Characteristics of oral health literacy in Senegal: A cross-sectional study among women in the Department of Pikine

Published: 26 July 2022
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Senegal having a significant prevalence of socially differentiated oral diseases, oral health literacy (OHL), an individual and social resource, should be considered alongside a remedial response. This work aimed to analyze women’s OHL characteristics. A cross-sectional study on 315 women in Pikine County was carried out, using the Oral Health Literacy-Adult Questionnaire (OHL-AQ) for the OHL data collection and a questionnaire for the women’s socioeconomic characteristics data. These women had an OHL average score of 6.5±3.1 and a median of 6. Among them, 56.5% had a seemingly low OHL level, a little over 68.9% had a score above the median as regards the “listening, communication and understanding” aspect, 58.4% to “decision making”, 55.2% to “understanding numbers” and 33% to “reading and understanding”. According to a multivariate analysis, secondary and higher educated women (p<0.001) with an active social network (p<0.023), in a wealthy household (p<0.0001) and of nuclear household type (p<0.036) had a higher OHL level. Women in Pikine have low OHL and are from working- class households. Therefore, oral health policies must take into account the women’s social network contribution to the OHL improvement.

Kickbusch IS. Health literacy: addressing the health and education divide. Health Promot Int. 2001;16(3):289‑97.

World Health Organization. Division of Health Promotion E. Glossaire de la promotion de la santé. Genève: 1998; p25.

Ferron C (Fédération Nationale de l'Education et de la Promotion en Santé). La Littératie en santé : synthèse bibliographique [Internet]. FNES. 2017; p.39.

Nutbeam D. The evolving concept of health literacy. Soc Sci Med 1982. 2008;67:2072‑8.

Soares GH, Santiago PHR, Michel-Crosato E, Jamieson L. The utility of network analysis in the context of Indigenous Australian oral health literacy. PloS One. 2020;15:e0233972.

Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health. 2018;18:172. DOI:

Horowitz AM, Kleinman DV. Oral health literacy: the new imperative to better oral health. Dent Clin North Am. 2008;52:333‑44.

Haridas R, Ajagannanavar SL, Tikare S et al. Oral Health Literacy and Oral Health Status among Adults Attending Dental College Hospital in India. J Int Oral Health. 2014;6:61‑6.

Dutra LDC, de Lima LCM, Neves ÉTB et al. Adolescents with worse levels of oral health literacy have more cavitated carious lesions. PloS One. 2019;14:e0225176.

Azodo C, Inegbenosun H. Is oral health literacy a predictor of periodontal health knowledge, subjectively rated periodontal status, oral self-care behaviour and dental attendance? Nig J Med Dent Educ. 2019;1:45‑52.

Calvasina P, Lawrence HP, Hoffman-Goetz L, Norman CD. Brazilian immigrants’ oral health literacy and participation in oral health care in Canada. BMC Oral Health. 2016;16:1‑7.

Lopes RT, Neves ÉTB, Dutra LDC et al. Socioeconomic status and family functioning influence oral health literacy among adolescents. Rev Saude Publica. 2020;54:30. DOI:

Vilella KD, Alves SGA, de Souza JF et al. The Association of Oral Health Literacy and Oral Health Knowledge with Social Determinants in Pregnant Brazilian Women. J Community Health. 2016;41:1027‑32.

Agence Nationale de la Statistique et de la Démographie. Enquête nationale sur les facteurs de risque des maladies non transmissibles-STEPS 2015: Rapport préliminaire des indicateurs‐clés. [Internet]. Sénégal : ANSD ; 2016. p.39. [cité 13 sept 2018]

Ministère de de la santé et de l’action sociale - Division de la Santé buccodentaire. Répartition du personnel de soins buccodentaire public au niveau national [document physique]. Sénégal, Dakar: 2018.

Sehrawat P, Shivlingesh KK, Gupta B et al. Oral health knowledge, awareness and associated practices of pre-school children’s mothers in Greater Noida, India. Niger Postgrad Med J. 2016;23:152‑7.

Dieng S, Cisse D, Lombrail P, Azogui-Lévy S. Mothers’ oral health literacy and children’s oral health status in Pikine, Senegal: A pilot study. PloS One. 2020;15:e0226876.

Firmino RT, Ferreira FM, Martins CC et al. Is parental oral health literacy a predictor of children’s oral health outcomes? Systematic review of the literature. Int J Paediatr Dent. 2018; doi: 10.1111/ipd.12378 DOI:

Vichayanrat T, Sittipasoppon T, Rujiraphan T et al. Oral health literacy among mothers’s pre-scholer children. M Dent J. 2014;34:243‑52.

Brega AG, Johnson RL, Jiang L et al. Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children. Int J Environ Res Public Health. 2021;18:5633. DOI:

de Buhr E, Tannen A. Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health. 2020;20:1096. DOI:

Petersen PE, Baez R. (World Health Organization). Oral health surveys: basic methods, 5th ed. [Internet]. Genève: WHO; 2013. p125.

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;5:313‑21.

Caron J, Guay S. Soutien social et santé mentale : concept, mesures, recherches récentes et implications pour les cliniciens. Santé mentale au Québec. 2005;30:15-41 DOI:

Agence Nationale de la Statistique et de la Démographie. Enquête Pauvreté et Structure familiale : Rapport de synthèse des résultats [Internet]. Sénégal, Dakar: ANSD; 2015. p.125.

Vyas S, Nagarajappa S, Dasar PL, Mishra P. Linguistic adaptation and psychometric evaluation of original Oral Health Literacy-Adult Questionnaire (OHL-AQ). J Adv Med Educ Prof. 2016;4:163‑9.

Mohammadi TM, Malekmohammadi M, Hajizamani HR, Mahani SA. Oral health literacy and its determinants among adults in Southeast Iran. Eur J Dent. 2018;12(3):439‑42.

Lee S-YD, Arozullah AM, Cho YI. Health literacy, social support, and health: a research agenda. Soc Sci Med 1982. 2004;58(7):1309‑21.

Bridges SM, Parthasarathy DS, Wong HM et al. The relationship between caregiver functional oral health literacy and child oral health status. Patient Educ Couns. 2014;94(3):411‑6.

Diagne M. Les différents genres de l’oralité. In: Critique de la raison orale: les pratiques discursives en Afrique noire. Paris: Karthala; 2005. p.604.

Institute of Medicine. Health Literacy: A Prescription to End Confusion [Internet]. 2004 [cité 18 sept 2020]. Disponible sur:

Organisation de coopération et de développement économiques. Perspectives de l’OCDE sur les compétences 2013 : Premiers résultats de l’Evaluation des compétences des adultes [Internet]. Paris: Éditions OCDE; 2013. p.484.

Edwards M, Wood F, Davies M, Edwards A. « Distributed health literacy »: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition. Health Expect Int J Public Particip Health Care Health Policy. 2015;18(5):1180‑93.

Lee JY, Divaris K, Baker AD et al. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health.2012;102(5):923‑9.

Fry-Bowers EK, Maliski S, Lewis MA et al. The association of health literacy, social support, self-efficacy and interpersonal interactions with health care providers in low-income Latina mothers. J Pediatr Nurs. 2014;29(4):309‑20.

Rodriguez A, Beaton L, Freeman R. Strengthening Social Interactions and Constructing New Oral Health and Health Knowledge: The Co-design, Implementation and Evaluation of A Pedagogical Workshop Program with and for Homeless Young People. Dent J. 2019;7(11):1‑15.

Institut de Développement et de recherche canadien (IDRC). Au Sénégal, la santé maternelle et infantile est une affaire communautaire [Internet]. 2017.


Dieng, S. N., Kanouté, A., Lombrail, P., Diouf, M., & Azogui-Levy, S. (2022). Characteristics of oral health literacy in Senegal: A cross-sectional study among women in the Department of Pikine. Journal of Public Health in Africa, 13(2).


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