Variables associated with oral health-related self-efficacy – results of a cross-sectional study

Abstract Background Oral health-related self-efficacy (OH-SE) is pivotal for oral health and is associated with other oral-health related variables, such as dental fear and anxiety (DF/A) and dental hygiene behaviors (DHB). This study attempts to analyze associations between OH-SE and oral healthrel...

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Main Authors: David Bantel, Witold X. Chmielewski, Elmar Brähler, Yve Stöbel-Richter, Markus Zenger, Hendrik Berth
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03656-x
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author David Bantel
Witold X. Chmielewski
Elmar Brähler
Yve Stöbel-Richter
Markus Zenger
Hendrik Berth
author_facet David Bantel
Witold X. Chmielewski
Elmar Brähler
Yve Stöbel-Richter
Markus Zenger
Hendrik Berth
author_sort David Bantel
collection DOAJ
description Abstract Background Oral health-related self-efficacy (OH-SE) is pivotal for oral health and is associated with other oral-health related variables, such as dental fear and anxiety (DF/A) and dental hygiene behaviors (DHB). This study attempts to analyze associations between OH-SE and oral healthrelated variables in a German population to extend previous research by analyzing whether OH-SE can be predicted by these variables, as this might contribute to the development of treatment interventions. Methods OH-SE, DF/A, oral health-related quality of life (OHRQoL), self-perceived dental condition, satisfaction with general health, DHB, and socioeconomic status were assessed as a part of the Saxon Longitudinal Study in an adult sample (n = 309, 56.3% female, all Saxon secondary school 8th graders in 1987). The associations of OH-SE with these variables were examined by means of correlation, multiple linear regression analyses, and group comparisons. Significance (p), standardized regression coefficients (β), and effect size (Cohen’s d) were calculated. Results The correlation analyses revealed increased OH-SE to be accompanied by low levels of DF/A, high levels of OHRQoL, high levels of self-perceived dental condition, increased satisfaction with general health and socioeconomic status (all r ≥ 0.142; all p ≤ 0.013). In the regression analysis, OH-SE was mainly predicted by self-perceived dental condition and satisfaction with general health (R2 = 0.157) as well as by daily frequency of toothbrushing, OHRQoL, and socioeconomic status on a trend-level basis. In the group comparisons OH-SE was lower in participants with moderate for manifest DF/A and higher in individuals with higher OHRQoL, better self-perceived dental condition, increased satisfaction with general health, increased daily frequency of toothbrushing, more dental appointments, and above-average socioeconomic status (trend level; all t ≥ 1.57; p ≤ 0.059). Conclusions In this cross-sectional study, high levels of OH-SE were mainly predicted by general health as well as self-perceived dental condition. It was also associated with decreased DF/A, increased DHB, higher OHRQoL, and higher socioeconomic status. Future research should analyze these associations in longitudinal designs to address whether interventions focusing on adherence to good DHB improve (dental) health and thus OH-SE. This might be a promising approach, particularly in relation to the treatment of DF/A.
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spelling doaj.art-cb8e13d355b14566afd1bd7d0b54aefb2023-12-03T12:38:43ZengBMCBMC Oral Health1472-68312023-11-012311910.1186/s12903-023-03656-xVariables associated with oral health-related self-efficacy – results of a cross-sectional studyDavid Bantel0Witold X. Chmielewski1Elmar Brähler2Yve Stöbel-Richter3Markus Zenger4Hendrik Berth5Carl Gustav Carus Faculty of Medicine, Division of Psychological and Social Medicine and Developmental Neuroscience, Research Group Applied Medical Psychology and Medical Sociology, Technische Universität DresdenInstitute for Psychological Psychotherapy, University of BochumDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-UniversityFaculty of Managerial and Cultural Studies, University of Applied Sciences Zittau/GörlitzDepartment of Applied Human Studies, University of Applied Sciences Magdeburg-StendalCarl Gustav Carus Faculty of Medicine, Division of Psychological and Social Medicine and Developmental Neuroscience, Research Group Applied Medical Psychology and Medical Sociology, Technische Universität DresdenAbstract Background Oral health-related self-efficacy (OH-SE) is pivotal for oral health and is associated with other oral-health related variables, such as dental fear and anxiety (DF/A) and dental hygiene behaviors (DHB). This study attempts to analyze associations between OH-SE and oral healthrelated variables in a German population to extend previous research by analyzing whether OH-SE can be predicted by these variables, as this might contribute to the development of treatment interventions. Methods OH-SE, DF/A, oral health-related quality of life (OHRQoL), self-perceived dental condition, satisfaction with general health, DHB, and socioeconomic status were assessed as a part of the Saxon Longitudinal Study in an adult sample (n = 309, 56.3% female, all Saxon secondary school 8th graders in 1987). The associations of OH-SE with these variables were examined by means of correlation, multiple linear regression analyses, and group comparisons. Significance (p), standardized regression coefficients (β), and effect size (Cohen’s d) were calculated. Results The correlation analyses revealed increased OH-SE to be accompanied by low levels of DF/A, high levels of OHRQoL, high levels of self-perceived dental condition, increased satisfaction with general health and socioeconomic status (all r ≥ 0.142; all p ≤ 0.013). In the regression analysis, OH-SE was mainly predicted by self-perceived dental condition and satisfaction with general health (R2 = 0.157) as well as by daily frequency of toothbrushing, OHRQoL, and socioeconomic status on a trend-level basis. In the group comparisons OH-SE was lower in participants with moderate for manifest DF/A and higher in individuals with higher OHRQoL, better self-perceived dental condition, increased satisfaction with general health, increased daily frequency of toothbrushing, more dental appointments, and above-average socioeconomic status (trend level; all t ≥ 1.57; p ≤ 0.059). Conclusions In this cross-sectional study, high levels of OH-SE were mainly predicted by general health as well as self-perceived dental condition. It was also associated with decreased DF/A, increased DHB, higher OHRQoL, and higher socioeconomic status. Future research should analyze these associations in longitudinal designs to address whether interventions focusing on adherence to good DHB improve (dental) health and thus OH-SE. This might be a promising approach, particularly in relation to the treatment of DF/A.https://doi.org/10.1186/s12903-023-03656-xSelf-efficacyDental anxietyDental hygieneOral healthQuality of life
spellingShingle David Bantel
Witold X. Chmielewski
Elmar Brähler
Yve Stöbel-Richter
Markus Zenger
Hendrik Berth
Variables associated with oral health-related self-efficacy – results of a cross-sectional study
BMC Oral Health
Self-efficacy
Dental anxiety
Dental hygiene
Oral health
Quality of life
title Variables associated with oral health-related self-efficacy – results of a cross-sectional study
title_full Variables associated with oral health-related self-efficacy – results of a cross-sectional study
title_fullStr Variables associated with oral health-related self-efficacy – results of a cross-sectional study
title_full_unstemmed Variables associated with oral health-related self-efficacy – results of a cross-sectional study
title_short Variables associated with oral health-related self-efficacy – results of a cross-sectional study
title_sort variables associated with oral health related self efficacy results of a cross sectional study
topic Self-efficacy
Dental anxiety
Dental hygiene
Oral health
Quality of life
url https://doi.org/10.1186/s12903-023-03656-x
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