Association between Oral Health Promoting School Activities and Oral Health Literacy, Oral Health Behavior and Oral Health Outcome


  • Chiraporn Khitdee Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand. Email:
  • Piyada Prasertsom Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand Email:
  • Kornkamol Niyomsilp Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand. Email:
  • Pattraporn Hasadisevi Bureau of Dental Health, Department of Health, Ministry of Public Health, Nonthaburi, Thailand. Email:


Oral health promotion, Oral health in school, Oral health literacy, Oral health evaluation, Oral health promoting school


Bureau of dental health had implemented oral health promoting school program since 2008, activities cover; 1) build supportive oral health policy 2) improve children oral health skills 3) create supportive environment 4) set an oral health surveillance system and 5) engage of all stakeholders. This study aimed to find the association between the oral health promoting school activities and oral health literacy (OHL), oral health behavior and oral health status among school children.

This study was conducted in 3,671 primary-school-children grade 5-6 from 70 schools. Sampling was done by using the stratified two-stages sampling technique. Data were drawn from 1) school oral health activities questionnaires, 2) OHL questionnaires, and 3) oral health behavior questionnaires. Caries experience (DMF) of the children was derived from the Ministry of Public Health’s database. The Chi–square test and Logistic regression analysis were used in data analysis.

The result showed that the average mean of OHL among children was 21.6 (Adequate OHL= 21). Only 10.0% of Children brushed their teeth followed the key messages 222 (brush twice daily, at least 2 minutes and avoid eating 2 hrs. after brushed). Moreover, 10.5%, 14.9%, and 28.6% of children consumed carbonated soft drinks, sugary drinks, and snacks more than 2 times per day, respectively. A statistically significant association between schools implemented oral health activities and oral health literacy (p < 0.001), oral health behavior (p < 0.05), and oral health status (p < 0.05) were observed. Oral health promoting school should be scaled up as they related to good oral health behavior.


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