Defining the Connotations of Oral Health Literacy Using the Conceptual Composition Method

Zhiqiang Tian, Yanjun Wang (), Yang Li, Jiao Lu, Li Song, Ling Ding, Xinyu Guo and Jianzhong Zheng ()
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Zhiqiang Tian: Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan 030032, China
Yanjun Wang: Comprehensive Service Center of Shanxi Medical and Health Institutions (Shanxi Province Blood Center), Changfeng Street, Taiyuan 030006, China
Yang Li: School of Health Management, Shanxi Technology and Business College, Taiyuan 030036, China
Jiao Lu: School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, China
Li Song: School of Public Health, Shanxi Medical University, South Xinjian Road, Taiyuan 030001, China
Ling Ding: School of Public Health, Shanxi Medical University, South Xinjian Road, Taiyuan 030001, China
Xinyu Guo: School of Public Health, Shanxi Medical University, South Xinjian Road, Taiyuan 030001, China
Jianzhong Zheng: School of Public Health, Shanxi Medical University, South Xinjian Road, Taiyuan 030001, China

IJERPH, 2023, vol. 20, issue 4, 1-12

Abstract: Due to advancements in research, the concept of oral health literacy (OHL) has become rich in connotations, with over 250 definitions present in the literature and government and organizational reports. The diversity of OHL definitions and connotations not only produces conflicting results but also limits the production of accurate OHL measurement and assessment tools while simultaneously hindering the construction of health literacy intervention policies. To clarify the connotations of OHL and establish a scientific basis for evaluation, we conducted a systematic review, searching and analyzing the literature related to the conceptual connotations of OHL. Additionally, we extracted basic, methodological, and OHL conceptual connotation information from the literature. With reference to the review framework, we classified the conceptual connotations of OHL into antecedents of OHL, the core of OHL, mediators, and outcomes of OHL. The comprehensive conceptual connotations of OHL were obtained through a systematic review and concept mapping based on the related literature. Our analysis revealed that the antecedents of OHL can be classified in two categories: personal factors and external factors. The core conceptual connotations of OHL include three core dimensions (with 16 subdimensions): (1) basic skills—literacy, reading comprehension, numeracy, hearing, oral expression, communication, and knowledge; (2) information-related abilities—information acquisition, information understanding, information communication, information evaluation, information utilization, and information decision-making; and (3) oral health maintenance abilities—interpersonal skills, self-regulation, and goal achievement. The mediator of these connotations is oral health behaviors, with oral health being the result of OHL. This study further clarifies the conceptual connotations of OHL, serving as a reference for future OHL-related studies.

Keywords: oral health literacy; conceptual model; conceptual composition (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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