ArticleJournal of public health in Africa2026
Oral health knowledge, attitudes, and practices across four communities in the Western Cape, South Africa: A cross-sectional study.
Article in Journal of public health in Africa, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Oral health conditions are preventable, but frequently neglected because of limited knowledge, negative attitudes, and misconceptions within communities. Aim: This study aimed to determine the oral health knowledge, attitudes, and practices and factors associated with these outcomes and self-reported oral pain among community members across four communities (two urban and two semi-rural) in the Western Cape, South Africa. Setting: Two urban and two semi-rural communities in the Western Cape, South Africa. Methods: A cross-sectional survey using a researcher-administered questionnaire with validated instruments (The World Health Organization [WHO] Oral Health Assessment and the Rustvold Scale) was conducted among 776 adults, with knowledge, attitudes, and practices measured using composite scores. Data were analysed using descriptive and multivariable analyses to identify socio-demographic factors associated with knowledge, attitudes, and practices, as well as factors associated with self-reported oral pain. Results: Most respondents were female ( Conclusion: Despite moderate knowledge and positive attitudes, gaps in oral health practices persist, with higher odds of oral pain among semi-rural residents and those with poorer health. Contribution: Findings support targeted oral health promotion and improved access to preventive care in semi-rural communities.
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