Exploring the Role of Sociodemographic Factors in Influencing Dental Floss Knowledge and Practices among Adults in Sebha City, Libya: A Cross-Sectional Study
- Authors
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Osama Ahmadi
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of BenghaziAuthor -
Mubarakah Abraheem
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of Benghazi. Benghazi, LibyaAuthor -
Aisha Aloshiby
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of Benghazi. Benghazi, LibyaAuthor -
Ibtisam Ahmadi
Department of Botany, Faculty of Arts and Science, Al-Abyar, University of Benghazi. Benghazi, LibyaAuthor -
Areej EL-Sallak
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of Benghazi. Benghazi, LibyaAuthor -
Aram Elhashem
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of Benghazi. Benghazi, LibyaAuthor -
Hunaida Budajaja
Department of Preventive and Dental Public Health, Faculty of Dentistry, University of Benghazi. Benghazi, LibyaAuthor
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- Keywords:
- Dental Hygiene, Dental Floss, Knowledge, Oral Health Practice, Sociodemographic Factors
- Abstract
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Dental diseases are influenced by several sociodemographic factors. This study aims to examine the impact of age, education, and occupation on the knowledge and use of dental floss among adults in Sebha, Libya. A cross-sectional study was conducted among 601 adults in Sebha City using a structured questionnaire. Data were collected on participants’ sociodemographic characteristics, and dental floss knowledge and practices. Descriptive statistics and Pearson’s chi-square test were employed to analyze the relationships between variables. Out of 601 respondents, 54.4% had general knowledge about dental floss, but only 31.4% reported using it. Females demonstrated better oral hygiene practices, with 41% using floss, compared to 19% of males. Significant differences in flossing habits were observed based on age, education, and occupation, with younger individuals and those with higher educational levels showing greater knowledge and better practice. Additionally, socioeconomic status was a strong determinant of interdental cleaning practice. In conclusion, sociodemographic factors significantly affect dental floss knowledge and practice in Sebha. Public health initiatives should focus on improving education and access to dental care, particularly for lower-income and less-educated groups. The study highlights the need for targeted public health initiatives to promote dental floss usage, particularly among socioeconomically disadvantaged groups.
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- References
-
Abdalrahman, L. S. (2022). Survey of Dental Caries, Gingivitis Prevalence, Dietary, and Oral Hy-giene Habits among Patients Visiting Dental Clinic in Zawia, Libya. Surman Journal of Sci-ence and Technology, 4(1), 033-043.
Almagtouf, A., Arara, A., & Shaglouf, E. (2024). Causes and Prevalence of Tooth Loss among Pa-tients Attending Dental Clinics in Gharian, Libya. AlQalam Journal of Medical and Applied Sciences, 1219-1224
Ahmadi, O., Machuca, C., & Sabbah, W. (2019). Socioeconomic inequality in the provision of health advice in dental setting in England, Wales and Northern Ireland. Patient Education and Counseling, 102(11), 2068–2072.
Awartani, F. (2009). Oral health knowledge and practices in Saudi diabetic female patients. Pakistan Oral & Dental Journal, 29(1), 149–152.
Baseer, M. A., Alenazy, M. S., AlAsqah, M., AlGabbani, M., & Mehkari, A. (2012). Oral health knowledge, attitude and practices among health professionals in King Fahad Medical City, Riyadh. Dental research journal, 9(4), 386.
Bastos, J. L., Antunes, J. L. F., Frias, A. C., Souza, M. D. L. R. D., Peres, K. G., & Peres, M. A. (2009). Color/race inequalities in oral health among Brazilian adolescents. Revista Brasileira de Epidemiologia, 12, 313-324.
Butt, F., Iqbal, M., Jawed, A., Khan, U., Hanif, M., & Sarwar, A. (2017). Interdental cleaning. Pa-kistan Oral & Dental Journal, 37(3), 452–454.
Chernin, D., & Shklar, G. (2003). Levi Spear Parmly: Father of dental hygiene and children's den-tistry in America. Journal of the History of Dentistry, 51(1), 15–18.
Corby, P. M., Biesbrock, A., Bartizek, R., Corby, A. L., Monteverde, R., Ceschin, R., & Bretz, W. A. (2008). Treatment outcomes of dental flossing in twins: Molecular analysis of the inter-proximal microflora. Journal of Periodontology, 79(8), 1426–1433.
Doshi, D., Baldava, P., Anup, N., & Sequeira, P. S. (2007). A comparative evaluation of self-reported oral hygiene practices among medical and engineering university students with ac-cess to health-promotive dental care. Journal of Contemporary Dental Practice, 8(1), 68–75.
Ehizele, A., Chiwuzie, J., & Ofili, A. (2011). Oral health knowledge, attitude and practices among Nigerian primary school teachers. International Journal of Dental Hygiene, 9(4), 254–260.
Eke, P. I., Thornton-Evans, G. O., Wei, L., Borgnakke, W. S., Dye, B. A., & Genco, R. J. (2018). Periodontitis in US adults: National Health and Nutrition Examination Survey 2009–2014. The Journal of the American Dental Association, 149(7), 576–588.
Elani, H. W., Harper, S., Allison, P. J., Bedos, C., & Kaufman, J. S. (2012). Socio-economic ine-qualities and oral health in Canada and the United States. Journal of Dental Research, 91(9), 865–870.
Featherstone, J. D. (2003). The caries balance: Contributing factors and early detection. Journal of the California Dental Association, 31(2), 129–133.
Fleming, E. B., Nguyen, D., Afful, J., Carroll, M. D., & Woods, P. D. (2018). Prevalence of daily flossing among adults by selected risk factors for periodontal disease—United States, 2011–2014. Journal of Periodontology, 89(8), 933–939.
Frias, A. C., Mysuguti, A. H., Sanchez, T. P., Mantovani, G. L. D. S., & Pestana, S. R. C. D. C. (2012). Social determinants and use of dental floss by 35–44-year-old adults. RGO (Porto Alegre), 321–327.
Gaber, A., Galarneau, C., Feine, J. S., & Emami, E. (2018). Rural‐urban disparity in oral health‐related quality of life. Community Dentistry and Oral Epidemiology, 46(2), 132–142.
Galdas, P. M., Cheater, F., & Marshall, P. (2005). Men and health help‐seeking behaviour: Litera-ture review. Journal of Advanced Nursing, 49(6), 616–623.
Goryawala, S. N., Chavda, P., Udhani, S., Pathak, N. V., Pathak, S., & Ojha, R. (2016). A survey on oral hygiene methods practiced by patients attending Dentistry Department at a Tertiary Care Hospital from Central Gujarat. Journal of International Society of Preventive and Community Dentistry, 6(2), 115–119.
Greenwell, H. (2001). Position paper: Guidelines for periodontal therapy. Journal of periodontolo-gy, 72(11), 1624-1628.
Gufran, K., Indrajit, M. G., Aljeaidi, Z., & Hamza, M. O. B. (2015). Self-care of oral health status and uses of interdental aids among dental students: A cross-sectional study. International Journal of Dental and Medical Specialty, 2(4), 5–9.
Hamilton, M. E., & Coulby, W. M. (1991). Oral health knowledge and habits of senior elementary school students. Journal of Public Health Dentistry, 51(4), 212–219.
Haresaku, S., Chishaki, A., Hatakeyama, J., Yoshinaga, Y., Yoshizumi, J., Yamamoto, M., & Yoneda, M. (2023). Current status and factors of periodontal disease among Japanese high school students: A cross-sectional study. BDJ Open, 9(1), 29.
Hassan, A. K. (2000). Reasons for tooth extraction among patients in Sebha, Libyan Arab Jamahiriya: A pilot study. Eastern Mediterranean Health Journal, 6(1), 176–178.
Jemli, S., Besbes, A., Snene, S., & Jaouadi, J. (2024). Knowledge, Attitude and Behavior of Tunisi-an Dental Students about Oral Health: A Cross Sectional Study.
Johani, H. A. (2008). Oral hygiene practice among Saudi patients in Jeddah. Cairo Dental Journal, 24, 395–401.
Kamil, M. A., & Bashir, R. O. (2017). Interdental cleaning aids knowledge, awareness and practices among Jazan University students, Saudi Arabia. International Journal of Dental Health Sciences, 4, 85–93.
Khanal, K., Shrestha, D., Ghimire, N., Younjan, R., & Sanjel, S. (2015). Assessment of knowledge regarding oral hygiene among parents of pre-school children attending pediatric outpatient department in Dhulikhel Hospital. Kathmandu University Medical Journal, 13(1), 38–43.
Kida, I. A., Åstrøm, A. N., Strand, G. V., & Masalu, J. R. (2006). Clinical and socio-behavioral cor-relates of tooth loss: a study of older adults in Tanzania. BMC Oral Health, 6, 1-10
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activi-ties. Educational and psychological measurement, 30(3), 607-610.
Lipsky, M. S., Su, S., Crespo, C. J., & Hung, M. (2021). Men and oral health: A review of sex and gender differences. American Journal of Men's Health, 15(3), 15579883211016361.
Mårtensson, C., Söderfeldt, B., Andersson, P., Halling, A., & Renvert, S. (2006). Factors behind change in knowledge after a mass media campaign targeting periodontitis. International Journal of Dental Hygiene, 4(1), 8–14.
Neamatollahi, H., & Ebrahimi, M. (2010). Oral health behavior and its determinants in a group of Iranian students. Indian Journal of Dental Research, 21(1), 84–88.
Ogunbodede, E. O., Kida, I. A., Madjapa, H. S., Amedari, M., Ehizele, A., Mutave, R., & Okoye, L. (2015). Oral health inequalities between rural and urban populations of the African and Middle East region. Advances in dental research, 27(1), 18-25.
Peeran, S. A., Peeran, S. W., Al Sanabani, F., Almakramani, B., Elham, E. I., & Kumar, P. G. N. (2015). "Education level" responsible for inequities in oral practices among 15–34-year-old individuals in Jizan, Saudi Arabia. Journal of International Society of Preventive and Com-munity Dentistry, 5(2), 120–124.
Peeran, S. W., Singh, A. R., Alagamuthu, G., Abdalla, K. A., & Kumar, P. G. N. (2013). Descrip-tive analysis of toothbrushing used as an aid for primary prevention: A population-based study in Sebha, Libya. Social Work in Public Health, 28(6), 575–582.
Pinkhasov, R. M., Wong, J., Kashanian, J., Lee, M., Samadi, D. B., Pinkhasov, M. M., & Shabsigh, R. (2010). Are men shortchanged on health? Perspective on health care utilization and health risk behavior in men and women in the United States. International Journal of Clinical Practice, 64(4), 475–487.
Poklepovic, T., Worthington, H. V., Johnson, T. M., Sambunjak, D., Imai, P., Clarkson, J. E., & Tugwell, P. (2013). Interdental brushing for the prevention and control of periodontal dis-eases and dental caries in adults. Cochrane Database of Systematic Reviews, (12).
Rahouma, N., Buzinin, S., & Ftis, K. (2022). Evaluation of Gingival Bleeding Awareness among Dental Students at University of Tripoli. Khalij-Libya Journal of Dental and Medical Re-search, 57-62.
Sabbah, W., Tsakos, G., Sheiham, A., & Watt, R. G. (2009). The role of health-related behaviors in the socioeconomic disparities in oral health. Social Science & Medicine, 68(2), 298–303.
Sakhnoub, A. W. (2024). Modeling population density in the city of Sebha using dasymetric maps. Libya Journal of Geographical studies. 4(2), 282-259.
Sambunjak, D., Nickerson, J. W., Poklepovic, T., Johnson, T. M., Imai, P., Tugwell, P., & Worthington, H. V. (2011). Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database of Systematic Reviews, (12).
Sanoudos, M., & Christen, A. G. (1999). Levi Spear Parmly: The apostle of dental hygiene. Journal of the History of Dentistry, 47(1), 3–6.
Sisson, K. L. (2007). Theoretical explanations for social inequalities in oral health. Community Dentistry and Oral Epidemiology, 35(2), 81–88.
Soofi, M., Karami-Matin, B., Pasdar, Y., Hamzeh, B., Moradi-Nazar, M., Ameri, H., & Najafi, F. (2020a). What explains socioeconomic inequalities in dental flossing? Cross-sectional results from the RaNCD cohort study. Journal of Preventive Medicine and Hygiene, 61(2), E215.
Soofi, M., Pasdar, Y., Karami-Matin, B., Hamzeh, B., Rezaei, S., Karyani, A. K., & Najafi, F. (2020b). Socioeconomic-related inequalities in oral hygiene behaviors: A cross-sectional analysis of the PERSIAN cohort study. BMC Oral Health, 20, 1–11.
Su, S., Lipsky, M. S., Licari, F. W., & Hung, M. (2022). Comparing oral health behaviours of men and women in the United States. Journal of Dentistry, 122, 104157.
Tarannum, F., Faizuddin, M., Swamy, S., & Hemalata, M. (2012). Efficacy of a new interdental cleaning aid. Journal of Indian Society of Periodontology, 16(3), 375–380.
Terézhalmy, G. T., Bartizek, R. D., & Biesbrock, A. R. (2008). Plaque‐removal efficacy of four types of dental floss. Journal of Periodontology, 79(2), 245–251.
Tubaishat, R. S., Darby, M. L., Bauman, D. B., & Box, C. E. (2005). Use of miswak versus tooth-brushes: oral health beliefs and behaviours among a sample of Jordanian adults. International Journal of Dental Hygiene, 3(3), 126-136.
World Health Organization. (2022). Global oral health status report: Towards universal health coverage for oral health by 2030. World Health Organization.
Worthington, H. V., MacDonald, L., Pericic, T. P., Sambunjak, D., Johnson, T. M., Imai, P., & Clarkson, J. E. (2019). Home use of interdental cleaning devices, in addition to toothbrush-ing, for preventing and controlling periodontal diseases and dental caries. Cochrane Data-base of Systematic Reviews, (4).
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- 2025-08-03
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- Vol. 40 No. 1 (2025)
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Copyright (c) 2025 Osama Ahmadi, Mubarakah Abraheem, Aisha Aloshaiby, Ibtisam Ahmadi , Areej EL-Sallak, Aram Elhashem, Honida Budgaga (Author)

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