THE ASSOCIATION BETWEEN SOCIOECONOMIC STATUS AND KNOWLEDGE, ATTITUDES, AND PRACTICE OF ORAL HEALTHCARE IN ABBOTTABAD, PAKISTAN.

Authors

  • Saveela Sadaqat Department of Biochemistry, M Islam Dental College, Gujranwala, Pakistan.
  • Abdul Manan Department of Oral Medicine, Islamic International Dental College, Islamabad, Pakistan.
  • Muhammad Adnan Iqbal Department of General Medicine, KMS Medical College , Sialkot, Pakistan.
  • Sadia Rashid Department of Physiology, Frontier Dental College, Abbottabad, Pakistan.
  • Syed Abir Hussain Department of Community Dentistry, Frontier Dental College, Abbottabad, Pakistan.
  • Annas Abdullah House Officer, Frontier Medical and Dental College, Abbottabad, Pakistan.

DOI:

https://doi.org/10.33279/jkcd.v16i01.986

Keywords:

Oral Health, Socioeconomic Factors, Health Knowledge, Attitudes, Practice; Health Behavior

Abstract

Objectives: This cross-sectional study aimed to assess the association between socioeconomic status (SES) and the knowledge, attitude, and practice (KAP) of oral healthcare among patients in Abbottabad, Pakistan.

Materials and Methods: A cross-sectional study was conducted at the Frontier Medical and Dental College, Abbottabad, from December 2024 to February 2025. A convenience sample of 250 participants was recruited. While this method was pragmatic, it limits the generalizability of the findings. Data were collected using a validated questionnaire adapted from Selvaraj et al. (2021). One-way ANOVA was used to assess associations, with post-hoc Bonferroni correction and eff ect size (η²) calculation.

Results: Education (F=5.10, df=3, 246, p=0.002, η²=0.059) and income (F=3.30, df=3, 246, p=0.019, η²=0.039) were significantly associated with knowledge scores. However, no significant associations were found between any SES variable and attitude or practice scores (p>0.05 for all).

Conclusion: While higher education and income were linked to better knowledge, this did not translate into better attitudes or practices. This disconnect highlights the need for public health interventions that target behavioral change directly, moving beyond knowledge dissemination to address the specifi c barriers in this population.

References

Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, et al. Oral diseases: a global public health challenge. Lancet. 2019 Jul 20;394(10194):249–60. DOI: https://doi.org/10.1016/S0140-6736(19)31146-8

Izhar F, Nazir MA, Majeed A, Almas K. Knowledge and practice of dentine hypersensitivity among general dental practitioners. Eur J Dent. 2019 Oct;13(4):540–6. DOI: 10.1055/s-0039-1697656. DOI: https://doi.org/10.1055/s-0039-1697110

Ashi H, Campus G, Bertéus Forslund H, Hafi z W, Ahmed N, Lingström P. The Infl uence of Sweet Taste Perception on Dietary Intake in Relation to Dental Caries and BMI in Saudi Arabian Schoolchildren. Int J Dent. 2017;2017:4262053. DOI: 10.1155/2017/4262053. DOI: https://doi.org/10.1155/2017/4262053

World Bank. Rural population (% of total population) - Pakistan. 2023. Data. Retrieved from: https://data.worldbank.org/indicator/SP. RUR.TOTL.ZS?locations=PK

Adeel M, Tariq M, Riaz B, Aziz R, Irshad A. Knowledge, attitude and practice regarding dental hygiene in patients of Sialkot and Multan Pakistan. PJMHS. 2022 Jan;16(1):167–8. DOI: https://doi.org/10.53350/pjmhs22161167

Bhat M, Bhat S, Brondani MA, Mejia GC, Pradhan A, Roberts-Thomson KF, et al. Prevalence, Extent, and Severity of Oral Health Impacts Among Adults in Rural Karnataka, India. JDR Clin Trans Res. 2021 Apr;6(2):242–50. DOI: 10.1177/2380084420921359. DOI: https://doi.org/10.1177/2380084420932163

Watt RG, Daly B, Allison P, Macpherson LMD, Venturelli R, Listl S, et al. Ending the neglect of global oral health: time for radical action. Lancet. 2019 Jul 20; 394(10194):261–72. DOI: https://doi.org/10.1016/S0140-6736(19)31133-X

Jain N, Dutt U, Radenkov I, Jain S. WHO's Global Oral Health Status Report 2022: Implications for India and South Asia. Cureus. 2023 Feb 11;15(2):e34651. DOI: 10.7759/cureus.34651. DOI: https://doi.org/10.7759/cureus.34651

Batra P, Saini P, Yadav V. Oral health concerns in India. J Oral Biol Craniofac Res. 2020 Apr-Jun;10(2):171–4. DOI: 10.1016/j.jobcr.2020.03.003. DOI: https://doi.org/10.1016/j.jobcr.2020.04.011

Schuch HS, Haag DG, Kapellas K, Arantes R, Peres MA, Thomson WM, et al. The Relative Impact of Income and Education on Oral Health—A Cross-Sectional Study of the Brazilian Longitudinal Health Study. Community Dent Oral Epidemiol. 2021 Jun;49(3):209–15. DOI: 10.1111/cdoe.12593. DOI: https://doi.org/10.1111/cdoe.12593

Ali SA, Aslam A, Farid J, Shah M, Jamal S, Shaikh BT. Oral health-related quality of life and its associated factors among adults in rural and urban areas of Pakistan. PLoS One. 2023 Apr 6; 18(4): e0284567. DOI: 10.1371/journal.pone.0284567. DOI: https://doi.org/10.1371/journal.pone.0284567

Dalai S, Tangade P, Singh V, Jain A, Priyadarshi S, Yadav J. Oral Health-Related Quality of Life Among Urban and Rural Adults of Uttar Pradesh: A Cross-Sectional Study. J Prim Care Dent Oral Health. 2022; 3(3):75–81. DOI: https://doi.org/10.4103/jpcdoh.jpcdoh_11_22

Pearce J, Witten K, Hiscock R, Blakely T. Regional and urban–rural variations in the association of neighbourhood deprivation with community resource access: a national study. Environ Plan A. 2008 Nov; 40(10):2469–89. DOI: 10.1068/a39285. DOI: https://doi.org/10.1068/a409

Sanadhya S, Aapaliya P, Jain S, Sharma N, Choudhary G, Dobaria N. Assessment and comparison of clinical dental status and its impact on oral health-related quality of life among rural and urban adults of Udaipur, India: A cross-sectional study. J Basic Clin Pharm. 2015 Mar; 6(2): 50–8. DOI: 10.4103/0976-0105.152091. DOI: https://doi.org/10.4103/0976-0105.152091

Cademartori MG, Custódio NB, Harter AL, Goettems ML. Maternal perception about child oral health is associated to child dental caries and to maternal self-report about oral health. Acta Odontol Scand. 2019 Jul; 77(5): 359–63. DOI: 10.1080/00016357.2019.1572792. DOI: https://doi.org/10.1080/00016357.2019.1570332

Tinanoff N, Baez RJ, Diaz Guillory C, Donly KJ, Feldens CA, McGrath C, et al. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. 2019 May;29(3):238 48. DOI: 10.1111/ipd.12484. DOI: https://doi.org/10.1111/ipd.12484

World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva: World Health Organization; 2022.

Rajan PK, John J. Explaining the Knowledge-Attitude-Practice Gap in Oral Health: A Scoping Review. J Oral Health Community Dent. 2022; 16(4):1–7.

Kumar S, Tadakamadla J, Zimmer-Gembeck MJ, Kroon J, Lalloo R, Johnson NW. The Intention-Behavior Gap in Oral Health: A Cross-Sectional Study of Young Adults. Int J Environ Res Public Health. 2020 Oct 6; 17(19):7299. DOI: 10.3390/ijerph17197299. DOI: https://doi.org/10.3390/ijerph17197299

Kandasamy G, Almeleebia TM. Assessment of Oral Health Knowledge, Attitudes, and Behaviours among University Students in the Asir Region—Saudi Arabia: A Cross-Sectional Study. Healthcare (Basel). 2023 Dec 5; 11(23):3100. DOI: 10.3390/healthcare11233100. DOI: https://doi.org/10.3390/healthcare11233100

Iqbal MA, Rashid S, Rizwan M, Ch WG, Sheikh QM, Noor A. Awareness, Attitude and Practice of keeping proper oral hygiene among the Medical and Dental students. PJMHS. 2022 Apr; 16(4):131–2. DOI: https://doi.org/10.53350/pjmhs22164131

Selvaraj S, Naing NN, Wan-Arfah N, Abreu MHNG. Assessment on oral health knowledge, attitude, and behavior and its association with socio-demographic and habitual factors of South Indian population. Pesqui Bras Odontopediatria Clin Integr. 2021; 21:e0135. DOI:10.1590/pboci.2021.100. DOI: https://doi.org/10.1590/pboci.2021.159

FDI World Dental Federation. Oral health and the sustainable development goals. Geneva: FDI World Dental Federation; 2019.

Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. J Am Dent Assoc. 2021 May; 152(5): 367-9. DOI:10.1016/j.adaj.2021.02.008. DOI: https://doi.org/10.1016/j.adaj.2021.02.008

Downloads

Published

2026-03-31

How to Cite

Sadaqat, S. ., Manan, A. ., Iqbal, M. A., Rashid, S., Hussain, S. A., & Abdullah, A. (2026). THE ASSOCIATION BETWEEN SOCIOECONOMIC STATUS AND KNOWLEDGE, ATTITUDES, AND PRACTICE OF ORAL HEALTHCARE IN ABBOTTABAD, PAKISTAN. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 16(01), 26–32. https://doi.org/10.33279/jkcd.v16i01.986