi D, et al. Knowledge, attitude and practice regarding tobacco cessation among Indian Dentists. Oral health Prevent Dent 2015;13(5):427–434. DOI: 10.3290/j.ohpd.a33924.
Madhu PP, Kumar PGN, Prashant GM, et al. Knowledge, attitude and practice regarding tobacco cessation methods among the dental professionals: a cross-sectional study. J Oral Health Comm Dent 2019;13(1):21–26. DOI: 10.3290/j.ohpd.a33924.