Abstract

BackgroundOral hygiene practices can be linked to personal hygiene practices, including access to water and other sanitation facilities. The objective of the study was to determine if there is an association between oral hygiene practices and water and sanitation hygiene (WASH) practices among street-involved young people (SIYP).MethodsA cross-sectional study recruited SIYP age 10–24 years in two States in Nigeria recruited through respondent-driven sampling in December 2018. Interviewer-administered questionnaires were used to collect data on water access, sanitation, personal and oral hygiene. The instruments used for collecting the data were standardized tools for measuring the phenomena studied. The association between knowledge and practice of oral hygiene; oral hygiene and water, sanitation and hygiene (WASH); and indicators of good oral hygiene were determined using binary logistic regression guided by two models.ResultsA total of 845 study participants were recruited. The proportion of SIYP with good knowledge of oral hygiene was low (31.2%), and fewer had good oral hygiene practice (8.9%). There were significant associations between knowledge and practice of tooth cleaning, use of fluoride-containing toothpaste, dental flossing, consumption of sugar between meals, and frequency of dental check-ups (p < 0.001 respectively). Respondents with good water collection and storage practices (AOR: 2.01; 95% CI: 1.24–3.24; P = 0.005) and those residing in Lagos (AOR: 2.85; 95% CI: 1.61–5.06; P = 0.001) had a higher likelihood of having good oral hygiene.ConclusionGood oral hygiene practices of SIYP in Nigeria is associated with access to water collection and storage. WASH programs can have an impact on health through improved oral hygiene practices.

Highlights

  • Oral hygiene practices can be linked to personal hygiene practices, including access to water and other sanitation facilities

  • Those residing in Lagos (AOR: 2.38; 95% Confidence interval (CI): 1.32–4.31; P = 0.004) were more likely to have good oral hygiene than those residing in Osun State

  • We identified that the oral hygiene knowledge of street-involved young people (SIYP) was better than their oral hygiene practice, and that most respondents had poor oral hygiene practices, oral hygiene knowledge significantly correlated with oral hygiene practices and was an indicator of good oral hygiene practices

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Summary

Introduction

Oral hygiene practices can be linked to personal hygiene practices, including access to water and other sanitation facilities. Access to water is strongly associated with hygiene practices, and hygiene practices are strongly linked to health For these reasons, one of the 2030 Agenda for Sustainable Development goals is access to safe drinking water. Safe water can be a driver of progress for many of the Sustainable Development goals including health, nutrition, education and gender equality [1]. This was a reason for global actions to improve water access, sanitation and hygiene (WASH). The aim of WASH is to empower communities to enhance their access to and use of safe water and sanitation service, and to improve sustainable hygiene practices [2].

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