Development and Application of a Multidimensional Oral Health Scale

Abstract Background: Based on existing measuring tools, we sought to develop a multidimensional oral health scale suitable for domestic use and evaluate its reliability and validity. The scale was applied to conduct an initial investigation of the oral health of college students. It is expected that groups with a high oral health risk can be identified early through large-scale and low-cost questionnaire screening in the future, which can also provide ideas for the development of relevant clinical research. Methods: The current questionnaire focuses on oral health and health care behaviors. It is multidimensional and incorporates concepts such as oral health literacy. Freshmen from two different university colleges were selected as the research objects, and the questionnaire was distributed electronically. LISREL 8.80 and SPSS 21.0 were used to analyze the validity and reliability of the oral healthy literacy scale, and descriptive analysis was also performed using SPSS 21.0. Results: The scores of the two scales of oral health literacy were at medium and high levels. The Cronbach's alpha values were 0.96 and 0.95, and both the GFI and AGFI reached 1. The percentages of people who did not brush their teeth or use dental floss were 78.8% and 79.3%, respectively. Only 16.2% knew that the Bass Method was the most important technique to ensure oral health, and only 15.1% knew that regular dental cleaning every six months could also ensure oral health. Conclusions: At present, college freshmen have not developed correct oral health care behaviors. Dental cleaning should be included in medical insurance reimbursement to encourage people to receive regular oral examinations and dental cleanings.