Health literacy and oral health-related behaviors among young adults in Norway

The transition from adolescence to adulthood represents an increase in autonomy and responsibility of oral health-related behaviors, in which health literacy might play a significant role. The objective of the study was to assess health literacy in a young adult population and determine whether health literacy is associated with their oral health-related behaviors. Materials and methods: Utilizing data from the Fit Futures longitudinal cohort study, this cross-sectional analysis was based on self-administered questionnaires from the third wave, FF3. Health literacy was assessed using a short version of the European Health Literacy Survey Questionnaire (HLS-Q12), while oral health-related behaviors were assessed through toothbrushing frequency and dental service utilization. In addition, socioeconomic factors were included as control variables. Bivariate analyses and multivariable logistic regression were performed. Results: The findings indicated that 38% of the young adults had a score equivalent to having lower levels of health literacy. Higher health literacy scores were associated with more regular dental service use, even after adjusting for socioeconomic covariates. Conclusion: Although most young adults had good oral health-related behaviors, it is concerning that a significant proportion still neglects regular dental visits and consistent tooth brushing. These findings highlight the need for greater emphasis on health literacy within public dental health services.