Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review

ObjectiveThis scoping review aims to review and synthesize existing literature on oral health knowledge, attitudes, behaviours, barriers, and status among international post-secondary students.MethodsUsing the Arksey and O'Malley framework, MEDLINE, Embase, Dentistry & Oral Sciences Sou...

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Main Authors: Hassan W. Yassin, Shahzaib Fida, Khrisha Alphonsus, Jessica Lieffers, Amrinderbir Singh
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Oral Health
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Online Access:https://www.frontiersin.org/articles/10.3389/froh.2025.1555165/full
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author Hassan W. Yassin
Shahzaib Fida
Khrisha Alphonsus
Jessica Lieffers
Amrinderbir Singh
author_facet Hassan W. Yassin
Shahzaib Fida
Khrisha Alphonsus
Jessica Lieffers
Amrinderbir Singh
author_sort Hassan W. Yassin
collection DOAJ
description ObjectiveThis scoping review aims to review and synthesize existing literature on oral health knowledge, attitudes, behaviours, barriers, and status among international post-secondary students.MethodsUsing the Arksey and O'Malley framework, MEDLINE, Embase, Dentistry & Oral Sciences Source, CINAHL, Web of Science, and Scopus databases were searched in June 2024 for selected oral health and international student keywords. Manual searches of reference lists and citations were also conducted. Original research studies in English language were included, with no geographical or date limitations. Using Rayyan, duplicates were removed, and then two authors independently screened available literature according to eligibility criteria; inconsistencies or disagreements were resolved through a third author.ResultsThe search yielded 984 articles. After removal of duplicates and those inconsistent with our inclusion criteria, 14 articles remained. In total, 13/14 articles used a cross-sectional design implementing surveys or interviews; only 4 articles presented objective clinical measures (e.g., DMFT, objective periodontal measures). Some included articles provided information about dietary habits relevant to oral health; however, information captured was limited. Overall, compared to the domestic students, international students were reported to have poorer oral health status; more gaps in their knowledge, attitudes and behaviours regarding oral health; and were also less likely to obtain routine oral health care.ConclusionInternational students may face significant challenges in managing and optimizing their oral health vs. domestic students due to various factors (e.g., acculturation stress, finances, diet, academic stress etc.). Post-secondary institutions may want to consider focusing on supporting and empowering international students to access oral health care on a regular basis through targeted interventions. To design impactful interventions, future community engaged research is needed to better understand the perspectives of international students regarding their oral health status, knowledge, attitudes, behaviours, needs, and aspirations.
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spelling doaj-art-cfe8ebba5620435699aade35273cb3002025-08-20T01:49:14ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422025-03-01610.3389/froh.2025.15551651555165Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping reviewHassan W. Yassin0Shahzaib Fida1Khrisha Alphonsus2Jessica Lieffers3Amrinderbir Singh4College of Dentistry, University of Saskatchewan, Saskatoon, SK, CanadaCollege of Dentistry, University of Saskatchewan, Saskatoon, SK, CanadaSchool of Public Health, University of Saskatchewan, Saskatoon, SK, CanadaCollege of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, CanadaCollege of Dentistry, University of Saskatchewan, Saskatoon, SK, CanadaObjectiveThis scoping review aims to review and synthesize existing literature on oral health knowledge, attitudes, behaviours, barriers, and status among international post-secondary students.MethodsUsing the Arksey and O'Malley framework, MEDLINE, Embase, Dentistry & Oral Sciences Source, CINAHL, Web of Science, and Scopus databases were searched in June 2024 for selected oral health and international student keywords. Manual searches of reference lists and citations were also conducted. Original research studies in English language were included, with no geographical or date limitations. Using Rayyan, duplicates were removed, and then two authors independently screened available literature according to eligibility criteria; inconsistencies or disagreements were resolved through a third author.ResultsThe search yielded 984 articles. After removal of duplicates and those inconsistent with our inclusion criteria, 14 articles remained. In total, 13/14 articles used a cross-sectional design implementing surveys or interviews; only 4 articles presented objective clinical measures (e.g., DMFT, objective periodontal measures). Some included articles provided information about dietary habits relevant to oral health; however, information captured was limited. Overall, compared to the domestic students, international students were reported to have poorer oral health status; more gaps in their knowledge, attitudes and behaviours regarding oral health; and were also less likely to obtain routine oral health care.ConclusionInternational students may face significant challenges in managing and optimizing their oral health vs. domestic students due to various factors (e.g., acculturation stress, finances, diet, academic stress etc.). Post-secondary institutions may want to consider focusing on supporting and empowering international students to access oral health care on a regular basis through targeted interventions. To design impactful interventions, future community engaged research is needed to better understand the perspectives of international students regarding their oral health status, knowledge, attitudes, behaviours, needs, and aspirations.https://www.frontiersin.org/articles/10.3389/froh.2025.1555165/fulloral healthinternational studentknowledge attitudes and behaviors (KABs)oral health and nutritionvulnerable populationdeterminants of oral health
spellingShingle Hassan W. Yassin
Shahzaib Fida
Khrisha Alphonsus
Jessica Lieffers
Amrinderbir Singh
Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
Frontiers in Oral Health
oral health
international student
knowledge attitudes and behaviors (KABs)
oral health and nutrition
vulnerable population
determinants of oral health
title Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
title_full Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
title_fullStr Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
title_full_unstemmed Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
title_short Oral health knowledge, attitudes, behaviours and status among international post-secondary students: a scoping review
title_sort oral health knowledge attitudes behaviours and status among international post secondary students a scoping review
topic oral health
international student
knowledge attitudes and behaviors (KABs)
oral health and nutrition
vulnerable population
determinants of oral health
url https://www.frontiersin.org/articles/10.3389/froh.2025.1555165/full
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