Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students

Information about oral health-related quality of life (OHRQoL) and dental anxiety (DA) in Russian young adults is scarce. We investigated how DA is associated with OHRQoL in a group of medical and dental students in North-West Russia. The study had a cross-sectional design and included 807 students...

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Main Authors: Christine Nordbø Heyeraas, Silje Nyborg Jensen, Vilde Bjørkli Stabell, Jan-Are K. Johnsen, Sergei N. Drachev
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/11/11/260
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author Christine Nordbø Heyeraas
Silje Nyborg Jensen
Vilde Bjørkli Stabell
Jan-Are K. Johnsen
Sergei N. Drachev
author_facet Christine Nordbø Heyeraas
Silje Nyborg Jensen
Vilde Bjørkli Stabell
Jan-Are K. Johnsen
Sergei N. Drachev
author_sort Christine Nordbø Heyeraas
collection DOAJ
description Information about oral health-related quality of life (OHRQoL) and dental anxiety (DA) in Russian young adults is scarce. We investigated how DA is associated with OHRQoL in a group of medical and dental students in North-West Russia. The study had a cross-sectional design and included 807 students aged 18–25 years who attended the Northern State Medical University in Arkhangelsk. OHRQoL and DA were measured by the Oral Health Impact Profile (OHIP-14) and Corah’s Dental Anxiety Scale (DAS), respectively. A questionnaire collected information on socio-demographics and self-reported oral health (OH) characteristics. A dental examination was executed to assess dental caries and oral hygiene. We observed differences in the OHIP-14 scores between dentally anxious and non-anxious students: unadjusted incidence rate ratio [IRR] = 1.65, 95% confidence interval [CI]: 1.29–2.12; after adjustment for socio-demographics and clinically assessed OH: IRR = 1.58, 95% CI: 1.23–2.02; after adjustment for socio-demographics, clinically assessed OH, and self-reported OH characteristics: IRR = 1.27, 95% CI: 0.99–1.63. The differences between estimated marginal means for the DAS categories in the models were 2.92, 2.51, and 1.24, respectively. Minimal clinically important differences of OHIP-14 fell between 1.68 and 2.51. We found a negative statistical association between DA and OHRQoL in our study sample, but after adjustment for potential confounders, the association lost its clinical importance.
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spelling doaj.art-fd2abb70f6e14f839ca30373b04713a82023-11-24T14:37:23ZengMDPI AGDentistry Journal2304-67672023-11-01111126010.3390/dj11110260Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental StudentsChristine Nordbø Heyeraas0Silje Nyborg Jensen1Vilde Bjørkli Stabell2Jan-Are K. Johnsen3Sergei N. Drachev4Department of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, NorwayDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, NorwayDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, NorwayDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, NorwayDepartment of Clinical Dentistry, Faculty of Health Sciences, UiT The Arctic University of Norway, N-9037 Tromsø, NorwayInformation about oral health-related quality of life (OHRQoL) and dental anxiety (DA) in Russian young adults is scarce. We investigated how DA is associated with OHRQoL in a group of medical and dental students in North-West Russia. The study had a cross-sectional design and included 807 students aged 18–25 years who attended the Northern State Medical University in Arkhangelsk. OHRQoL and DA were measured by the Oral Health Impact Profile (OHIP-14) and Corah’s Dental Anxiety Scale (DAS), respectively. A questionnaire collected information on socio-demographics and self-reported oral health (OH) characteristics. A dental examination was executed to assess dental caries and oral hygiene. We observed differences in the OHIP-14 scores between dentally anxious and non-anxious students: unadjusted incidence rate ratio [IRR] = 1.65, 95% confidence interval [CI]: 1.29–2.12; after adjustment for socio-demographics and clinically assessed OH: IRR = 1.58, 95% CI: 1.23–2.02; after adjustment for socio-demographics, clinically assessed OH, and self-reported OH characteristics: IRR = 1.27, 95% CI: 0.99–1.63. The differences between estimated marginal means for the DAS categories in the models were 2.92, 2.51, and 1.24, respectively. Minimal clinically important differences of OHIP-14 fell between 1.68 and 2.51. We found a negative statistical association between DA and OHRQoL in our study sample, but after adjustment for potential confounders, the association lost its clinical importance.https://www.mdpi.com/2304-6767/11/11/260medical studentsdental studentsNorth-West Russiadental anxietyoral health-related quality of lifeminimal clinically important difference
spellingShingle Christine Nordbø Heyeraas
Silje Nyborg Jensen
Vilde Bjørkli Stabell
Jan-Are K. Johnsen
Sergei N. Drachev
Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
Dentistry Journal
medical students
dental students
North-West Russia
dental anxiety
oral health-related quality of life
minimal clinically important difference
title Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
title_full Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
title_fullStr Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
title_full_unstemmed Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
title_short Is Dental Anxiety Associated with Oral Health-Related Quality of Life? Assessment of Statistical Significance and Clinical Meaningfulness in a Sample of Russian Medical and Dental Students
title_sort is dental anxiety associated with oral health related quality of life assessment of statistical significance and clinical meaningfulness in a sample of russian medical and dental students
topic medical students
dental students
North-West Russia
dental anxiety
oral health-related quality of life
minimal clinically important difference
url https://www.mdpi.com/2304-6767/11/11/260
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